B-IPF (137)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT B-IPF
LAST UPDATE 2022-04-08 13:45:08
ENTRY CHECKSUM 3426463939
ENTRY SPECIFICATION
{"name": "B-IPF", 
    "text": "1. I had trouble in my romantic relationship with my spouse or partner.", 
    "text": "7. I had trouble with day to day activities, such as doing household chores,
 running errands and managing my medical care.", 
    "intro": "Select a rating on the scale of 0 (Not at All) to 6 (Very Much) for each item. 
 Select 7 if the item is not applicable.<br /><br />Overall, in the PAST 30 DAYS:", 
    "columns": 1, 
    "choices":[
     {"id": "c5219", "text": " 0 (Not at All)", "quickKey": 0}, 
     {"id": "c5220", "text": " 1", "quickKey": 1}, 
     {"id": "c5221", "text": " 2", "quickKey": 2}, 
     {"id": "c5222", "text": " 3 (Somewhat)", "quickKey": 3}, 
    "intro": "Select a rating on the scale of 0 (Not at All) to 6 (Very Much) for each item. 
     {"id": "c5223", "text": " 4", "quickKey": 4}, 
     {"id": "c5224", "text": " 5", "quickKey": 5}, 
     {"id": "c5225", "text": " 6 (Very Much)", "quickKey": 6}, 
     {"id": "c5226", "text": " 7 -- Not Applicable in the Past 30 Days", "quickKey": 7}
   ]}]
}
 Select 7 if the item is not applicable.<br /><br />Overall, in the PAST 30 DAYS:", 
    "columns": 1, 
    "choices":[
     {"id": "c5219", "text": " 0 (Not at All)", "quickKey": 0}, 
     {"id": "c5220", "text": " 1", "quickKey": 1}, 
     {"id": "c5221", "text": " 2", "quickKey": 2}, 
     {"id": "c5222", "text": " 3 (Somewhat)", "quickKey": 3}, 
     {"id": "c5223", "text": " 4", "quickKey": 4}, 
 "restartDays": 2, 
     {"id": "c5224", "text": " 5", "quickKey": 5}, 
     {"id": "c5225", "text": " 6 (Very Much)", "quickKey": 6}, 
     {"id": "c5226", "text": " 7 -- Not Applicable in the Past 30 Days", "quickKey": 7}
   ]}, 
   {"id": "q8644", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "2. I had trouble in my relationship with my children.", 
    "intro": "Select a rating on the scale of 0 (Not at All) to 6 (Very Much) for each item. 
 Select 7 if the item is not applicable.<br /><br />Overall, in the PAST 30 DAYS:", 
    "columns": 1, 
    "choices":[
 "printTitle": "Brief Inventory of Psychosocial Functioning",
     {"id": "c5219", "text": " 0 (Not at All)", "quickKey": 0}, 
     {"id": "c5220", "text": " 1", "quickKey": 1}, 
     {"id": "c5221", "text": " 2", "quickKey": 2}, 
     {"id": "c5222", "text": " 3 (Somewhat)", "quickKey": 3}, 
     {"id": "c5223", "text": " 4", "quickKey": 4}, 
     {"id": "c5224", "text": " 5", "quickKey": 5}, 
     {"id": "c5225", "text": " 6 (Very Much)", "quickKey": 6}, 
     {"id": "c5226", "text": " 7 -- Not Applicable in the Past 30 Days", "quickKey": 7}
   ]}, 
   {"id": "q8645", "type": "ChoiceQuestion", "required": false, "inline": false, 
 "content":[
    "text": "3. I had trouble with my family relationships.", 
    "intro": "Select a rating on the scale of 0 (Not at All) to 6 (Very Much) for each item. 
 Select 7 if the item is not applicable.<br /><br />Overall, in the PAST 30 DAYS:", 
    "columns": 1, 
    "choices":[
     {"id": "c5219", "text": " 0 (Not at All)", "quickKey": 0}, 
     {"id": "c5220", "text": " 1", "quickKey": 1}, 
     {"id": "c5221", "text": " 2", "quickKey": 2}, 
     {"id": "c5222", "text": " 3 (Somewhat)", "quickKey": 3}, 
     {"id": "c5223", "text": " 4", "quickKey": 4}, 
   {"id": "i2458", "type": "IntroText", 
     {"id": "c5224", "text": " 5", "quickKey": 5}, 
     {"id": "c5225", "text": " 6 (Very Much)", "quickKey": 6}, 
     {"id": "c5226", "text": " 7 -- Not Applicable in the Past 30 Days", "quickKey": 7}
   ]}, 
   {"id": "q8646", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "4. I had trouble with my friendships and socializing.", 
    "intro": "Select a rating on the scale of 0 (Not at All) to 6 (Very Much) for each item. 
 Select 7 if the item is not applicable.<br /><br />Overall, in the PAST 30 DAYS:", 
    "columns": 1, 
    "choices":[
    "text": "Select a rating on the scale of 0 (Not at All) to 6 (Very Much) for each item. 
     {"id": "c5219", "text": " 0 (Not at All)", "quickKey": 0}, 
     {"id": "c5220", "text": " 1", "quickKey": 1}, 
     {"id": "c5221", "text": " 2", "quickKey": 2}, 
     {"id": "c5222", "text": " 3 (Somewhat)", "quickKey": 3}, 
     {"id": "c5223", "text": " 4", "quickKey": 4}, 
     {"id": "c5224", "text": " 5", "quickKey": 5}, 
     {"id": "c5225", "text": " 6 (Very Much)", "quickKey": 6}, 
     {"id": "c5226", "text": " 7 -- Not Applicable in the Past 30 Days", "quickKey": 7}
   ]}, 
   {"id": "q8647", "type": "ChoiceQuestion", "required": false, "inline": false, 
 Select 7 if the item is not applicable.<br /><br />Overall, in the PAST 30 DAYS:"
    "text": "5. I had trouble at work.", 
    "intro": "Select a rating on the scale of 0 (Not at All) to 6 (Very Much) for each item. 
 Select 7 if the item is not applicable.<br /><br />Overall, in the PAST 30 DAYS:", 
    "columns": 1, 
    "choices":[
     {"id": "c5219", "text": " 0 (Not at All)", "quickKey": 0}, 
     {"id": "c5220", "text": " 1", "quickKey": 1}, 
     {"id": "c5221", "text": " 2", "quickKey": 2}, 
     {"id": "c5222", "text": " 3 (Somewhat)", "quickKey": 3}, 
     {"id": "c5223", "text": " 4", "quickKey": 4}, 
    }, 
     {"id": "c5224", "text": " 5", "quickKey": 5}, 
     {"id": "c5225", "text": " 6 (Very Much)", "quickKey": 6}, 
     {"id": "c5226", "text": " 7 -- Not Applicable in the Past 30 Days", "quickKey": 7}
   ]}, 
   {"id": "q8648", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "6. I had trouble with my training and education.", 
    "intro": "Select a rating on the scale of 0 (Not at All) to 6 (Very Much) for each item. 
 Select 7 if the item is not applicable.<br /><br />Overall, in the PAST 30 DAYS:", 
    "columns": 1, 
    "choices":[
   {"id": "q8643", "type": "ChoiceQuestion", "required": true, "inline": false, 
     {"id": "c5219", "text": " 0 (Not at All)", "quickKey": 0}, 
     {"id": "c5220", "text": " 1", "quickKey": 1}, 
     {"id": "c5221", "text": " 2", "quickKey": 2}, 
     {"id": "c5222", "text": " 3 (Somewhat)", "quickKey": 3}, 
     {"id": "c5223", "text": " 4", "quickKey": 4}, 
     {"id": "c5224", "text": " 5", "quickKey": 5}, 
     {"id": "c5225", "text": " 6 (Very Much)", "quickKey": 6}, 
     {"id": "c5226", "text": " 7 -- Not Applicable in the Past 30 Days", "quickKey": 7}
   ]}, 
   {"id": "q8649", "type": "ChoiceQuestion", "required": false, "inline": false,