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,
|