Name | Value |
---|---|
INSTRUMENT | CIA |
LAST UPDATE | 2022-06-03 17:43:13 |
ENTRY CHECKSUM | 3890953635 |
ENTRY SPECIFICATION | {"name": "CIA", <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8745", "type": "ChoiceQuestion", "required": false, "inline": false, "text": "7. ... interfered with meals with family or friends?", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating habits <br /> ... exercising <br /> ... or your feelings about your eating, habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8746", "type": "ChoiceQuestion", "required": false, "inline": false, shape or weight ..." "text": "8. ... made you upset?", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, }, {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8747", "type": "ChoiceQuestion", "required": false, "inline": false, "text": "9. ... made you feel ashamed of yourself?", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating {"id": "q8739", "type": "ChoiceQuestion", "required": false, "inline": false, habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8748", "type": "ChoiceQuestion", "required": false, "inline": false, "text": "1. ... made it difficult to concentrate?", "text": "10. ... made it difficult to eat out with others?", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8749", "type": "ChoiceQuestion", "required": false, "inline": false, "text": "11. ... made you feel guilty? ", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating habits, <br />exercising or feelings about your eating, shape or weight have habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8750", "type": "ChoiceQuestion", "required": false, "inline": false, affected <br />your life over the past four weeks (28 days). Thank you. <br /> "text": "12. ... interfered with you doing things you used to enjoy?", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8751", "type": "ChoiceQuestion", "required": false, "inline": false, "text": "13. ... made you absent-minded?", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating "copyright": "Copyright Bohn and Fairburn, 2008", habits <br /> ... exercising <br /> ... or your feelings about your eating, habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8752", "type": "ChoiceQuestion", "required": false, "inline": false, shape or weight ...", "text": "14. ... made you feel a failure?", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, "columns": 1, {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8753", "type": "ChoiceQuestion", "required": false, "inline": false, "text": "15. ... interfered with your relationships with others?", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating "choices":[ habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8754", "type": "ChoiceQuestion", "required": false, "inline": false, {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, "text": "16. ... made you worry?", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}] } {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8740", "type": "ChoiceQuestion", "required": false, "inline": false, "restartDays": 2, "text": "2. ... made you feel critical of yourself?", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, "printTitle": "Clinical Impairment Assessment Questionnaire 3.0", {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8741", "type": "ChoiceQuestion", "required": false, "inline": false, "text": "3. ... stopped you going out with others?", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating "content":[ habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8742", "type": "ChoiceQuestion", "required": false, "inline": false, {"id": "i2470", "type": "IntroText", "text": "4. ... affected your work performance (if applicable)?", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, "text": "INSTRUCTIONS <br />Please select the option that best describes how your eating {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8743", "type": "ChoiceQuestion", "required": false, "inline": false, "text": "5. ... made you forgetful?", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating habits, <br />exercising or feelings about your eating, shape or weight have habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, {"id": "c5322", "text": "1. A little", "quickKey": 1}, {"id": "c5323", "text": "2. Quite a bit", "quickKey": 2}, {"id": "c5324", "text": "3. A lot", "quickKey": 3} ]}, {"id": "q8744", "type": "ChoiceQuestion", "required": false, "inline": false, affected <br />your life over the past four weeks (28 days). Thank you. <br /> "text": "6. ... affected your ability to make everyday decisions?", "intro": "INSTRUCTIONS <br />Please select the option that best describes how your eating habits, <br />exercising or feelings about your eating, shape or weight have affected <br />your life over the past four weeks (28 days). Thank you. <br /> <br /> <br /><strong>Over the past 28 days</strong>, to what extent have your <br /> ... eating habits <br /> ... exercising <br /> ... or your feelings about your eating, shape or weight ...", "columns": 1, "choices":[ {"id": "c5321", "text": "0. Not at all", "quickKey": 0}, |