| ENTRY SPECIFICATION |
{"name": "PROMIS10",
{"id": "q8789", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "8). In the past 7 days... How often have you been bothered by emotional problems
such as feeling anxious, depressed or irritable?",
"intro": "We would like to ask you some questions about your health in general. <br
/>Please respond to each question or statement by selecting one box in each.",
"columns": 1,
"choices":[
{"id": "c5361", "text": "1. Never", "quickKey": 1},
{"id": "c5362", "text": "2. Rarely", "quickKey": 2},
{"id": "c5363", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5364", "text": "4. Often", "quickKey": 4},
"text": "1). In general, would you say your health is:",
{"id": "c5365", "text": "5. Always", "quickKey": 5}
]},
{"id": "q8797", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "9). How would you rate your fatigue on average?",
"intro": "We would like to ask you some questions about your health in general. <br
/>Please respond to each question or statement by selecting one box in each.",
"columns": 1,
"choices":[
{"id": "c5366", "text": "1. None", "quickKey": 1},
{"id": "c5367", "text": "2. Mild", "quickKey": 2},
"intro": "We would like to ask you some questions about your health in general. <br
{"id": "c5368", "text": "3. Moderate", "quickKey": 3},
{"id": "c5369", "text": "4. Severe", "quickKey": 4},
{"id": "c5370", "text": "5. Very Severe", "quickKey": 5}
]},
{"id": "q8798", "type": "SliderQuestion", "required": false,
"text": "10). How would you rate your pain on average?",
"intro": "We would like to ask you some questions about your health in general. <br
/>Please respond to each question or statement by selecting one box in each.",
"min": 0, "max": 10,
"legend":["No Pain", "Worst Pain Imaginable"]}]
/>Please respond to each question or statement by selecting one box in each.",
}
"columns": 1,
"choices":[
{"id": "c5351", "text": "1. Excellent", "quickKey": 1},
{"id": "c5352", "text": "2. Very Good", "quickKey": 2},
{"id": "c5353", "text": "3. Good", "quickKey": 3},
{"id": "c5354", "text": "4. Fair", "quickKey": 4},
"restartDays": 2,
{"id": "c5355", "text": "5. Poor", "quickKey": 5}
]},
{"id": "q8790", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "2). In general, would you say your quality of life is:",
"intro": "We would like to ask you some questions about your health in general. <br
/>Please respond to each question or statement by selecting one box in each.",
"columns": 1,
"choices":[
{"id": "c5351", "text": "1. Excellent", "quickKey": 1},
{"id": "c5352", "text": "2. Very Good", "quickKey": 2},
"printTitle": "Patient-Reported Outcomes Measurement Information System (PROMIS-10) Global
{"id": "c5353", "text": "3. Good", "quickKey": 3},
{"id": "c5354", "text": "4. Fair", "quickKey": 4},
{"id": "c5355", "text": "5. Poor", "quickKey": 5}
]},
{"id": "q8791", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "3). In general, how would you rate your physical health?",
"intro": "We would like to ask you some questions about your health in general. <br
/>Please respond to each question or statement by selecting one box in each.",
"columns": 1,
"choices":[
Health Scale",
{"id": "c5351", "text": "1. Excellent", "quickKey": 1},
{"id": "c5352", "text": "2. Very Good", "quickKey": 2},
{"id": "c5353", "text": "3. Good", "quickKey": 3},
{"id": "c5354", "text": "4. Fair", "quickKey": 4},
{"id": "c5355", "text": "5. Poor", "quickKey": 5}
]},
{"id": "q8792", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "4). In general, how would you rate your mental health, including your mood and
your ability to think?",
"intro": "We would like to ask you some questions about your health in general. <br
"content":[
/>Please respond to each question or statement by selecting one box in each.",
"columns": 1,
"choices":[
{"id": "c5351", "text": "1. Excellent", "quickKey": 1},
{"id": "c5352", "text": "2. Very Good", "quickKey": 2},
{"id": "c5353", "text": "3. Good", "quickKey": 3},
{"id": "c5354", "text": "4. Fair", "quickKey": 4},
{"id": "c5355", "text": "5. Poor", "quickKey": 5}
]},
{"id": "q8793", "type": "ChoiceQuestion", "required": false, "inline": false,
{"id": "i2474", "type": "IntroText",
"text": "5). In general, how would you rate your satisfaction with your social activities
and relationships?",
"intro": "We would like to ask you some questions about your health in general. <br
/>Please respond to each question or statement by selecting one box in each.",
"columns": 1,
"choices":[
{"id": "c5351", "text": "1. Excellent", "quickKey": 1},
{"id": "c5352", "text": "2. Very Good", "quickKey": 2},
{"id": "c5353", "text": "3. Good", "quickKey": 3},
{"id": "c5354", "text": "4. Fair", "quickKey": 4},
"text": "We would like to ask you some questions about your health in general. <br
{"id": "c5355", "text": "5. Poor", "quickKey": 5}
]},
{"id": "q8794", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "6). In general, please rate how well you carry out your usual social activities
and roles. (This includes activities at home, at work and in your community, and
responsibilities as a parent, child, spouse, employee, friend, etc.)",
"intro": "We would like to ask you some questions about your health in general. <br
/>Please respond to each question or statement by selecting one box in each.",
"columns": 1,
"choices":[
/>Please respond to each question or statement by selecting one box in each."
{"id": "c5351", "text": "1. Excellent", "quickKey": 1},
{"id": "c5352", "text": "2. Very Good", "quickKey": 2},
{"id": "c5353", "text": "3. Good", "quickKey": 3},
{"id": "c5354", "text": "4. Fair", "quickKey": 4},
{"id": "c5355", "text": "5. Poor", "quickKey": 5}
]},
{"id": "q8795", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "7). To what extent are you able to carry out your everyday physical activities
such as walking, climbing stairs, carrying groceries, or moving a chair?",
"intro": "We would like to ask you some questions about your health in general. <br
},
/>Please respond to each question or statement by selecting one box in each.",
"columns": 1,
"choices":[
{"id": "c5356", "text": "1. Completely", "quickKey": 1},
{"id": "c5357", "text": "2. Mostly", "quickKey": 2},
{"id": "c5358", "text": "3. Moderately", "quickKey": 3},
{"id": "c5359", "text": "4. A little", "quickKey": 4},
{"id": "c5360", "text": "5. Not At All", "quickKey": 5}
]},
{"id": "q8796", "type": "ChoiceQuestion", "required": false, "inline": false,
|
