Name | Value |
---|---|
INSTRUMENT | PROMIS10 |
LAST UPDATE | 2022-10-07 15:04:51 |
ENTRY CHECKSUM | 26332344 |
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, |