ENTRY SPECIFICATION |
{"name": "CMAI",
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
{"id": "c5677", "text": "1. Never", "quickKey": 1},
{"id": "c5678", "text": "2. Less than once a week", "quickKey": 2},
{"id": "c5679", "text": "3. Once or several times a week", "quickKey": 3},
{"id": "c5680", "text": "4. Once or several times a day", "quickKey": 4},
{"id": "c5681", "text": "5. A few times an hour or continuous for half an hour or more", "quickKey": 5}
]},
{"id": "q9164", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "7. Inappropriate dress or disrobing",
"intro": "Please read each of the agitated behaviors, and check how often (1-5) they were
manifested by the resident over the last 2 weeks; if more than one occurred
times a day."
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
times a day.",
"choices":[
{"id": "c5677", "text": "1. Never", "quickKey": 1},
{"id": "c5678", "text": "2. Less than once a week", "quickKey": 2},
{"id": "c5679", "text": "3. Once or several times a week", "quickKey": 3},
{"id": "c5680", "text": "4. Once or several times a day", "quickKey": 4},
{"id": "c5681", "text": "5. A few times an hour or continuous for half an hour or more", "quickKey": 5}
},
]},
{"id": "q9165", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "8. Handling things inappropriately",
"intro": "Please read each of the agitated behaviors, and check how often (1-5) they were
manifested by the resident over the last 2 weeks; if more than one occurred
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
times a day.",
"choices":[
{"id": "q9158", "type": "ChoiceQuestion", "required": true, "inline": false,
{"id": "c5677", "text": "1. Never", "quickKey": 1},
{"id": "c5678", "text": "2. Less than once a week", "quickKey": 2},
{"id": "c5679", "text": "3. Once or several times a week", "quickKey": 3},
{"id": "c5680", "text": "4. Once or several times a day", "quickKey": 4},
{"id": "c5681", "text": "5. A few times an hour or continuous for half an hour or more", "quickKey": 5}
]},
{"id": "q9166", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "9. Constant request for attention or help",
"intro": "Please read each of the agitated behaviors, and check how often (1-5) they were
manifested by the resident over the last 2 weeks; if more than one occurred
"text": "1. Cursing or verbal aggression",
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
times a day.",
"choices":[
{"id": "c5677", "text": "1. Never", "quickKey": 1},
{"id": "c5678", "text": "2. Less than once a week", "quickKey": 2},
{"id": "c5679", "text": "3. Once or several times a week", "quickKey": 3},
{"id": "c5680", "text": "4. Once or several times a day", "quickKey": 4},
{"id": "c5681", "text": "5. A few times an hour or continuous for half an hour or more", "quickKey": 5}
"intro": "Please read each of the agitated behaviors, and check how often (1-5) they were
]},
{"id": "q9167", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "10. Repetitive sentences, calls, questions, or words",
"intro": "Please read each of the agitated behaviors, and check how often (1-5) they were
manifested by the resident over the last 2 weeks; if more than one occurred
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
times a day.",
"choices":[
manifested by the resident over the last 2 weeks; if more than one occurred
{"id": "c5677", "text": "1. Never", "quickKey": 1},
{"id": "c5678", "text": "2. Less than once a week", "quickKey": 2},
{"id": "c5679", "text": "3. Once or several times a week", "quickKey": 3},
{"id": "c5680", "text": "4. Once or several times a day", "quickKey": 4},
{"id": "c5681", "text": "5. A few times an hour or continuous for half an hour or more", "quickKey": 5}
]},
{"id": "q9168", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "11. Complaining, negativism, refusal to follow directions",
"intro": "Please read each of the agitated behaviors, and check how often (1-5) they were
manifested by the resident over the last 2 weeks; if more than one occurred
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
times a day.",
"choices":[
{"id": "c5677", "text": "1. Never", "quickKey": 1},
{"id": "c5678", "text": "2. Less than once a week", "quickKey": 2},
{"id": "c5679", "text": "3. Once or several times a week", "quickKey": 3},
{"id": "c5680", "text": "4. Once or several times a day", "quickKey": 4},
{"id": "c5681", "text": "5. A few times an hour or continuous for half an hour or more", "quickKey": 5}
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
]},
{"id": "q9169", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "12. Strange noises (weird laughter or crying)",
"intro": "Please read each of the agitated behaviors, and check how often (1-5) they were
manifested by the resident over the last 2 weeks; if more than one occurred
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
times a day.",
"choices":[
times a day.",
{"id": "c5677", "text": "1. Never", "quickKey": 1},
{"id": "c5678", "text": "2. Less than once a week", "quickKey": 2},
{"id": "c5679", "text": "3. Once or several times a week", "quickKey": 3},
{"id": "c5680", "text": "4. Once or several times a day", "quickKey": 4},
{"id": "c5681", "text": "5. A few times an hour or continuous for half an hour or more", "quickKey": 5}
]},
{"id": "q9170", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "13. Hiding or hoarding things",
"intro": "Please read each of the agitated behaviors, and check how often (1-5) they were
manifested by the resident over the last 2 weeks; if more than one occurred
"copyright": "Cohen Mansfield, 1986. All rights reserved.",
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
times a day.",
"choices":[
{"id": "c5677", "text": "1. Never", "quickKey": 1},
{"id": "c5678", "text": "2. Less than once a week", "quickKey": 2},
{"id": "c5679", "text": "3. Once or several times a week", "quickKey": 3},
{"id": "c5680", "text": "4. Once or several times a day", "quickKey": 4},
{"id": "c5681", "text": "5. A few times an hour or continuous for half an hour or more", "quickKey": 5}
"choices":[
]},
{"id": "q9171", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "14. Screaming",
"intro": "Please read each of the agitated behaviors, and check how often (1-5) they were
manifested by the resident over the last 2 weeks; if more than one occurred
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
times a day.",
"choices":[
{"id": "c5677", "text": "1. Never", "quickKey": 1},
{"id": "c5677", "text": "1. Never", "quickKey": 1},
{"id": "c5678", "text": "2. Less than once a week", "quickKey": 2},
{"id": "c5679", "text": "3. Once or several times a week", "quickKey": 3},
{"id": "c5680", "text": "4. Once or several times a day", "quickKey": 4},
{"id": "c5681", "text": "5. A few times an hour or continuous for half an hour or more", "quickKey": 5}
]}]
}
{"id": "c5678", "text": "2. Less than once a week", "quickKey": 2},
{"id": "c5679", "text": "3. Once or several times a week", "quickKey": 3},
{"id": "c5680", "text": "4. Once or several times a day", "quickKey": 4},
{"id": "c5681", "text": "5. A few times an hour or continuous for half an hour or more", "quickKey": 5}
]},
{"id": "q9159", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "2. Hitting, kicking, pushing, biting, scratching, aggressive spitting",
"restartDays": 2,
"intro": "Please read each of the agitated behaviors, and check how often (1-5) they were
manifested by the resident over the last 2 weeks; if more than one occurred
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
times a day.",
"choices":[
{"id": "c5677", "text": "1. Never", "quickKey": 1},
{"id": "c5678", "text": "2. Less than once a week", "quickKey": 2},
{"id": "c5679", "text": "3. Once or several times a week", "quickKey": 3},
"printTitle": "Cohen-Mansfield Agitation Inventory",
{"id": "c5680", "text": "4. Once or several times a day", "quickKey": 4},
{"id": "c5681", "text": "5. A few times an hour or continuous for half an hour or more", "quickKey": 5}
]},
{"id": "q9160", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "3. Grabbing onto people, throwing, tearing, or destroying things",
"intro": "Please read each of the agitated behaviors, and check how often (1-5) they were
manifested by the resident over the last 2 weeks; if more than one occurred
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
times a day.",
"content":[
"choices":[
{"id": "c5677", "text": "1. Never", "quickKey": 1},
{"id": "c5678", "text": "2. Less than once a week", "quickKey": 2},
{"id": "c5679", "text": "3. Once or several times a week", "quickKey": 3},
{"id": "c5680", "text": "4. Once or several times a day", "quickKey": 4},
{"id": "c5681", "text": "5. A few times an hour or continuous for half an hour or more", "quickKey": 5}
]},
{"id": "q9161", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "4. Other aggressive behaviors, including: intentional falling, making
{"id": "i2529", "type": "IntroText",
verbal/physical sexual advances, eating/drinking/chewing inappropriate
substances, hurt self or other",
"intro": "Please read each of the agitated behaviors, and check how often (1-5) they were
manifested by the resident over the last 2 weeks; if more than one occurred
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
times a day.",
"choices":[
{"id": "c5677", "text": "1. Never", "quickKey": 1},
"text": "Please read each of the agitated behaviors, and check how often (1-5) they were
{"id": "c5678", "text": "2. Less than once a week", "quickKey": 2},
{"id": "c5679", "text": "3. Once or several times a week", "quickKey": 3},
{"id": "c5680", "text": "4. Once or several times a day", "quickKey": 4},
{"id": "c5681", "text": "5. A few times an hour or continuous for half an hour or more", "quickKey": 5}
]},
{"id": "q9162", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "5. Pace, aimless wandering, trying to get to a different place (e.g. out of the
room, building)",
"intro": "Please read each of the agitated behaviors, and check how often (1-5) they were
manifested by the resident over the last 2 weeks; if more than one occurred
manifested by the resident over the last 2 weeks; if more than one occurred
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
times a day.",
"choices":[
{"id": "c5677", "text": "1. Never", "quickKey": 1},
{"id": "c5678", "text": "2. Less than once a week", "quickKey": 2},
{"id": "c5679", "text": "3. Once or several times a week", "quickKey": 3},
{"id": "c5680", "text": "4. Once or several times a day", "quickKey": 4},
{"id": "c5681", "text": "5. A few times an hour or continuous for half an hour or more", "quickKey": 5}
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
]},
{"id": "q9163", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "6. General restlessness, repetitious mannerisms, tapping, strange movements",
"intro": "Please read each of the agitated behaviors, and check how often (1-5) they were
manifested by the resident over the last 2 weeks; if more than one occurred
within a group, add the occurrences. E.g. if hitting occurred on 3 days a week,
and kicking occurred on 4 days a week, 3+4=7 days, circle 4 for 'once or several
times a day.",
"choices":[
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