ENTRY SPECIFICATION |
{"name": "PCL-5 DAILY",
past day. The options include not at all, a little bit, moderately, quite a bit,
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q9236", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "7. Avoiding external reminders of the stressful experience (for example, people,
places, conversations, activities, objects, or situations)?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
and extremely. <br /><br />In the past day, how much were you bothered by:"
the options to indicate how much you have been bothered by that problem in the
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
},
]},
{"id": "q9237", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "8. Trouble remembering important parts of the stressful experience?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "q9230", "type": "ChoiceQuestion", "required": true, "inline": false,
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q9238", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "9. Having strong negative beliefs about yourself, other people, or the world (for
example, having thoughts such as: I am bad, there is something seriously wrong
with me, no one can be trusted, the world is completely dangerous)?",
"text": "1. Repeated, disturbing, and unwanted memories of the stressful experience?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
"intro": "Instructions: Below is a list of problems that people sometimes have in response
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q9239", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "10. Blaming yourself or someone else for the stressful experience or what
happened after it?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
past day. The options include not at all, a little bit, moderately, quite a bit,
to a very stressful experience. Please read each problem and then select one of
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q9240", "type": "ChoiceQuestion", "required": true, "inline": false,
the options to indicate how much you have been bothered by that problem in the
"text": "11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
past day. The options include not at all, a little bit, moderately, quite a bit,
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q9241", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "12. Loss of interest in activities that you used to enjoy?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q9242", "type": "ChoiceQuestion", "required": true, "inline": false,
"copyright": "Copyright 2015, National Center for PTSD",
"columns": 1,
"text": "13. Feeling distant or cut off from other people?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
"choices":[
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q9243", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "14. Trouble experiencing positive feelings (for example, being unable to feel
happiness or have loving feelings for people close to you)?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "q9244", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "15. Irritable behavior, angry outbursts, or acting aggressively?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q9245", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "16. Taking too many risks or doing things that could cause you harm?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
{"id": "q9246", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "17. Being \u0022super alert\u0022 or watchful or on guard?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
]},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q9247", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "18. Feeling jumpy or easily startled?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
{"id": "q9231", "type": "ChoiceQuestion", "required": true, "inline": false,
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
"text": "2. Repeated, disturbing dreams of the stressful experience?",
{"id": "q9248", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "19. Having difficulty concentrating?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
"restartDays": 2,
"intro": "Instructions: Below is a list of problems that people sometimes have in response
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q9249", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "20. Trouble falling or staying asleep?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
to a very stressful experience. Please read each problem and then select one of
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]}]
the options to indicate how much you have been bothered by that problem in the
}
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
"printTitle": "PTSD Checklist from DSM-5 Daily (PCL-5 DAILY)",
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q9232", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "3. Suddenly feeling or acting as if the stressful experience were actually
happening again (as if you were actually back there reliving it)?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
past day. The options include not at all, a little bit, moderately, quite a bit,
"content":[
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q9233", "type": "ChoiceQuestion", "required": true, "inline": false,
{"id": "i2552", "type": "IntroText",
"text": "4. Feeling very upset when something reminded you of the stressful experience?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
"text": "Instructions: Below is a list of problems that people sometimes have in response
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q9234", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "5. Having strong physical reactions when something reminded you of the stressful
experience (for example, heart pounding, trouble breathing, sweating)?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
to a very stressful experience. Please read each problem and then select one of
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
{"id": "c5765", "text": "1. A little bit", "quickKey": 1},
{"id": "c5766", "text": "2. Moderately", "quickKey": 2},
{"id": "c5767", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c5768", "text": "4. Extremely", "quickKey": 4}
]},
the options to indicate how much you have been bothered by that problem in the
{"id": "q9235", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "6. Avoiding memories, thoughts, or feelings related to the stressful experience?",
"intro": "Instructions: Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem in the
past day. The options include not at all, a little bit, moderately, quite a bit,
and extremely. <br /><br />In the past day, how much were you bothered by:",
"columns": 1,
"choices":[
{"id": "c5764", "text": "0. Not at all", "quickKey": 0},
|