| ENTRY SPECIFICATION |
{"name": "ASRS",
{"id": "q9331", "type": "ChoiceQuestion", "required": true, "inline": false,
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]},
{"id": "q9338", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "8. How often do you have difficulty keeping your attention when you are doing
boring or repetitive work?",
"text": "1. How often do you have trouble wrapping up the final details of a project, once
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
the challenging parts have been done?",
]},
{"id": "q9339", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "9. How often do you have difficulty concentrating on what people say to you, even
when they are speaking to you directly?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]},
{"id": "q9340", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "10. How often do you misplace or have difficulty finding things at home or at
work?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]},
{"id": "q9341", "type": "ChoiceQuestion", "required": true, "inline": false,
you have felt and conducted yourself over the past 6 months.",
"text": "11. How often are you distracted by activity or noise around you?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
"columns": 1,
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]},
{"id": "q9342", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "12. How often do you leave your seat in meetings or other situations in which you
are expected to remain seated?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
"choices":[
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]},
{"id": "q9343", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "13. How often do you feel restless or fidgety?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
{"id": "c5846", "text": "1. Never", "quickKey": 1},
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]},
{"id": "q9344", "type": "ChoiceQuestion", "required": true, "inline": false,
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
"text": "14. How often do you have difficulty unwinding and relaxing when you have time to
yourself?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
"restartDays": 2,
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]},
{"id": "q9345", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "15. How often do you find yourself talking too much when you are in social
situations?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
{"id": "c5849", "text": "4. Often", "quickKey": 4},
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]},
{"id": "q9346", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "16. When you're in a conversation, how often do you find yourself finishing the
sentences of the people you are talking to, before they can finish them
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
themselves?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
]},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]},
{"id": "q9347", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "17. How often do you have difficulty waiting your turn in situations when turn
taking is required?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
"choices":[
{"id": "q9332", "type": "ChoiceQuestion", "required": true, "inline": false,
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]},
{"id": "q9348", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "18. How often do you interrupt others when they are busy?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
"text": "2. How often do you have difficulty getting things in order when you have to do
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]}]
}
a task that requires organization?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"printTitle": "Adult ADHD Self-Report Scale Symptom Checklist (ASRS)",
"columns": 1,
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]},
{"id": "q9333", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "3. How often do you have problems remembering appointments or obligations?",
"content":[
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
{"id": "i2563", "type": "IntroText",
]},
{"id": "q9334", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "4. When you have a task that requires a lot of thought, how often do you avoid or
delay getting started?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
"text": "Please answer the questions below, rating yourself on each of the criteria shown.
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]},
{"id": "q9335", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "5. How often do you fidget or squirm with your hands or feet when you have to sit
down for a long time?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]},
{"id": "q9336", "type": "ChoiceQuestion", "required": true, "inline": false,
you have felt and conducted yourself over the past 6 months."
"text": "6. How often do you feel overly active and compelled to do things, like you were
driven by a motor?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
"choices":[
{"id": "c5846", "text": "1. Never", "quickKey": 1},
{"id": "c5847", "text": "2. Rarely", "quickKey": 2},
{"id": "c5848", "text": "3. Sometimes", "quickKey": 3},
},
{"id": "c5849", "text": "4. Often", "quickKey": 4},
{"id": "c5850", "text": "5. Very Often", "quickKey": 5}
]},
{"id": "q9337", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "7. How often do you make careless mistakes when you have to work on a boring or
difficult project?",
"intro": "Please answer the questions below, rating yourself on each of the criteria shown.
As you answer each question, please select the answer that best describes how
you have felt and conducted yourself over the past 6 months.",
"columns": 1,
|
