| ENTRY SPECIFICATION |
{"name": "SIP-AD-START_V2",
how often it has happened to you DURING THE PAST 30 DAYS (Never, Once or a few
"columns": 1,
"choices":[
{"id": "c5857", "text": "0. Never", "quickKey": 0},
{"id": "c5858", "text": "1. Once or a few times", "quickKey": 1},
{"id": "c5859", "text": "2. Once or twice a week", "quickKey": 2},
{"id": "c5860", "text": "3. Daily or almost daily", "quickKey": 3}
]},
{"id": "i2570", "type": "IntroText",
"text": "I have taken foolish risks when I have been drinking or using drugs."
},
times, etc.). <br /><br /> I have been unhappy because of my drinking or drug
{"id": "q9374", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "5a. Ever:",
"intro": "I have taken foolish risks when I have been drinking or using drugs.",
"columns": 1,
"choices":[
{"id": "c5855", "text": "0. No", "quickKey": 0},
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q9375", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "5b. In the past 30 days:",
use."
"intro": "I have taken foolish risks when I have been drinking or using drugs.",
"columns": 1,
"choices":[
{"id": "c5857", "text": "0. Never", "quickKey": 0},
{"id": "c5858", "text": "1. Once or a few times", "quickKey": 1},
{"id": "c5859", "text": "2. Once or twice a week", "quickKey": 2},
{"id": "c5860", "text": "3. Daily or almost daily", "quickKey": 3}
]},
{"id": "i2571", "type": "IntroText",
"text": "While drinking or using drugs, I have said harsh or cruel things to someone."
},
},
{"id": "q9376", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "6a. Ever:",
"intro": "While drinking or using drugs, I have said harsh or cruel things to someone.",
"columns": 1,
"choices":[
{"id": "c5855", "text": "0. No", "quickKey": 0},
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q9377", "type": "ChoiceQuestion", "required": true, "inline": false,
{"id": "q9366", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "6b. In the past 30 days:",
"intro": "While drinking or using drugs, I have said harsh or cruel things to someone.",
"columns": 1,
"choices":[
{"id": "c5857", "text": "0. Never", "quickKey": 0},
{"id": "c5858", "text": "1. Once or a few times", "quickKey": 1},
{"id": "c5859", "text": "2. Once or twice a week", "quickKey": 2},
{"id": "c5860", "text": "3. Daily or almost daily", "quickKey": 3}
]},
{"id": "i2572", "type": "IntroText",
"text": "1a. Ever:",
"text": "When drinking or using drugs, I have done impulsive things that I regretted
later."
},
{"id": "q9378", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "7a. Ever:",
"intro": "When drinking or using drugs, I have done impulsive things that I regretted
later.",
"columns": 1,
"choices":[
{"id": "c5855", "text": "0. No", "quickKey": 0},
"intro": "Here are a number of events that people sometimes experience in relation to their
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q9379", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "7b. In the past 30 days:",
"intro": "When drinking or using drugs, I have done impulsive things that I regretted
later.",
"columns": 1,
"choices":[
{"id": "c5857", "text": "0. Never", "quickKey": 0},
{"id": "c5858", "text": "1. Once or a few times", "quickKey": 1},
use of alcohol and other drugs. Read each one carefully and indicate whether
{"id": "c5859", "text": "2. Once or twice a week", "quickKey": 2},
{"id": "c5860", "text": "3. Daily or almost daily", "quickKey": 3}
]},
{"id": "i2573", "type": "IntroText",
"text": "I have had money problems because of my drinking or drug use."
},
{"id": "q9380", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "8a. Ever:",
"intro": "I have had money problems because of my drinking or drug use.",
"columns": 1,
this has EVER happened to you (No or Yes). If an item does not apply to you,
"choices":[
{"id": "c5855", "text": "0. No", "quickKey": 0},
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q9381", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "8b. In the past 30 days:",
"intro": "I have had money problems because of my drinking or drug use.",
"columns": 1,
"choices":[
{"id": "c5865", "text": "0. Not at all", "quickKey": 0},
mark No and skip to the next question. If it has EVER happened to you, indicate
{"id": "c5866", "text": "1. A little", "quickKey": 1},
{"id": "c5867", "text": "2. Somewhat", "quickKey": 2},
{"id": "c5868", "text": "3. Very much", "quickKey": 3}
]},
{"id": "i2574", "type": "IntroText",
"text": "My physical appearance has been harmed by my drinking or drug use."
},
{"id": "q9382", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "9a. Ever:",
"intro": "My physical appearance has been harmed by my drinking or drug use.",
"restartDays": 2,
how often it has happened to you DURING THE PAST 30 DAYS (Never, Once or a few
"columns": 1,
"choices":[
{"id": "c5855", "text": "0. No", "quickKey": 0},
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q9383", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "9b. In the past 30 days:",
"intro": "My physical appearance has been harmed by my drinking or drug use.",
"columns": 1,
"choices":[
times, etc.). <br /><br /> I have been unhappy because of my drinking or drug
{"id": "c5865", "text": "0. Not at all", "quickKey": 0},
{"id": "c5866", "text": "1. A little", "quickKey": 1},
{"id": "c5867", "text": "2. Somewhat", "quickKey": 2},
{"id": "c5868", "text": "3. Very much", "quickKey": 3}
]},
{"id": "i2575", "type": "IntroText",
"text": "My family has been hurt by my drinking or drug use."
},
{"id": "q9384", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "10a. Ever:",
use.",
"intro": "My family has been hurt by my drinking or drug use.",
"columns": 1,
"choices":[
{"id": "c5855", "text": "0. No", "quickKey": 0},
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q9385", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "10b. In the past 30 days:",
"intro": "My family has been hurt by my drinking or drug use.",
"columns": 1,
"columns": 1,
"choices":[
{"id": "c5865", "text": "0. Not at all", "quickKey": 0},
{"id": "c5866", "text": "1. A little", "quickKey": 1},
{"id": "c5867", "text": "2. Somewhat", "quickKey": 2},
{"id": "c5868", "text": "3. Very much", "quickKey": 3}
]},
{"id": "i2576", "type": "IntroText",
"text": "A friendship or close relationship has been damaged by my drinking or drug use."
},
{"id": "q9386", "type": "ChoiceQuestion", "required": true, "inline": false,
"choices":[
"text": "11a. Ever:",
"intro": "A friendship or close relationship has been damaged by my drinking or drug use.",
"columns": 1,
"choices":[
{"id": "c5855", "text": "0. No", "quickKey": 0},
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q9387", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "11b. In the past 30 days:",
"intro": "A friendship or close relationship has been damaged by my drinking or drug use.",
{"id": "c5855", "text": "0. No", "quickKey": 0},
"columns": 1,
"choices":[
{"id": "c5865", "text": "0. Not at all", "quickKey": 0},
{"id": "c5866", "text": "1. A little", "quickKey": 1},
{"id": "c5867", "text": "2. Somewhat", "quickKey": 2},
{"id": "c5868", "text": "3. Very much", "quickKey": 3}
]},
{"id": "i2577", "type": "IntroText",
"text": "I have lost interest in activities and hobbies because of my drinking or drug
use."
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
},
{"id": "q9388", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "12a. Ever:",
"intro": "I have lost interest in activities and hobbies because of my drinking or drug
use.",
"columns": 1,
"choices":[
{"id": "c5855", "text": "0. No", "quickKey": 0},
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
]},
]},
{"id": "q9389", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "12b. In the past 30 days:",
"intro": "I have lost interest in activities and hobbies because of my drinking or drug
use.",
"columns": 1,
"choices":[
{"id": "c5865", "text": "0. Not at all", "quickKey": 0},
{"id": "c5866", "text": "1. A little", "quickKey": 1},
{"id": "c5867", "text": "2. Somewhat", "quickKey": 2},
{"id": "c5868", "text": "3. Very much", "quickKey": 3}
{"id": "q9367", "type": "ChoiceQuestion", "required": true, "inline": false,
]},
{"id": "i2578", "type": "IntroText",
"text": "My drinking or drug use has gotten in the way of my growth as a person."
},
{"id": "q9390", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "13a. Ever:",
"intro": "My drinking or drug use has gotten in the way of my growth as a person.",
"columns": 1,
"choices":[
{"id": "c5855", "text": "0. No", "quickKey": 0},
"text": "1b. In the past 30 days:",
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q9391", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "13b. In the past 30 days:",
"intro": "My drinking or drug use has gotten in the way of my growth as a person.",
"columns": 1,
"choices":[
{"id": "c5865", "text": "0. Not at all", "quickKey": 0},
{"id": "c5866", "text": "1. A little", "quickKey": 1},
{"id": "c5867", "text": "2. Somewhat", "quickKey": 2},
"printTitle": "SHORT INVENTORY OF PROBLEMS - AD - Version 2 (SIP-AD-START_V2)",
"intro": "Here are a number of events that people sometimes experience in relation to their
{"id": "c5868", "text": "3. Very much", "quickKey": 3}
]},
{"id": "i2579", "type": "IntroText",
"text": "My drinking or drug use has damaged my social life, popularity, or reputation."
},
{"id": "q9392", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "14a. Ever:",
"intro": "My drinking or drug use has damaged my social life, popularity, or reputation.",
"columns": 1,
"choices":[
use of alcohol and other drugs. Read each one carefully and indicate whether
{"id": "c5855", "text": "0. No", "quickKey": 0},
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q9393", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "14b. In the past 30 days:",
"intro": "My drinking or drug use has damaged my social life, popularity, or reputation.",
"columns": 1,
"choices":[
{"id": "c5865", "text": "0. Not at all", "quickKey": 0},
{"id": "c5866", "text": "1. A little", "quickKey": 1},
this has EVER happened to you (No or Yes). If an item does not apply to you,
{"id": "c5867", "text": "2. Somewhat", "quickKey": 2},
{"id": "c5868", "text": "3. Very much", "quickKey": 3}
]},
{"id": "i2580", "type": "IntroText",
"text": "I have spent too much or lost a lot of money because of my drinking or drug use."
},
{"id": "q9394", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "15a. Ever:",
"intro": "I have spent too much or lost a lot of money because of my drinking or drug use.",
"columns": 1,
mark No and skip to the next question. If it has EVER happened to you, indicate
"choices":[
{"id": "c5855", "text": "0. No", "quickKey": 0},
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q9395", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "15b. In the past 30 days:",
"intro": "I have spent too much or lost a lot of money because of my drinking or drug use.",
"columns": 1,
"choices":[
{"id": "c5865", "text": "0. Not at all", "quickKey": 0},
how often it has happened to you DURING THE PAST 30 DAYS (Never, Once or a few
{"id": "c5866", "text": "1. A little", "quickKey": 1},
{"id": "c5867", "text": "2. Somewhat", "quickKey": 2},
{"id": "c5868", "text": "3. Very much", "quickKey": 3}
]}],
"rules":[
{"question": "q9366", "operator": "EQ", "value": "c5855",
"skips":["q9367"]},
{"question": "q9368", "operator": "EQ", "value": "c5855",
"skips":["q9369"]},
{"question": "q9370", "operator": "EQ", "value": "c5855",
times, etc.). <br /><br /> I have been unhappy because of my drinking or drug
"skips":["q9371"]},
{"question": "q9372", "operator": "EQ", "value": "c5855",
"skips":["q9373"]},
{"question": "q9374", "operator": "EQ", "value": "c5855",
"skips":["q9375"]},
{"question": "q9376", "operator": "EQ", "value": "c5855",
"skips":["q9377"]},
{"question": "q9378", "operator": "EQ", "value": "c5855",
"skips":["q9379"]},
{"question": "q9380", "operator": "EQ", "value": "c5855",
use.",
"skips":["q9381"]},
{"question": "q9382", "operator": "EQ", "value": "c5855",
"skips":["q9383"]},
{"question": "q9384", "operator": "EQ", "value": "c5855",
"skips":["q9385"]},
{"question": "q9386", "operator": "EQ", "value": "c5855",
"skips":["q9387"]},
{"question": "q9388", "operator": "EQ", "value": "c5855",
"skips":["q9389"]},
{"question": "q9390", "operator": "EQ", "value": "c5855",
"columns": 1,
"skips":["q9391"]},
{"question": "q9392", "operator": "EQ", "value": "c5855",
"skips":["q9393"]},
{"question": "q9394", "operator": "EQ", "value": "c5855",
"skips":["q9395"]}]
}
"choices":[
{"id": "c5857", "text": "0. Never", "quickKey": 0},
"content":[
{"id": "c5858", "text": "1. Once or a few times", "quickKey": 1},
{"id": "c5859", "text": "2. Once or twice a week", "quickKey": 2},
{"id": "c5860", "text": "3. Daily or almost daily", "quickKey": 3}
]},
{"id": "i2567", "type": "IntroText",
"text": "Because of my drinking or drug use, I have lost weight or not eaten properly."
},
{"id": "q9368", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "2a. Ever:",
"intro": "Because of my drinking or drug use, I have lost weight or not eaten properly.",
{"id": "i2566", "type": "IntroText",
"columns": 1,
"choices":[
{"id": "c5855", "text": "0. No", "quickKey": 0},
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q9369", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "2b. In the past 30 days:",
"intro": "Because of my drinking or drug use, I have lost weight or not eaten properly.",
"columns": 1,
"choices":[
"text": "Here are a number of events that people sometimes experience in relation to their
{"id": "c5857", "text": "0. Never", "quickKey": 0},
{"id": "c5858", "text": "1. Once or a few times", "quickKey": 1},
{"id": "c5859", "text": "2. Once or twice a week", "quickKey": 2},
{"id": "c5860", "text": "3. Daily or almost daily", "quickKey": 3}
]},
{"id": "i2568", "type": "IntroText",
"text": "I have failed to do what is expected of me because of my drinking or drug use"
},
{"id": "q9370", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "3a. Ever:",
use of alcohol and other drugs. Read each one carefully and indicate whether
"intro": "I have failed to do what is expected of me because of my drinking or drug use",
"columns": 1,
"choices":[
{"id": "c5855", "text": "0. No", "quickKey": 0},
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q9371", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "3b. In the past 30 days:",
"intro": "I have failed to do what is expected of me because of my drinking or drug use",
"columns": 1,
this has EVER happened to you (No or Yes). If an item does not apply to you,
"choices":[
{"id": "c5857", "text": "0. Never", "quickKey": 0},
{"id": "c5858", "text": "1. Once or a few times", "quickKey": 1},
{"id": "c5859", "text": "2. Once or twice a week", "quickKey": 2},
{"id": "c5860", "text": "3. Daily or almost daily", "quickKey": 3}
]},
{"id": "i2569", "type": "IntroText",
"text": "When drinking or using drugs, my personality has changed for the worse."
},
{"id": "q9372", "type": "ChoiceQuestion", "required": true, "inline": false,
mark No and skip to the next question. If it has EVER happened to you, indicate
"text": "4a. Ever:",
"intro": "When drinking or using drugs, my personality has changed for the worse.",
"columns": 1,
"choices":[
{"id": "c5855", "text": "0. No", "quickKey": 0},
{"id": "c5856", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q9373", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "4b. In the past 30 days:",
"intro": "When drinking or using drugs, my personality has changed for the worse.",
|
