| ENTRY SPECIFICATION |
{"name": "FOCI",
these questions as accurately as you can.<br /> <br /> Part A Instructions:
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
]},
{"id": "i1714", "type": "IntroText",
"text": "Have you worried about acting on an unwanted and senseless urge or impulse, such
as: "
},
{"id": "q6823", "type": "ChoiceQuestion", "required": false, "inline": true,
Please respond Yes or No for the following questions, based on your experience
"text": "10. Physically harming a loved one, pushing a stranger in front of a bus,
steering your car into oncoming traffic; inappropriate sexual contact; or
poisoning dinner guests?",
"intro": "Have you worried about acting on an unwanted and senseless urge or impulse, such
as: ",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
]},
in the past MONTH:<br /> <br /> Have you been bothered by unpleasant thoughts or
{"id": "i1715", "type": "IntroText",
"text": "Have you felt driven to perform certain acts over and over again, such as: "
},
{"id": "q6824", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "11. Excessive or ritualized washing, cleaning or grooming?",
"intro": "Have you felt driven to perform certain acts over and over again, such as: ",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
images that repeatedly enter your mind, such as:"
]},
{"id": "q6825", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "12. Checking light switches, water faucets, the stove, door locks or the
emergency brake?",
"intro": "Have you felt driven to perform certain acts over and over again, such as: ",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
]},
},
{"id": "q6826", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "13. Counting, arranging; evening-up behaviors (making sure socks are at same
height)?",
"intro": "Have you felt driven to perform certain acts over and over again, such as: ",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
]},
{"id": "q6827", "type": "ChoiceQuestion", "required": false, "inline": true,
{"id": "q6814", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "14. Collecting useless objects or inspecting the garbage before it is thrown out?",
"intro": "Have you felt driven to perform certain acts over and over again, such as: ",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
]},
{"id": "q6828", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "15. Repeating routine actions (in/out of chair, going through doorway, relighting
cigarette) a certain number of times or until it feels just right?",
"text": "1. Concerns with contamination (dirt, germs, chemicals, radiation) or acquiring a
"intro": "Have you felt driven to perform certain acts over and over again, such as: ",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
]},
{"id": "q6829", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "16. Needing to touch objects or people?",
"intro": "Have you felt driven to perform certain acts over and over again, such as: ",
"columns": 2,
serious illness such as AIDS?",
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
]},
{"id": "q6830", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "17. Unnecessary rereading or rewriting; reopening envelopes before they are
mailed?",
"intro": "Have you felt driven to perform certain acts over and over again, such as: ",
"columns": 2,
"choices":[
"intro": "General Instructions: The questions below are designed to help health
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
]},
{"id": "q6831", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "18. Examining your body for signs of illness?",
"intro": "Have you felt driven to perform certain acts over and over again, such as: ",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
professionals evaluate anxiety symptoms. Keep in mind, a high score on this
]},
{"id": "q6832", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "19. Avoiding colors (\u0022red\u0022 means blood), numbers (\u002213\u0022 is
unlucky) or names (those that start with \u0022D\u0022 signify death) that are
associated with dreaded events or unpleasant thoughts?",
"intro": "Have you felt driven to perform certain acts over and over again, such as: ",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
"restartDays": 2,
questionnaire does<br /> not necessarily mean you have an anxiety disorder- only
]},
{"id": "q6833", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "20. Needing to \u0022confess\u0022 or repeatedly asking for reassurance that you
said or did something correctly?",
"intro": "Have you felt driven to perform certain acts over and over again, such as: ",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
]},
an evaluation by a health professional can make this determination. Answer
{"id": "i1716", "type": "IntroText",
"text": "<br /> If you answered YES to one or more of these questions, please continue
with Part B.<br /> <br /> <br /> <br />PART B Instructions: The following
questions refer to the repeated thoughts, images, urges or behaviors identified
in Part A. Consider your experience during the past 30<br /> days when selecting
an answer. Select the most appropriate number from 0 to 4. <br /> <br /> In the
past month... "
},
{"id": "q6834", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "1. On average, how much time is occupied by these thoughts or behaviors each day?",
these questions as accurately as you can.<br /> <br /> Part A Instructions:
"intro": "<br /> If you answered YES to one or more of these questions, please continue
with Part B.<br /> <br /> <br /> <br />PART B Instructions: The following
questions refer to the repeated thoughts, images, urges or behaviors identified
in Part A. Consider your experience during the past 30<br /> days when selecting
an answer. Select the most appropriate number from 0 to 4. <br /> <br /> In the
past month... ",
"columns": 2,
"choices":[
{"id": "c1", "text": "0. None", "quickKey": 0},
{"id": "c3300", "text": "1. Mild (less than an hour)", "quickKey": 1},
Please respond Yes or No for the following questions, based on your experience
{"id": "c3301", "text": "2. Moderate (1 -3 hours)", "quickKey": 2},
{"id": "c3302", "text": "3. Severe (3-8 hours)", "quickKey": 3},
{"id": "c3303", "text": "4. Extreme (more than 8 hours)", "quickKey": 4}
]},
{"id": "q6835", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "2. How much distress do they cause you?",
"intro": "<br /> If you answered YES to one or more of these questions, please continue
with Part B.<br /> <br /> <br /> <br />PART B Instructions: The following
questions refer to the repeated thoughts, images, urges or behaviors identified
in Part A. Consider your experience during the past 30<br /> days when selecting
in the past MONTH:<br /> <br /> Have you been bothered by unpleasant thoughts or
an answer. Select the most appropriate number from 0 to 4. <br /> <br /> In the
past month... ",
"columns": 2,
"choices":[
{"id": "c1", "text": "0. None", "quickKey": 0},
{"id": "c4912", "text": "1. Mild", "quickKey": 1},
{"id": "c4913", "text": "2. Moderate", "quickKey": 2},
{"id": "c4914", "text": "3. Severe", "quickKey": 3},
{"id": "c3304", "text": "4. Extreme (disabling)", "quickKey": 4}
]},
images that repeatedly enter your mind, such as:",
{"id": "q6836", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "3. How hard is it for you to control them?",
"intro": "<br /> If you answered YES to one or more of these questions, please continue
with Part B.<br /> <br /> <br /> <br />PART B Instructions: The following
questions refer to the repeated thoughts, images, urges or behaviors identified
in Part A. Consider your experience during the past 30<br /> days when selecting
an answer. Select the most appropriate number from 0 to 4. <br /> <br /> In the
past month... ",
"columns": 2,
"choices":[
"columns": 2,
{"id": "c3305", "text": "0. Complete control", "quickKey": 0},
{"id": "c3306", "text": "1. Much control", "quickKey": 1},
{"id": "c3307", "text": "2. Moderate control", "quickKey": 2},
{"id": "c3308", "text": "3. Little control", "quickKey": 3},
{"id": "c3309", "text": "4. No control", "quickKey": 4}
]},
{"id": "q6837", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "4. How much do they cause you to avoid doing anything, going anyplace or being
with anyone?",
"intro": "<br /> If you answered YES to one or more of these questions, please continue
"choices":[
with Part B.<br /> <br /> <br /> <br />PART B Instructions: The following
questions refer to the repeated thoughts, images, urges or behaviors identified
in Part A. Consider your experience during the past 30<br /> days when selecting
an answer. Select the most appropriate number from 0 to 4. <br /> <br /> In the
past month... ",
"columns": 2,
"choices":[
{"id": "c3310", "text": "0. No avoidance", "quickKey": 0},
{"id": "c3311", "text": "1. Occasional avoidance", "quickKey": 1},
{"id": "c3312", "text": "2. Moderate avoidance", "quickKey": 2},
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c3313", "text": "3. Frequent and extensive avoidance", "quickKey": 3},
{"id": "c3314", "text": "4. Extreme avoidance (house-bound)", "quickKey": 4}
]},
{"id": "q6838", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "5. How much do they interfere with school, work or your social or family life?",
"intro": "<br /> If you answered YES to one or more of these questions, please continue
with Part B.<br /> <br /> <br /> <br />PART B Instructions: The following
questions refer to the repeated thoughts, images, urges or behaviors identified
in Part A. Consider your experience during the past 30<br /> days when selecting
an answer. Select the most appropriate number from 0 to 4. <br /> <br /> In the
{"id": "c4916", "text": "2. No", "quickKey": 2}
past month... ",
"columns": 2,
"choices":[
{"id": "c1", "text": "0. None", "quickKey": 0},
{"id": "c3315", "text": "1. Slight interference", "quickKey": 1},
{"id": "c3316", "text": "2. Definitely interferes with functioning", "quickKey": 2},
{"id": "c3317", "text": "3. Much interference", "quickKey": 3},
{"id": "c3318", "text": "4. Extreme interference (disabling)", "quickKey": 4}
]}],
"rules":[
"printTitle": "Florida Obsessive Compulsive Inventory (FOCI)",
]},
{"question": "q6814", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6815", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6815", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6816", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6816", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6817", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6817", "operator": "EQ", "value": "c4916", "conjunction": "and",
{"id": "q6815", "type": "ChoiceQuestion", "required": false, "inline": true,
"question2": "q6818", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6818", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6819", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6819", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6820", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6820", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6821", "operator2": "EQ", "value2": "c4916",
"text": "2. Overconcern with keeping objects (clothing, tools, etc) in perfect order or
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6821", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6822", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6822", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6823", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6823", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6824", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
arranged exactly?",
{"question": "q6824", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6825", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6825", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6826", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6826", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6827", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6827", "operator": "EQ", "value": "c4916", "conjunction": "and",
"intro": "General Instructions: The questions below are designed to help health
"question2": "q6828", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6828", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6829", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6829", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6830", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6830", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6831", "operator2": "EQ", "value2": "c4916",
professionals evaluate anxiety symptoms. Keep in mind, a high score on this
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6831", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6832", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6832", "operator": "EQ", "value": "c4916", "conjunction": "and",
"question2": "q6833", "operator2": "EQ", "value2": "c4916",
"skips":["q6834","q6835","q6836","q6837","q6838"]},
{"question": "q6833", "operator": "EQ", "value": "c4916", "conjunction": "and",
"skips":["q6834","q6835","q6836","q6837","q6838"]}]
}
questionnaire does<br /> not necessarily mean you have an anxiety disorder- only
an evaluation by a health professional can make this determination. Answer
these questions as accurately as you can.<br /> <br /> Part A Instructions:
Please respond Yes or No for the following questions, based on your experience
"content":[
in the past MONTH:<br /> <br /> Have you been bothered by unpleasant thoughts or
images that repeatedly enter your mind, such as:",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
]},
{"id": "q6816", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "3. Images of death or horrible events?",
"columns": 2,
{"id": "i1712", "type": "IntroText",
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
]},
{"id": "q6817", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "4. Personally unacceptable religious or sexual thoughts?",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
"text": "General Instructions: The questions below are designed to help health
]},
{"id": "i1713", "type": "IntroText",
"text": "Have you worried a lot about terrible things happening, such as: "
},
{"id": "q6818", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "5. Fire, burglary or flooding of the house?",
"intro": "Have you worried a lot about terrible things happening, such as: ",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
professionals evaluate anxiety symptoms. Keep in mind, a high score on this
{"id": "c4916", "text": "2. No", "quickKey": 2}
]},
{"id": "q6819", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "6. Accidentally hitting a pedestrian with your car or letting it roll down a
hill?",
"intro": "Have you worried a lot about terrible things happening, such as: ",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
questionnaire does<br /> not necessarily mean you have an anxiety disorder- only
]},
{"id": "q6820", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "7. Spreading an illness (giving someone AIDS)?",
"intro": "Have you worried a lot about terrible things happening, such as: ",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
]},
{"id": "q6821", "type": "ChoiceQuestion", "required": false, "inline": true,
an evaluation by a health professional can make this determination. Answer
"text": "8. Losing something valuable?",
"intro": "Have you worried a lot about terrible things happening, such as: ",
"columns": 2,
"choices":[
{"id": "c4915", "text": "1. Yes", "quickKey": 1},
{"id": "c4916", "text": "2. No", "quickKey": 2}
]},
{"id": "q6822", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "9. Harm coming to a loved one because you weren't careful enough?",
"intro": "Have you worried a lot about terrible things happening, such as: ",
|
