| ENTRY SPECIFICATION |
{"name": "PCL-5",
},
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6846", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "6. Avoiding memories, thoughts, or feelings related to the stressful experience?",
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
{"id": "q6839", "type": "StringQuestion", "required": false, "inline": true,
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
"text": " The event you experienced was:",
]},
{"id": "q6847", "type": "ChoiceQuestion", "required": false, "inline": true,
"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 and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
"choices":[
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6848", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "8. Trouble remembering important parts of the stressful experience?",
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
then select the appropriate number to indicate how much you have been bothered
{"id": "q6849", "type": "ChoiceQuestion", "required": false, "inline": true,
"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)? ",
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
"choices":[
by that problem in the past month ",
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6850", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "10. Blaming yourself or someone else for the stressful experience or what
happened after it?",
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
"controlWidth": 400, "min": 0, "max": 0},
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
{"id": "q6840", "type": "ChoiceQuestion", "required": false, "inline": true,
]},
{"id": "q6851", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?",
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
"text": " The event happened:",
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6852", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "12. Loss of interest in activities that you used to enjoy?",
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
"restartDays": 2,
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6853", "type": "ChoiceQuestion", "required": false, "inline": true,
have in response to stressful life experiences. Please read each one carefully,
"text": "13. Feeling distant or cut off from other people?",
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
then select the appropriate number to indicate how much you have been bothered
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6854", "type": "ChoiceQuestion", "required": false, "inline": true,
"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 and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6855", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "15. Irritable behavior, angry outbursts, or acting aggressively?",
"columns": 3,
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
"choices":[
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6856", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "16. Taking too many risks or doing things that could cause you harm?",
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c3627", "text": "1. within the past month", "quickKey": 1},
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6857", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "17. Being \u0022superalert\u0022 or watchful or on guard?",
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
{"id": "c3628", "text": "2. within the past year", "quickKey": 2},
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "c3629", "text": "3. within the past 1-5 years", "quickKey": 3},
{"id": "q6858", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "18. Feeling jumpy or easily startled?",
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c3630", "text": "4. within the past 6-10 years", "quickKey": 4},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6859", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "19. Having difficulty concentrating?",
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"printTitle": "PCL-5 PTSD Checklist from DSM-5",
{"id": "c3631", "text": "5. more than 10 years ago", "quickKey": 5}
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6860", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "20. Trouble falling or staying asleep?",
]},
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "s1509", "type": "IntroText",
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]}]
}
"text": "In the past month, how much were you bothered by:"
},
{"id": "q6841", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "1. Repeated, disturbing, and unwanted memories of the stressful experience?",
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
"content":[
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6842", "type": "ChoiceQuestion", "required": false, "inline": true,
{"id": "i1772", "type": "IntroText",
"text": "2. Repeated, disturbing dreams of the stressful experience?",
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
"text": "Instructions: Below is a list of problems and complaints that people sometimes
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6843", "type": "ChoiceQuestion", "required": false, "inline": true,
"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 and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
have in response to stressful life experiences. Please read each one carefully,
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6844", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "4. Feeling very upset when something reminded you of the stressful experience?",
then select the appropriate number to indicate how much you have been bothered
"intro": "Instructions: Below is a list of problems and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
"choices":[
{"id": "c212", "text": "0. Not at all", "quickKey": 0},
{"id": "c684", "text": "1. A little bit", "quickKey": 1},
{"id": "c685", "text": "2. Moderately", "quickKey": 2},
{"id": "c686", "text": "3. Quite a bit", "quickKey": 3},
by that problem in the past month "
{"id": "c687", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q6845", "type": "ChoiceQuestion", "required": false, "inline": true,
"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 and complaints that people sometimes
have in response to stressful life experiences. Please read each one carefully,
then select the appropriate number to indicate how much you have been bothered
by that problem in the past month ",
"columns": 3,
|
