| ENTRY SPECIFICATION |
{"name": "WHYMPI",
important that you identify someone as your \u0022significant other.\u0022 "
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"min": 0, "max": 6,
"legend":["No change", " Extreme change"]},
{"id": "q5207", "type": "SliderQuestion", "required": false,
"text": "A5. How supportive or helpful is your spouse (significant other) to you in
relation to your pain?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
},
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"min": 0, "max": 6,
"legend":["Not at all supportive", "Extremely supportive"]},
{"id": "q5208", "type": "SliderQuestion", "required": false,
"text": "A6. Rate your overall mood during the PAST WEEK.",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
{"id": "q5199", "type": "ChoiceQuestion", "required": false, "inline": true,
mouse or enter the number on the key board. ",
"min": 0, "max": 6,
"legend":["Extremely low mood", " Extremely high mood"]},
{"id": "q5209", "type": "SliderQuestion", "required": false,
"text": "A7. On the average, how severe has your pain been during the LAST WEEK?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"text": "1. Please indicate who your significant other is:",
"min": 0, "max": 6,
"legend":["Not at all severe", "Extremely severe"]},
{"id": "q5210", "type": "SliderQuestion", "required": false,
"text": "A8. How much has your pain changed your ability to participate in recreational
and other social activities?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"intro": "Some of the questions in this questionnaire refer to your \u0022significant
"min": 0, "max": 6,
"legend":["No change", " Extreme change"]},
{"id": "q5211", "type": "SliderQuestion", "required": false,
"text": "A9. How much has your pain changed the amount of satisfaction you get from
family-related activities?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
other.\u0022 A significant other is a person with whom you feel closest. This
"min": 0, "max": 6,
"legend":["No change", " Extreme change"]},
{"id": "q5212", "type": "SliderQuestion", "required": false,
"text": "A10. How worried is your spouse (significant other) about you in reaction to your
pain problem?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
includes anyone that you relate to on a regular or infrequent basis. It is very
"min": 0, "max": 6,
"legend":["Not at all worried", " Extremely worried"]},
{"id": "q5213", "type": "SliderQuestion", "required": false,
"text": "A11. During the PAST WEEK, how much control do you feel that you have had over
your life?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
important that you identify someone as your \u0022significant other.\u0022 ",
"min": 0, "max": 6,
"legend":["Not at all in control", " Extremely in control"]},
{"id": "q5214", "type": "SliderQuestion", "required": false,
"text": "A12. How much SUFFERING do you experience because of your pain?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"min": 0, "max": 6,
"columns": 2,
"legend":["No suffering", " Extreme suffering"]},
{"id": "q5215", "type": "SliderQuestion", "required": false,
"text": "A13. How much has your pain changed your marriage and other family relationships?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"min": 0, "max": 6,
"legend":["No change", " Extreme change"]},
"choices":[
{"id": "q5216", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": " Are you currently working?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"columns": 2,
"choices":[
{"id": "c241", "text": "1. Yes", "quickKey": 1},
"copyright": "Copyright (c) 1985, Robert D. Kerns, Dennis C. Turk and Thomas E. Rudy.",
{"id": "c2140", "text": "1. Spouse", "quickKey": 1},
{"id": "c237", "text": "2. No", "quickKey": 2}
]},
{"id": "q5217", "type": "SliderQuestion", "required": false,
"text": "A14. How much has your pain changed the amount of satisfaction or enjoyment you
get from work?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
{"id": "c2588", "text": "2. Partner/Companion", "quickKey": 2},
"min": 0, "max": 6,
"legend":["No change", " Extreme change"]},
{"id": "q5218", "type": "SliderQuestion", "required": false,
"text": "A15. How attentive is your spouse (significant other) to your pain problem?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"min": 0, "max": 6,
{"id": "c2589", "text": "3. House/Roommate", "quickKey": 3},
"legend":["Not at all attentive", " Extremely attentive"]},
{"id": "q5219", "type": "SliderQuestion", "required": false,
"text": "A16. During the PAST WEEK, how much do you feel that you've been able to deal
with your problems?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"min": 0, "max": 6,
{"id": "c2590", "text": "4. Friend", "quickKey": 4},
"legend":["Not at all", " Extremely well"]},
{"id": "q5220", "type": "SliderQuestion", "required": false,
"text": "A17. How much has your pain changed your ability to do household chores?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"min": 0, "max": 6,
"legend":["No change", " Extreme change"]},
{"id": "c2591", "text": "5. Neighbor", "quickKey": 5},
{"id": "q5221", "type": "SliderQuestion", "required": false,
"text": "A18. During the PAST WEEK, how irritable have you been?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"min": 0, "max": 6,
"legend":["Not at all irritable", " Extremely irritable"]},
{"id": "q5222", "type": "SliderQuestion", "required": false,
{"id": "c2592", "text": "6. Parent/Child/Other relative", "quickKey": 6},
"text": "A19. How much has your pain changed your friendships with people other than your
family?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"min": 0, "max": 6,
"legend":["No change", " Extreme change"]},
{"id": "q5223", "type": "SliderQuestion", "required": false,
{"id": "c2593", "text": "7. Other (please describe)", "quickKey": 7}
"text": "A20. During the PAST WEEK, how tense or anxious have you been?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"min": 0, "max": 6,
"legend":["Not at all tense or anxious", " Extremely tense or anxious"]},
{"id": "i587", "type": "IntroText",
"text": "B.<br />In this section, we are interested in knowing how your significant other
]},
(this refers to the person you indicated above) responds to you when he or she
knows you are in pain. On the scale listed below each question, indicate HOW
OFTEN your significant other generally responds to you in that particular way
WHEN YOU ARE IN PAIN. "
},
{"id": "q5225", "type": "SliderQuestion", "required": false,
"text": "B1. Ignores me.",
"intro": "In this section, we are interested in knowing how your significant other (this
refers to the person you indicated above) responds to you when he or she knows
you are in pain. On the scale listed below each question, indicate HOW OFTEN
{"id": "q5200", "type": "StringQuestion", "required": false,
your significant other generally responds to you in that particular way WHEN YOU
ARE IN PAIN. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5226", "type": "SliderQuestion", "required": false,
"text": "B2. Asks me what he/she can do to help.",
"intro": "In this section, we are interested in knowing how your significant other (this
refers to the person you indicated above) responds to you when he or she knows
you are in pain. On the scale listed below each question, indicate HOW OFTEN
your significant other generally responds to you in that particular way WHEN YOU
"text": " Significant other:",
ARE IN PAIN. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5227", "type": "SliderQuestion", "required": false,
"text": "B3. Reads to me.",
"intro": "In this section, we are interested in knowing how your significant other (this
refers to the person you indicated above) responds to you when he or she knows
you are in pain. On the scale listed below each question, indicate HOW OFTEN
your significant other generally responds to you in that particular way WHEN YOU
ARE IN PAIN. ",
"restartDays": 2,
"intro": "Some of the questions in this questionnaire refer to your \u0022significant
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5228", "type": "SliderQuestion", "required": false,
"text": "B4. Expresses irritation at me.",
"intro": "In this section, we are interested in knowing how your significant other (this
refers to the person you indicated above) responds to you when he or she knows
you are in pain. On the scale listed below each question, indicate HOW OFTEN
your significant other generally responds to you in that particular way WHEN YOU
ARE IN PAIN. ",
"min": 0, "max": 6,
other.\u0022 A significant other is a person with whom you feel closest. This
"legend":["Never", " Very often"]},
{"id": "q5229", "type": "SliderQuestion", "required": false,
"text": "B5. Takes over my jobs or duties.",
"intro": "In this section, we are interested in knowing how your significant other (this
refers to the person you indicated above) responds to you when he or she knows
you are in pain. On the scale listed below each question, indicate HOW OFTEN
your significant other generally responds to you in that particular way WHEN YOU
ARE IN PAIN. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
includes anyone that you relate to on a regular or infrequent basis. It is very
{"id": "q5230", "type": "SliderQuestion", "required": false,
"text": "B6. Talks to me about something else to take my mind off the pain.",
"intro": "In this section, we are interested in knowing how your significant other (this
refers to the person you indicated above) responds to you when he or she knows
you are in pain. On the scale listed below each question, indicate HOW OFTEN
your significant other generally responds to you in that particular way WHEN YOU
ARE IN PAIN. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5231", "type": "SliderQuestion", "required": false,
important that you identify someone as your \u0022significant other.\u0022 ",
"text": "B7. Expresses frustration with me.",
"intro": "In this section, we are interested in knowing how your significant other (this
refers to the person you indicated above) responds to you when he or she knows
you are in pain. On the scale listed below each question, indicate HOW OFTEN
your significant other generally responds to you in that particular way WHEN YOU
ARE IN PAIN. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5232", "type": "SliderQuestion", "required": false,
"text": "B8. Tries to get me to rest.",
"controlWidth": 500, "min": 0, "max": 0},
"intro": "In this section, we are interested in knowing how your significant other (this
refers to the person you indicated above) responds to you when he or she knows
you are in pain. On the scale listed below each question, indicate HOW OFTEN
your significant other generally responds to you in that particular way WHEN YOU
ARE IN PAIN. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5233", "type": "SliderQuestion", "required": false,
"text": "B9. Tries to involve me in some activity.",
"intro": "In this section, we are interested in knowing how your significant other (this
{"id": "q5201", "type": "ChoiceQuestion", "required": false, "inline": true,
refers to the person you indicated above) responds to you when he or she knows
you are in pain. On the scale listed below each question, indicate HOW OFTEN
your significant other generally responds to you in that particular way WHEN YOU
ARE IN PAIN. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5234", "type": "SliderQuestion", "required": false,
"text": "B10. Expresses anger with me.",
"intro": "In this section, we are interested in knowing how your significant other (this
refers to the person you indicated above) responds to you when he or she knows
"text": "2. Do you currently live with this person?",
you are in pain. On the scale listed below each question, indicate HOW OFTEN
your significant other generally responds to you in that particular way WHEN YOU
ARE IN PAIN. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5235", "type": "SliderQuestion", "required": false,
"text": "B11. Gets me some pain medication.",
"intro": "In this section, we are interested in knowing how your significant other (this
refers to the person you indicated above) responds to you when he or she knows
you are in pain. On the scale listed below each question, indicate HOW OFTEN
"intro": "Some of the questions in this questionnaire refer to your \u0022significant
your significant other generally responds to you in that particular way WHEN YOU
ARE IN PAIN. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5236", "type": "SliderQuestion", "required": false,
"text": "B12. Encourages me to work on a hobby.",
"intro": "In this section, we are interested in knowing how your significant other (this
refers to the person you indicated above) responds to you when he or she knows
you are in pain. On the scale listed below each question, indicate HOW OFTEN
your significant other generally responds to you in that particular way WHEN YOU
other.\u0022 A significant other is a person with whom you feel closest. This
ARE IN PAIN. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5237", "type": "SliderQuestion", "required": false,
"text": "B13. Gets me something to eat or drink.",
"intro": "In this section, we are interested in knowing how your significant other (this
refers to the person you indicated above) responds to you when he or she knows
you are in pain. On the scale listed below each question, indicate HOW OFTEN
your significant other generally responds to you in that particular way WHEN YOU
ARE IN PAIN. ",
includes anyone that you relate to on a regular or infrequent basis. It is very
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5238", "type": "SliderQuestion", "required": false,
"text": "B14. Turns on the TV to take my mind off my pain.",
"intro": "In this section, we are interested in knowing how your significant other (this
refers to the person you indicated above) responds to you when he or she knows
you are in pain. On the scale listed below each question, indicate HOW OFTEN
your significant other generally responds to you in that particular way WHEN YOU
ARE IN PAIN. ",
"min": 0, "max": 6,
"printTitle": "West Haven-Yale Multidimensional Pain Inventory",
important that you identify someone as your \u0022significant other.\u0022 ",
"legend":["Never", " Very often"]},
{"id": "i588", "type": "IntroText",
"text": "C.<br />Listed below are 18 common daily activities. Please indicate HOW OFTEN
you do each of these activities by selecting a number on the scale below each
activity. Please complete ALL 18 questions. "
},
{"id": "q5239", "type": "SliderQuestion", "required": false,
"text": "C1. Washes dishes.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
"columns": 2,
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5240", "type": "SliderQuestion", "required": false,
"text": "C2. Mow the lawn.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
"choices":[
{"id": "q5241", "type": "SliderQuestion", "required": false,
"text": "C3. Go out to eat.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5242", "type": "SliderQuestion", "required": false,
"text": "C4. Play cards or other games.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
{"id": "c241", "text": "1. Yes", "quickKey": 1},
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5243", "type": "SliderQuestion", "required": false,
"text": "C5. Go grocery shopping.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
{"id": "c237", "text": "2. No", "quickKey": 2}
"legend":["Never", " Very often"]},
{"id": "q5244", "type": "SliderQuestion", "required": false,
"text": "C6. Work in the garden.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5245", "type": "SliderQuestion", "required": false,
"text": "C7. Go to a movie.",
]},
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5246", "type": "SliderQuestion", "required": false,
"text": "C8. Visit a friend.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
{"id": "i586", "type": "IntroText",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5247", "type": "SliderQuestion", "required": false,
"text": "C9. Help with the house cleaning.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5248", "type": "SliderQuestion", "required": false,
"text": "A.<br />In the following 20 questions, you will be asked to describe your pain
"text": "C10. Work on a car.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5249", "type": "SliderQuestion", "required": false,
"text": "C11. Take a ride in a car.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
and how it affects your life. Under each question is a scale to record your
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5250", "type": "SliderQuestion", "required": false,
"text": "C12. Visit relatives.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
answer. Read each question carefully and then select the number on the scale to
{"id": "q5251", "type": "SliderQuestion", "required": false,
"text": "C13. Prepare a meal.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5252", "type": "SliderQuestion", "required": false,
"text": "C14. Wash the car.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
"content":[
indicate how that specific question applies to you. You can click on the number
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5253", "type": "SliderQuestion", "required": false,
"text": "C15. Take a trip.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
with the mouse or enter the number on the key board. "
"legend":["Never", " Very often"]},
{"id": "q5254", "type": "SliderQuestion", "required": false,
"text": "C16. Go to a park or beach.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5255", "type": "SliderQuestion", "required": false,
"text": "C17. Do a load of laundry.",
},
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
"min": 0, "max": 6,
"legend":["Never", " Very often"]},
{"id": "q5256", "type": "SliderQuestion", "required": false,
"text": "C18. Work on a needed house repair.",
"intro": "Listed below are 18 common daily activities. Please indicate HOW OFTEN you do
each of these activities by selecting a number on the scale below each activity.
Please complete ALL 18 questions. ",
{"id": "q5202", "type": "SliderQuestion", "required": false,
"min": 0, "max": 6,
"legend":["Never", " Very often"]}],
"rules":[
{"question": "q5199", "operator": "NE", "value": "c2593",
"skips":["q5200"]},
{"question": "q5204", "operator": "EQ", "value": "c241",
"skips":["q5205","q5205"]},
{"question": "q5216", "operator": "EQ", "value": "c237",
"skips":["q5217","q5217"]}]
}
"text": "A1. Rate the level of your pain at the present moment.",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
{"id": "i585", "type": "IntroText",
"min": 0, "max": 6,
"legend":["No pain", " Very intense pain"]},
{"id": "q5203", "type": "SliderQuestion", "required": false,
"text": "A2. In general, how much does your pain problem interfere with your day to day
activities?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"text": "Some of the questions in this questionnaire refer to your \u0022significant
"min": 0, "max": 6,
"legend":["No interference", "Extreme interference"]},
{"id": "q5204", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": " Are you retired from work for reasons other than your pain problem?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"columns": 2,
other.\u0022 A significant other is a person with whom you feel closest. This
"choices":[
{"id": "c241", "text": "1. Yes", "quickKey": 1},
{"id": "c237", "text": "2. No", "quickKey": 2}
]},
{"id": "q5205", "type": "SliderQuestion", "required": false,
"text": "A3. Since the time you developed a pain problem, how much has your pain changed
your ability to work?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
includes anyone that you relate to on a regular or infrequent basis. It is very
that specific question applies to you. You can click on the number with the
mouse or enter the number on the key board. ",
"min": 0, "max": 6,
"legend":["No change", " Extreme change"]},
{"id": "q5206", "type": "SliderQuestion", "required": false,
"text": "A4. How much has your pain changed the amount of satisfaction or enjoyment you
get from participating in social and recreational activities?",
"intro": "In the following 20 questions, you will be asked to describe your pain and how it
affects your life. Under each question is a scale to record your answer. Read
each question carefully and then select the number on the scale to indicate how
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