Name | Value |
---|---|
INSTRUMENT | VR-12 |
LAST UPDATE | 2022-04-08 09:02:48 |
ENTRY CHECKSUM | 1513763903 |
ENTRY SPECIFICATION | {"name": "VR-12", " "intro": "4. During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? ", "columns": 3, "choices":[ {"id": "c2991", "text": "1. No, none of the time", "quickKey": 1}, {"id": "c3001", "text": "2. Yes, a little of the time", "quickKey": 2}, {"id": "c2993", "text": "3. Yes, some of the time", "quickKey": 3}, {"id": "c2994", "text": "4. Yes, most of the time", "quickKey": 4}, {"id": "c2995", "text": "5. Yes, all of the time", "quickKey": 5} }, ]}, {"id": "q5607", "type": "ChoiceQuestion", "required": false, "inline": true, "text": "5. During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and house work)?", "intro": "4. During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? ", "columns": 3, "choices":[ {"id": "c212", "text": "1. Not at all", "quickKey": 1}, {"id": "q5600", "type": "ChoiceQuestion", "required": false, "inline": true, {"id": "c1007", "text": "2. A little bit", "quickKey": 2}, {"id": "c718", "text": "3. Moderately", "quickKey": 3}, {"id": "c719", "text": "4. Quite a bit", "quickKey": 4}, {"id": "c720", "text": "5. Extremely", "quickKey": 5} ]}, {"id": "i684", "type": "IntroText", "text": "6. How much of the time during the past 4 weeks: " }, {"id": "q5608", "type": "ChoiceQuestion", "required": false, "inline": true, "text": "6A. Have you felt calm and peaceful?", "text": "1. In general, would you say your health is:", "intro": "6. How much of the time during the past 4 weeks: ", "columns": 3, "choices":[ {"id": "c3788", "text": "1. All of the time", "quickKey": 1}, {"id": "c3781", "text": "2. Most of the time", "quickKey": 2}, {"id": "c2996", "text": "3. A good bit of the time", "quickKey": 3}, {"id": "c3782", "text": "4. Some of the time", "quickKey": 4}, {"id": "c3787", "text": "5. A little of the time", "quickKey": 5}, {"id": "c3786", "text": "6. None of the time", "quickKey": 6} ]}, "intro": "Instructions: This questionnaire asks for your views about your health. This {"id": "q5609", "type": "ChoiceQuestion", "required": false, "inline": true, "text": "6B. Did you have a lot of energy?", "intro": "6. How much of the time during the past 4 weeks: ", "columns": 3, "choices":[ {"id": "c3788", "text": "1. All of the time", "quickKey": 1}, {"id": "c3781", "text": "2. Most of the time", "quickKey": 2}, {"id": "c2996", "text": "3. A good bit of the time", "quickKey": 3}, {"id": "c3782", "text": "4. Some of the time", "quickKey": 4}, {"id": "c3787", "text": "5. A little of the time", "quickKey": 5}, information will help keep track of how you feel and how well you are able to do {"id": "c3786", "text": "6. None of the time", "quickKey": 6} ]}, {"id": "q5610", "type": "ChoiceQuestion", "required": false, "inline": true, "text": "6C. Have you felt downhearted and blue?", "intro": "6. How much of the time during the past 4 weeks: ", "columns": 3, "choices":[ {"id": "c3788", "text": "1. All of the time", "quickKey": 1}, {"id": "c3781", "text": "2. Most of the time", "quickKey": 2}, {"id": "c2996", "text": "3. A good bit of the time", "quickKey": 3}, your usual activities. Answer every question by marking the answer as indicated. {"id": "c3782", "text": "4. Some of the time", "quickKey": 4}, {"id": "c3787", "text": "5. A little of the time", "quickKey": 5}, {"id": "c3786", "text": "6. None of the time", "quickKey": 6} ]}, {"id": "q5611", "type": "ChoiceQuestion", "required": false, "inline": true, "text": "7. During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?", "intro": "6. How much of the time during the past 4 weeks: ", "columns": 3, If you are unsure how to answer a question, please give the best answer you can. "choices":[ {"id": "c3788", "text": "1. All of the time", "quickKey": 1}, {"id": "c3781", "text": "2. Most of the time", "quickKey": 2}, {"id": "c3783", "text": "3. Some of the time", "quickKey": 3}, {"id": "c3784", "text": "4. A little of the time", "quickKey": 4}, {"id": "c3785", "text": "5. None of the time", "quickKey": 5} ]}, {"id": "i685", "type": "IntroText", "text": "Now, we'd like to ask you some questions about how your health may have changed. " ", }, {"id": "q5612", "type": "ChoiceQuestion", "required": false, "inline": true, "text": "8. Compared to one year ago, how would you rate your physical health in general now?", "intro": "Now, we'd like to ask you some questions about how your health may have changed. ", "columns": 3, "choices":[ {"id": "c2997", "text": "1. Much better", "quickKey": 1}, {"id": "c2998", "text": "2. Slightly better", "quickKey": 2}, "columns": 5, {"id": "c1523", "text": "3. About the same", "quickKey": 3}, {"id": "c2999", "text": "4. Slightly worse", "quickKey": 4}, {"id": "c3000", "text": "5. Much worse", "quickKey": 5} ]}, {"id": "q5613", "type": "ChoiceQuestion", "required": false, "inline": true, "text": "9. Compared to one year ago, how would you rate your emotional problems (such as feeling anxious, depressed or irritable) now?", "intro": "Now, we'd like to ask you some questions about how your health may have changed. ", "columns": 3, "restartDays": 2, "choices":[ "choices":[ {"id": "c2997", "text": "1. Much better", "quickKey": 1}, {"id": "c2998", "text": "2. Slightly better", "quickKey": 2}, {"id": "c1523", "text": "3. About the same", "quickKey": 3}, {"id": "c2999", "text": "4. Slightly worse", "quickKey": 4}, {"id": "c3000", "text": "5. Much worse", "quickKey": 5} ]}] } {"id": "c3776", "text": "1. Excellent", "quickKey": 1}, {"id": "c3777", "text": "2. Very good", "quickKey": 2}, {"id": "c3778", "text": "3. Good", "quickKey": 3}, {"id": "c3779", "text": "4. Fair", "quickKey": 4}, {"id": "c3780", "text": "5. Poor", "quickKey": 5} ]}, {"id": "i681", "type": "IntroText", "text": "2. The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? " "printTitle": "Veterans RAND 12 Item Health Survey", }, {"id": "q5601", "type": "ChoiceQuestion", "required": false, "inline": true, "text": "2A. Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf?", "intro": "2. The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? ", "columns": 3, "choices":[ {"id": "c2988", "text": "1. Yes, limited a lot", "quickKey": 1}, {"id": "c2989", "text": "2. Yes, limited a little", "quickKey": 2}, "content":[ {"id": "c2990", "text": "3. No, not limited at all", "quickKey": 3} ]}, {"id": "q5602", "type": "ChoiceQuestion", "required": false, "inline": true, "text": "2B. Climbing several flights of stairs?", "intro": "2. The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? ", "columns": 3, "choices":[ {"id": "c2988", "text": "1. Yes, limited a lot", "quickKey": 1}, {"id": "c2989", "text": "2. Yes, limited a little", "quickKey": 2}, {"id": "i680", "type": "IntroText", {"id": "c2990", "text": "3. No, not limited at all", "quickKey": 3} ]}, {"id": "i682", "type": "IntroText", "text": "3. During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? " }, {"id": "q5603", "type": "ChoiceQuestion", "required": false, "inline": true, "text": "3A. Accomplished less than you would like.", "intro": "3. During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? ", "text": "Instructions: This questionnaire asks for your views about your health. This "columns": 3, "choices":[ {"id": "c2991", "text": "1. No, none of the time", "quickKey": 1}, {"id": "c3001", "text": "2. Yes, a little of the time", "quickKey": 2}, {"id": "c2993", "text": "3. Yes, some of the time", "quickKey": 3}, {"id": "c2994", "text": "4. Yes, most of the time", "quickKey": 4}, {"id": "c2995", "text": "5. Yes, all of the time", "quickKey": 5} ]}, {"id": "q5604", "type": "ChoiceQuestion", "required": false, "inline": true, "text": "3B. Were limited in the kind of work or other activities.", information will help keep track of how you feel and how well you are able to do "intro": "3. During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? ", "columns": 3, "choices":[ {"id": "c2991", "text": "1. No, none of the time", "quickKey": 1}, {"id": "c3001", "text": "2. Yes, a little of the time", "quickKey": 2}, {"id": "c2993", "text": "3. Yes, some of the time", "quickKey": 3}, {"id": "c2994", "text": "4. Yes, most of the time", "quickKey": 4}, {"id": "c2995", "text": "5. Yes, all of the time", "quickKey": 5} ]}, your usual activities. Answer every question by marking the answer as indicated. {"id": "i683", "type": "IntroText", "text": "4. During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? " }, {"id": "q5605", "type": "ChoiceQuestion", "required": false, "inline": true, "text": "4A. Accomplished less than you would like.", "intro": "4. During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? ", If you are unsure how to answer a question, please give the best answer you can. "columns": 3, "choices":[ {"id": "c2991", "text": "1. No, none of the time", "quickKey": 1}, {"id": "c3001", "text": "2. Yes, a little of the time", "quickKey": 2}, {"id": "c2993", "text": "3. Yes, some of the time", "quickKey": 3}, {"id": "c2994", "text": "4. Yes, most of the time", "quickKey": 4}, {"id": "c2995", "text": "5. Yes, all of the time", "quickKey": 5} ]}, {"id": "q5606", "type": "ChoiceQuestion", "required": false, "inline": true, "text": "4B. Didn't do work or other activities as carefully as usual.", |