| ENTRY SPECIFICATION |
{"name": "VRA",
},
"text": "7A. Do you currently get support for your recovery from your spouse or
significant other?",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
"columns": 2,
"choices":[
{"id": "c237", "text": "0. No", "quickKey": 0},
{"id": "c241", "text": "1. Yes", "quickKey": 1},
{"id": "q5966", "type": "ChoiceQuestion", "required": false, "inline": true,
{"id": "c3136", "text": "2. I don't have a spouse or significant other", "quickKey": 2}
]},
{"id": "q5973", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "7B. Do you currently get support for your recovery from other family members?",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
"columns": 2,
"choices":[
"text": "1. I have my own plan for how to stay or become well.",
{"id": "c237", "text": "0. No", "quickKey": 0},
{"id": "c241", "text": "1. Yes", "quickKey": 1},
{"id": "c3137", "text": "2. I don't have other family members", "quickKey": 2}
]},
{"id": "q5974", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "7C. Do you currently get support for your recovery from friends?",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
"intro": "Below is a list of statements that describe how people sometimes feel about
"columns": 2,
"choices":[
{"id": "c237", "text": "0. No", "quickKey": 0},
{"id": "c241", "text": "1. Yes", "quickKey": 1},
{"id": "c3138", "text": "2. I don't have as many friends as I'd like", "quickKey": 2}
]},
{"id": "q5975", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "7D. Would you like a change in the kind or amount of support for your recovery
that you are getting from your spouse or significant other? (If you do not have
a spouse or significant other but want one, please check \u0022Yes, more
themselves and their lives. Please read each one carefully and indicate the
support\u0022.)",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
"columns": 3,
"choices":[
{"id": "c237", "text": "0. No", "quickKey": 0},
{"id": "c3139", "text": "1. Yes, more support", "quickKey": 1},
{"id": "c3140", "text": "2. Yes, less support", "quickKey": 2}
response that best describes the extent to which you agree or disagree with
]},
{"id": "q5976", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "7E. Would you like a change in the kind or amount of support for your recovery
that you are getting from other family members?",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
"columns": 3,
"choices":[
the statement. ",
{"id": "c237", "text": "0. No", "quickKey": 0},
{"id": "c3139", "text": "1. Yes, more support", "quickKey": 1},
{"id": "c3140", "text": "2. Yes, less support", "quickKey": 2}
]},
{"id": "q5977", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "7F. Would you like a change in the kind or amount of support for your recovery
that you are getting from friends? (If you do not have as many friends as you
would like but want one or more additional friends, please check \u0022Yes,
more support\u0022.)",
"intro": "Below is a list of statements that describe how people sometimes feel about
"columns": 2,
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
"columns": 3,
"choices":[
{"id": "c237", "text": "0. No", "quickKey": 0},
{"id": "c3139", "text": "1. Yes, more support", "quickKey": 1},
{"id": "c3140", "text": "2. Yes, less support", "quickKey": 2}
]},
{"id": "s1309", "type": "IntroText",
"choices":[
"text": "HOUSING"
},
{"id": "q5978", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "8A. Choose the following sentence that best describes your current goal about
your housing:",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
"columns": 1,
{"id": "c780", "text": "1. Strongly disagree", "quickKey": 1},
"choices":[
{"id": "c3037", "text": "1. I want to live in a hospital or other place where staff are there all the time
and I rarely leave.", "quickKey": 1},
{"id": "c3038", "text": "2. I want to live in a place (group home, or room or apartment or house) in the
community that provides meals and staff to help me with my activities.", "quickKey": 2},
{"id": "c3039", "text": "3. I want to live by myself or with other people getting mental health care,
where I am responsible for taking care of my needs with occasional home visits
from a mental health provider.", "quickKey": 3},
{"id": "c3153", "text": "4. I want to live by myself or with people I choose and only see mental health
staff when I choose.", "quickKey": 4}
"restartDays": 2,
{"id": "c782", "text": "2. Disagree", "quickKey": 2},
]},
{"id": "q5979", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "8B. Choose the following sentence that best describes your current situation:",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
"columns": 1,
"choices":[
{"id": "c3041", "text": "1. I live in a hospital or other place where staff are there all the time and I
{"id": "c1885", "text": "3. Not sure", "quickKey": 3},
rarely leave.", "quickKey": 1},
{"id": "c3042", "text": "2. I live in a place in the community (group home or room or apartment or house)
that provides meals and staff to help me with my activities.", "quickKey": 2},
{"id": "c3043", "text": "3. I live by myself or with other people getting mental health care, where I am
responsible for taking care of my needs with occasional visits from a mental
health provider.", "quickKey": 3},
{"id": "c3154", "text": "4. I live by myself or with people I choose and only see mental health staff when
I choose.", "quickKey": 4}
]},
{"id": "s1319", "type": "IntroText",
{"id": "c783", "text": "4. Agree", "quickKey": 4},
"text": "EMPLOYMENT"
},
{"id": "q5980", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "9A. Choose the following sentence that best describes your current goal regarding
employment:",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
"columns": 1,
{"id": "c785", "text": "5. Strongly agree", "quickKey": 5}
"choices":[
{"id": "c3045", "text": "1. I am retired and do not wish to be employed.", "quickKey": 1},
{"id": "c3046", "text": "2. I am not retired and I do not wish to be employed in a paid job at all.", "quickKey": 2},
{"id": "c3147", "text": "3. I do not wish to be employed in a paid job because I'm concerned about losing
my disability benefits.", "quickKey": 3},
{"id": "c3048", "text": "4. I want to be employed in a part-time paid job. I need support from a
vocational counselor to become employed.", "quickKey": 4},
{"id": "c3049", "text": "5. I want to be employed in a full-time paid job. I need support from a
vocational counselor to become employed.", "quickKey": 5},
{"id": "c3050", "text": "6. I want to be employed in a part-time paid job. I do not need support from a
]},
vocational counselor.", "quickKey": 6},
{"id": "c3051", "text": "7. I want to be employed in a full-time paid job. I do not need support from a
vocational counselor.", "quickKey": 7}
]},
{"id": "q5981", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "9B. Choose the following sentence that best describes your current situation:",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
{"id": "q5967", "type": "ChoiceQuestion", "required": false, "inline": true,
"columns": 1,
"choices":[
{"id": "c3148", "text": "1. I am retired and do not choose/wish to be employed.", "quickKey": 1},
{"id": "c3149", "text": "2. I am not retired and I do not choose/wish to be employed.", "quickKey": 2},
{"id": "c3150", "text": "3. I am currently not employed (or am employed part-time) because I'm concerned
about losing my disability benefits.", "quickKey": 3},
{"id": "c3151", "text": "4. I am employed part-time in a paid job and have support from a vocational
counselor.", "quickKey": 4},
{"id": "c3152", "text": "5. I am employed full-time in a paid job and have support from a vocational
counselor.", "quickKey": 5},
"text": "2. I have goals in life that I want to reach.",
{"id": "c3057", "text": "6. I am employed part-time in a paid job without support from a vocational
counselor.", "quickKey": 6},
{"id": "c3058", "text": "7. I am employed full-time in a paid job without support from a vocational
counselor.", "quickKey": 7}
]},
{"id": "s1320", "type": "IntroText",
"text": "INVOLVEMENT IN THE COMMUNITY"
},
{"id": "q5982", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "10A. Choose the following sentence that best describes your current interest in
"intro": "Below is a list of statements that describe how people sometimes feel about
being involved in the community:",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
"columns": 1,
"choices":[
{"id": "c3059", "text": "1. I don't want to participate in community activities in any way.", "quickKey": 1},
{"id": "c3060", "text": "2. I only want to participate in community activities that my mental health
providers recommend.", "quickKey": 2},
themselves and their lives. Please read each one carefully and indicate the
{"id": "c3061", "text": "3. I want to be involved in a range of community activities in addition to, or
instead of, those discussed with my mental health providers.", "quickKey": 3},
{"id": "c3062", "text": "4. In addition to participating in community activities, I want to be a volunteer
and contribute my time to some community activity.", "quickKey": 4}
]},
{"id": "q5983", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "10B. Choose the following sentence that best describes your current situation:",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
response that best describes the extent to which you agree or disagree with
the statement. ",
"columns": 1,
"choices":[
{"id": "c3063", "text": "1. I am not involved in community activities in any way.", "quickKey": 1},
{"id": "c3064", "text": "2. I only participate in community activities that my mental health providers
recommend.", "quickKey": 2},
{"id": "c3065", "text": "3. I am involved in a range of community activities in addition to, or instead
of, those discussed with my mental health providers.", "quickKey": 3},
{"id": "c3066", "text": "4. In addition to participating in community activities, I am a volunteer and
contribute my time to a community activity.", "quickKey": 4}
"printTitle": "Veteran Recovery Assessment",
the statement. ",
]}],
"rules":[
{"question": "q5973", "operator": "EQ", "value": "c3137",
"skips":["q5976"]}]
}
"columns": 2,
"choices":[
{"id": "c780", "text": "1. Strongly disagree", "quickKey": 1},
{"id": "c782", "text": "2. Disagree", "quickKey": 2},
{"id": "c1885", "text": "3. Not sure", "quickKey": 3},
{"id": "c783", "text": "4. Agree", "quickKey": 4},
{"id": "c785", "text": "5. Strongly agree", "quickKey": 5}
]},
{"id": "q5968", "type": "ChoiceQuestion", "required": false, "inline": true,
"content":[
"text": "3. I'm hopeful about my future.",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
"columns": 2,
"choices":[
{"id": "c780", "text": "1. Strongly disagree", "quickKey": 1},
{"id": "c782", "text": "2. Disagree", "quickKey": 2},
{"id": "c1885", "text": "3. Not sure", "quickKey": 3},
{"id": "i1043", "type": "IntroText",
{"id": "c783", "text": "4. Agree", "quickKey": 4},
{"id": "c785", "text": "5. Strongly agree", "quickKey": 5}
]},
{"id": "q5969", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "4. Coping with my mental illness is no longer the main focus of my life.",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
"columns": 2,
"text": "Below is a list of statements that describe how people sometimes feel about
"choices":[
{"id": "c780", "text": "1. Strongly disagree", "quickKey": 1},
{"id": "c782", "text": "2. Disagree", "quickKey": 2},
{"id": "c1885", "text": "3. Not sure", "quickKey": 3},
{"id": "c783", "text": "4. Agree", "quickKey": 4},
{"id": "c785", "text": "5. Strongly agree", "quickKey": 5}
]},
{"id": "q5970", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "5. I have people in the community I can count on.",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
"columns": 2,
"choices":[
{"id": "c780", "text": "1. Strongly disagree", "quickKey": 1},
{"id": "c782", "text": "2. Disagree", "quickKey": 2},
{"id": "c1885", "text": "3. Not sure", "quickKey": 3},
{"id": "c783", "text": "4. Agree", "quickKey": 4},
{"id": "c785", "text": "5. Strongly agree", "quickKey": 5}
response that best describes the extent to which you agree or disagree with
]},
{"id": "q5971", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "6. My mental health providers encourage me to take the lead in setting my
personal treatment and life goals.",
"intro": "Below is a list of statements that describe how people sometimes feel about
themselves and their lives. Please read each one carefully and indicate the
response that best describes the extent to which you agree or disagree with
the statement. ",
"columns": 2,
"choices":[
the statement. "
{"id": "c780", "text": "1. Strongly disagree", "quickKey": 1},
{"id": "c782", "text": "2. Disagree", "quickKey": 2},
{"id": "c1885", "text": "3. Not sure", "quickKey": 3},
{"id": "c783", "text": "4. Agree", "quickKey": 4},
{"id": "c785", "text": "5. Strongly agree", "quickKey": 5}
]},
{"id": "s1318", "type": "IntroText",
"text": "FAMILY AND FRIENDS' SUPPORT FOR RECOVERY"
},
{"id": "q5972", "type": "ChoiceQuestion", "required": false, "inline": true,
|
