ENTRY SPECIFICATION |
{"name": "BAM-C",
"columns": 3,
"choices":[
{"id": "c2418", "text": "1. Clinician Interview", "quickKey": 1},
{"id": "c2419", "text": "2. Self Report", "quickKey": 2},
{"id": "c2420", "text": "3. Phone", "quickKey": 3}
]},
{"id": "i1092", "type": "IntroText",
"text": "Instructions<br />This is a standard set of questions about alcohol and drug use
in the past 30 days. Please answer the requested items as accurately as possible
and indicate the method of assessment in item B above.<br /> "
"restartDays": 7,
},
{"id": "q6464", "type": "IntegerQuestion", "required": false,
"text": "1. In the past 30 days, how many days did you drink ANY alcohol?",
"intro": "Instructions<br />This is a standard set of questions about alcohol and drug use
in the past 30 days. Please answer the requested items as accurately as possible
and indicate the method of assessment in item B above.<br /> ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q6465", "type": "IntegerQuestion", "required": false,
"text": "2. In the past 30 days, how many days did you have at least 5 drinks (if you are
a man) or at least 4 drinks (if you are a woman)? [One drink is considered one
"printTitle": "Brief Addiction Monitor - Consumption Items",
shot of hard liquor (1.5 oz.) or 12-ounce can/bottle of beer or 5-ounce glass of
wine.]",
"intro": "Instructions<br />This is a standard set of questions about alcohol and drug use
in the past 30 days. Please answer the requested items as accurately as possible
and indicate the method of assessment in item B above.<br /> ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q6466", "type": "IntegerQuestion", "required": false,
"text": "3. In the past 30 days, how many days did you use any illegal or street drugs or
abuse any prescription medications?",
"intro": "Instructions<br />This is a standard set of questions about alcohol and drug use
"content":[
in the past 30 days. Please answer the requested items as accurately as possible
and indicate the method of assessment in item B above.<br /> ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "i1093", "type": "IntroText",
"text": "4. In the past 30 days, how many days did you use any of the following drugs: "
},
{"id": "q6467", "type": "IntegerQuestion", "required": false,
"text": "4A. Marijuana (cannabis, pot, weed)?",
"intro": "4. In the past 30 days, how many days did you use any of the following drugs: ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q6399", "type": "DateQuestion", "required": false, "inline": true,
{"id": "q6468", "type": "IntegerQuestion", "required": false,
"text": "4B. Sedatives and/or Tranquilizers (benzos, Valium, Xanax, Ativan, Ambien, barbs,
Phenobarbital, downers, etc.)?",
"intro": "4. In the past 30 days, how many days did you use any of the following drugs: ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q6469", "type": "IntegerQuestion", "required": false,
"text": "4C. Cocaine and/or Crack?",
"intro": "4. In the past 30 days, how many days did you use any of the following drugs: ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q6470", "type": "IntegerQuestion", "required": false,
"text": "A. Date of administration:",
"text": "4D. Other Stimulants (amphetamine, methamphetamine, Dexedrine, Ritalin, Adderall,
speed, crystal meth, ice, etc.)?",
"intro": "4. In the past 30 days, how many days did you use any of the following drugs: ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q6471", "type": "IntegerQuestion", "required": false,
"text": "4E. Opiates (Heroin, Morphine, Dilaudid, Demerol, Oxycontin, oxy, codeine
(Tylenol 2,3,4), Percocet, Vicodin, Fentanyl, etc.)?",
"intro": "4. In the past 30 days, how many days did you use any of the following drugs: ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q6472", "type": "IntegerQuestion", "required": false,
"controlWidth": 120, "daysBack": 30, "daysAhead": 0},
"text": "4F. Inhalants (glues, adhesives, nail polish remover, paint thinner, etc.)?",
"intro": "4. In the past 30 days, how many days did you use any of the following drugs: ",
"controlWidth": 60, "min": 0, "max": 30},
{"id": "q6473", "type": "IntegerQuestion", "required": false,
"text": "4G. Other drugs (steroids, non-prescription sleep and diet pills, Benadryl,
Ephedra, other over-the-counter or unknown medications)?",
"intro": "4. In the past 30 days, how many days did you use any of the following drugs: ",
"controlWidth": 60, "min": 0, "max": 30}],
"rules":[
{"question": "q6464", "operator": "EQ", "value": 0,
{"id": "q6400", "type": "ChoiceQuestion", "required": false, "inline": true,
"skips":["q6465"]},
{"question": "q6466", "operator": "EQ", "value": 0,
"skips":["q6467","q6468","q6469","q6470","q6471","q6472","q6473"]}]
}
"text": "B. Method of administration:",
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