| ENTRY SPECIFICATION |
{"name": "WHOQOL BREF",
appropriate. This can often be your first response.<br /><br />Please keep in
"text": "7. How well are you able to concentrate?",
"intro": "The following questions ask about how much you have experienced certain things in
the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c212", "text": "1. Not at all", "quickKey": 1},
{"id": "c265", "text": "2. A little", "quickKey": 2},
{"id": "c3197", "text": "3. A moderate amount", "quickKey": 3},
{"id": "c267", "text": "4. Very much", "quickKey": 4},
{"id": "c3622", "text": "5. Extremely", "quickKey": 5}
mind your standards, hopes, pleasures and concerns. We ask that you think about
]},
{"id": "q6612", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "8. How safe do you feel in your daily life?",
"intro": "The following questions ask about how much you have experienced certain things in
the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c212", "text": "1. Not at all", "quickKey": 1},
{"id": "c265", "text": "2. A little", "quickKey": 2},
{"id": "c3197", "text": "3. A moderate amount", "quickKey": 3},
your life in the last two weeks. "
{"id": "c267", "text": "4. Very much", "quickKey": 4},
{"id": "c3622", "text": "5. Extremely", "quickKey": 5}
]},
{"id": "q6613", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "9. How healthy is your physical environment?",
"intro": "The following questions ask about how much you have experienced certain things in
the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c212", "text": "1. Not at all", "quickKey": 1},
},
{"id": "c265", "text": "2. A little", "quickKey": 2},
{"id": "c3197", "text": "3. A moderate amount", "quickKey": 3},
{"id": "c267", "text": "4. Very much", "quickKey": 4},
{"id": "c3622", "text": "5. Extremely", "quickKey": 5}
]},
{"id": "i1780", "type": "IntroText",
"text": "The following questions ask about how completely you experience or were able to
do certain things in the last two weeks. "
},
{"id": "q6614", "type": "ChoiceQuestion", "required": false, "inline": true,
{"id": "q6605", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "10. Do you have enough energy for everyday life?",
"intro": "The following questions ask about how completely you experience or were able to
do certain things in the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c212", "text": "1. Not at all", "quickKey": 1},
{"id": "c265", "text": "2. A little", "quickKey": 2},
{"id": "c3623", "text": "3. Moderately", "quickKey": 3},
{"id": "c3199", "text": "4. Mostly", "quickKey": 4},
{"id": "c3624", "text": "5. Completely", "quickKey": 5}
"text": "1. How would you rate your quality of life?",
]},
{"id": "q6615", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "11. Are you able to accept your bodily appearance?",
"intro": "The following questions ask about how completely you experience or were able to
do certain things in the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c212", "text": "1. Not at all", "quickKey": 1},
{"id": "c265", "text": "2. A little", "quickKey": 2},
{"id": "c3623", "text": "3. Moderately", "quickKey": 3},
"intro": "This assessment asks how you feel about your quality of life, health, or other
{"id": "c3199", "text": "4. Mostly", "quickKey": 4},
{"id": "c3624", "text": "5. Completely", "quickKey": 5}
]},
{"id": "q6616", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "12. Have you enough money to meet your needs?",
"intro": "The following questions ask about how completely you experience or were able to
do certain things in the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c212", "text": "1. Not at all", "quickKey": 1},
areas of your life. Please answer all the questions. If you are unsure about
{"id": "c265", "text": "2. A little", "quickKey": 2},
{"id": "c3623", "text": "3. Moderately", "quickKey": 3},
{"id": "c3199", "text": "4. Mostly", "quickKey": 4},
{"id": "c3624", "text": "5. Completely", "quickKey": 5}
]},
{"id": "q6617", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "13. How available to you is the information that you need in your day-to-day
life?",
"intro": "The following questions ask about how completely you experience or were able to
do certain things in the last two weeks. ",
which response to give to a question, please choose the one that appears most
"columns": 2,
"choices":[
{"id": "c212", "text": "1. Not at all", "quickKey": 1},
{"id": "c265", "text": "2. A little", "quickKey": 2},
{"id": "c3623", "text": "3. Moderately", "quickKey": 3},
{"id": "c3199", "text": "4. Mostly", "quickKey": 4},
{"id": "c3624", "text": "5. Completely", "quickKey": 5}
]},
{"id": "q6618", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "14. To what extent do you have the opportunity for leisure activities?",
appropriate. This can often be your first response.<br /><br />Please keep in
"intro": "The following questions ask about how completely you experience or were able to
do certain things in the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c212", "text": "1. Not at all", "quickKey": 1},
{"id": "c265", "text": "2. A little", "quickKey": 2},
{"id": "c3623", "text": "3. Moderately", "quickKey": 3},
{"id": "c3199", "text": "4. Mostly", "quickKey": 4},
{"id": "c3624", "text": "5. Completely", "quickKey": 5}
]},
"copyright": " World Health Organization 2004",
mind your standards, hopes, pleasures and concerns. We ask that you think about
{"id": "q6619", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "15. How well are you able to get around?",
"intro": "The following questions ask about how completely you experience or were able to
do certain things in the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c3614", "text": "1. Very poor", "quickKey": 1},
{"id": "c3615", "text": "2. Poor", "quickKey": 2},
{"id": "c3193", "text": "3. Neither poor nor good", "quickKey": 3},
{"id": "c3616", "text": "4. Good", "quickKey": 4},
your life in the last two weeks. ",
{"id": "c3617", "text": "5. Very good", "quickKey": 5}
]},
{"id": "i1781", "type": "IntroText",
"text": "The following questions ask you to say how good or satisfied you have felt about
various aspects of your life over the last two weeks. "
},
{"id": "q6620", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "16. How satisfied are you with your sleep?",
"intro": "The following questions ask you to say how good or satisfied you have felt about
various aspects of your life over the last two weeks. ",
"columns": 2,
"columns": 2,
"choices":[
{"id": "c3618", "text": "1. Very dissatisfied", "quickKey": 1},
{"id": "c3619", "text": "2. Dissatisfied", "quickKey": 2},
{"id": "c3195", "text": "3. Neither satisfied nor dissatisfied", "quickKey": 3},
{"id": "c3620", "text": "4. Satisfied", "quickKey": 4},
{"id": "c3621", "text": "5. Very satisfied", "quickKey": 5}
]},
{"id": "q6621", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "17. How satisfied are you with your ability to perform your daily living
"choices":[
activities?",
"intro": "The following questions ask you to say how good or satisfied you have felt about
various aspects of your life over the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c3618", "text": "1. Very dissatisfied", "quickKey": 1},
{"id": "c3619", "text": "2. Dissatisfied", "quickKey": 2},
{"id": "c3195", "text": "3. Neither satisfied nor dissatisfied", "quickKey": 3},
{"id": "c3620", "text": "4. Satisfied", "quickKey": 4},
{"id": "c3621", "text": "5. Very satisfied", "quickKey": 5}
{"id": "c3614", "text": "1. Very poor", "quickKey": 1},
]},
{"id": "q6622", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "18. How satisfied are you with your capacity for work?",
"intro": "The following questions ask you to say how good or satisfied you have felt about
various aspects of your life over the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c3618", "text": "1. Very dissatisfied", "quickKey": 1},
{"id": "c3619", "text": "2. Dissatisfied", "quickKey": 2},
{"id": "c3195", "text": "3. Neither satisfied nor dissatisfied", "quickKey": 3},
{"id": "c3615", "text": "2. Poor", "quickKey": 2},
{"id": "c3620", "text": "4. Satisfied", "quickKey": 4},
{"id": "c3621", "text": "5. Very satisfied", "quickKey": 5}
]},
{"id": "q6623", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "19. How satisfied are you with yourself?",
"intro": "The following questions ask you to say how good or satisfied you have felt about
various aspects of your life over the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c3618", "text": "1. Very dissatisfied", "quickKey": 1},
{"id": "c3193", "text": "3. Neither poor nor good", "quickKey": 3},
{"id": "c3619", "text": "2. Dissatisfied", "quickKey": 2},
{"id": "c3195", "text": "3. Neither satisfied nor dissatisfied", "quickKey": 3},
{"id": "c3620", "text": "4. Satisfied", "quickKey": 4},
{"id": "c3621", "text": "5. Very satisfied", "quickKey": 5}
]},
{"id": "q6624", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "20. How satisfied are you with your personal relationships?",
"intro": "The following questions ask you to say how good or satisfied you have felt about
various aspects of your life over the last two weeks. ",
"columns": 2,
{"id": "c3616", "text": "4. Good", "quickKey": 4},
"choices":[
{"id": "c3618", "text": "1. Very dissatisfied", "quickKey": 1},
{"id": "c3619", "text": "2. Dissatisfied", "quickKey": 2},
{"id": "c3195", "text": "3. Neither satisfied nor dissatisfied", "quickKey": 3},
{"id": "c3620", "text": "4. Satisfied", "quickKey": 4},
{"id": "c3621", "text": "5. Very satisfied", "quickKey": 5}
]},
{"id": "q6625", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "21. How satisfied are you with your sex life?",
"intro": "The following questions ask you to say how good or satisfied you have felt about
{"id": "c3617", "text": "5. Very good", "quickKey": 5}
various aspects of your life over the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c3618", "text": "1. Very dissatisfied", "quickKey": 1},
{"id": "c3619", "text": "2. Dissatisfied", "quickKey": 2},
{"id": "c3195", "text": "3. Neither satisfied nor dissatisfied", "quickKey": 3},
{"id": "c3620", "text": "4. Satisfied", "quickKey": 4},
{"id": "c3621", "text": "5. Very satisfied", "quickKey": 5}
]},
{"id": "q6626", "type": "ChoiceQuestion", "required": false, "inline": true,
]},
"text": "22. How satisfied are you with the support you get from your friends?",
"intro": "The following questions ask you to say how good or satisfied you have felt about
various aspects of your life over the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c3618", "text": "1. Very dissatisfied", "quickKey": 1},
{"id": "c3619", "text": "2. Dissatisfied", "quickKey": 2},
{"id": "c3195", "text": "3. Neither satisfied nor dissatisfied", "quickKey": 3},
{"id": "c3620", "text": "4. Satisfied", "quickKey": 4},
{"id": "c3621", "text": "5. Very satisfied", "quickKey": 5}
"restartDays": 2,
{"id": "q6606", "type": "ChoiceQuestion", "required": false, "inline": true,
]},
{"id": "q6627", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "23. How satisfied are you with the conditions of your living place?",
"intro": "The following questions ask you to say how good or satisfied you have felt about
various aspects of your life over the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c3618", "text": "1. Very dissatisfied", "quickKey": 1},
{"id": "c3619", "text": "2. Dissatisfied", "quickKey": 2},
{"id": "c3195", "text": "3. Neither satisfied nor dissatisfied", "quickKey": 3},
"text": "2. How satisfied are you with your health?",
{"id": "c3620", "text": "4. Satisfied", "quickKey": 4},
{"id": "c3621", "text": "5. Very satisfied", "quickKey": 5}
]},
{"id": "q6628", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "24. How satisfied are you with your access to health services?",
"intro": "The following questions ask you to say how good or satisfied you have felt about
various aspects of your life over the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c3618", "text": "1. Very dissatisfied", "quickKey": 1},
"intro": "This assessment asks how you feel about your quality of life, health, or other
{"id": "c3619", "text": "2. Dissatisfied", "quickKey": 2},
{"id": "c3195", "text": "3. Neither satisfied nor dissatisfied", "quickKey": 3},
{"id": "c3620", "text": "4. Satisfied", "quickKey": 4},
{"id": "c3621", "text": "5. Very satisfied", "quickKey": 5}
]},
{"id": "q6629", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "25. How satisfied are you with your transport?",
"intro": "The following questions ask you to say how good or satisfied you have felt about
various aspects of your life over the last two weeks. ",
"columns": 2,
areas of your life. Please answer all the questions. If you are unsure about
"choices":[
{"id": "c3618", "text": "1. Very dissatisfied", "quickKey": 1},
{"id": "c3619", "text": "2. Dissatisfied", "quickKey": 2},
{"id": "c3195", "text": "3. Neither satisfied nor dissatisfied", "quickKey": 3},
{"id": "c3620", "text": "4. Satisfied", "quickKey": 4},
{"id": "c3621", "text": "5. Very satisfied", "quickKey": 5}
]},
{"id": "i1782", "type": "IntroText",
"text": "The following question refers to how often you have felt or experienced certain
things in the last two weeks. "
which response to give to a question, please choose the one that appears most
},
{"id": "q6630", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "26. How often do you have negative feelings such as blue mood, despair, anxiety,
depression?",
"intro": "The following question refers to how often you have felt or experienced certain
things in the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c4050", "text": "1. Never", "quickKey": 1},
{"id": "c4051", "text": "2. Seldom", "quickKey": 2},
appropriate. This can often be your first response.<br /><br />Please keep in
{"id": "c3200", "text": "3. Quite often", "quickKey": 3},
{"id": "c4052", "text": "4. Very often", "quickKey": 4},
{"id": "c4053", "text": "5. Always", "quickKey": 5}
]},
{"id": "q6631", "type": "MemoQuestion", "required": false,
"text": "27. Do you have any comments about the assessment? Type \u0022none\u0022 or
\u0022NA\u0022 for no comment.",
"intro": "The following question refers to how often you have felt or experienced certain
things in the last two weeks. ",
"controlWidth": 662}]
mind your standards, hopes, pleasures and concerns. We ask that you think about
}
your life in the last two weeks. ",
"columns": 2,
"choices":[
"printTitle": "World Health Organization: Quality of Life - BREF (WHOQOL-BREF)",
{"id": "c3618", "text": "1. Very dissatisfied", "quickKey": 1},
{"id": "c3619", "text": "2. Dissatisfied", "quickKey": 2},
{"id": "c3195", "text": "3. Neither satisfied nor dissatisfied", "quickKey": 3},
{"id": "c3620", "text": "4. Satisfied", "quickKey": 4},
{"id": "c3621", "text": "5. Very satisfied", "quickKey": 5}
]},
{"id": "i1779", "type": "IntroText",
"text": "The following questions ask about how much you have experienced certain things in
the last two weeks. "
},
"content":[
{"id": "q6607", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "3. To what extent do you feel that physical pain prevents you from doing what you
need to do?",
"intro": "The following questions ask about how much you have experienced certain things in
the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c4046", "text": "1. Not at all", "quickKey": 1},
{"id": "c4047", "text": "2. A little", "quickKey": 2},
{"id": "c3197", "text": "3. A moderate amount", "quickKey": 3},
{"id": "i1778", "type": "IntroText",
{"id": "c4048", "text": "4. Very much", "quickKey": 4},
{"id": "c4049", "text": "5. An extreme amount", "quickKey": 5}
]},
{"id": "q6608", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "4. How much do you need any medical treatment to function in your daily life?",
"intro": "The following questions ask about how much you have experienced certain things in
the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c4046", "text": "1. Not at all", "quickKey": 1},
"text": "This assessment asks how you feel about your quality of life, health, or other
{"id": "c4047", "text": "2. A little", "quickKey": 2},
{"id": "c3197", "text": "3. A moderate amount", "quickKey": 3},
{"id": "c4048", "text": "4. Very much", "quickKey": 4},
{"id": "c4049", "text": "5. An extreme amount", "quickKey": 5}
]},
{"id": "q6609", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "5. How much do you enjoy life?",
"intro": "The following questions ask about how much you have experienced certain things in
the last two weeks. ",
"columns": 2,
areas of your life. Please answer all the questions. If you are unsure about
"choices":[
{"id": "c212", "text": "1. Not at all", "quickKey": 1},
{"id": "c265", "text": "2. A little", "quickKey": 2},
{"id": "c3197", "text": "3. A moderate amount", "quickKey": 3},
{"id": "c267", "text": "4. Very much", "quickKey": 4},
{"id": "c3198", "text": "5. An extreme amount", "quickKey": 5}
]},
{"id": "q6610", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "6. To what extent do you feel your life to be meaningful?",
"intro": "The following questions ask about how much you have experienced certain things in
which response to give to a question, please choose the one that appears most
the last two weeks. ",
"columns": 2,
"choices":[
{"id": "c212", "text": "1. Not at all", "quickKey": 1},
{"id": "c265", "text": "2. A little", "quickKey": 2},
{"id": "c3197", "text": "3. A moderate amount", "quickKey": 3},
{"id": "c267", "text": "4. Very much", "quickKey": 4},
{"id": "c3198", "text": "5. An extreme amount", "quickKey": 5}
]},
{"id": "q6611", "type": "ChoiceQuestion", "required": false, "inline": true,
|
