ISI (83)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT ISI
LAST UPDATE 2022-04-08 09:07:39
ENTRY CHECKSUM 2427290521
ENTRY SPECIFICATION
{"name": "ISI", 
    "text": "1. Difficulty falling asleep.", 
    "intro": "Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).
  ", 
    "columns": 4, 
    "choices":[
     {"id": "c1", "text": "0. None", "quickKey": 0}, 
     {"id": "c3", "text": "1. Mild", "quickKey": 1}, 
     {"id": "c4", "text": "2. Moderate", "quickKey": 2}, 
     {"id": "c5", "text": "3. Severe", "quickKey": 3}, 
     {"id": "c1457", "text": "4. Very severe", "quickKey": 4}
 "restartDays": 2, 
   ]}, 
   {"id": "q6633", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "2. Difficulty staying asleep.", 
    "intro": "Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).
  ", 
    "columns": 4, 
    "choices":[
     {"id": "c1", "text": "0. None", "quickKey": 0}, 
     {"id": "c3", "text": "1. Mild", "quickKey": 1}, 
     {"id": "c4", "text": "2. Moderate", "quickKey": 2}, 
 "printTitle": "Insomnia Severity Index",
     {"id": "c5", "text": "3. Severe", "quickKey": 3}, 
     {"id": "c1457", "text": "4. Very severe", "quickKey": 4}
   ]}, 
   {"id": "q6634", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "3. Problems waking up too early.", 
    "intro": "Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).
  ", 
    "columns": 4, 
    "choices":[
     {"id": "c1", "text": "0. None", "quickKey": 0}, 
 "content":[
     {"id": "c3", "text": "1. Mild", "quickKey": 1}, 
     {"id": "c4", "text": "2. Moderate", "quickKey": 2}, 
     {"id": "c5", "text": "3. Severe", "quickKey": 3}, 
     {"id": "c1457", "text": "4. Very severe", "quickKey": 4}
   ]}, 
   {"id": "q6635", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "4. How SATISFIED/DISSATISFIED are you with your CURRENT sleep pattern?", 
    "intro": "Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).
  ", 
    "columns": 3, 
   {"id": "i1512", "type": "IntroText", 
    "choices":[
     {"id": "c1714", "text": "0. Very satisfied", "quickKey": 0}, 
     {"id": "c3194", "text": "1. Satisfied", "quickKey": 1}, 
     {"id": "c1715", "text": "2. Moderately satisfied", "quickKey": 2}, 
     {"id": "c3196", "text": "3. Dissatisfied", "quickKey": 3}, 
     {"id": "c1718", "text": "4. Very dissatisfied", "quickKey": 4}
   ]}, 
   {"id": "q6636", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "5. How NOTICEABLE to others do you think your sleep problem is in terms of
 impairing the quality of your life?", 
    "text": "Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).
    "intro": "Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).
  ", 
    "columns": 3, 
    "choices":[
     {"id": "c3201", "text": "0. Not at all noticeable", "quickKey": 0}, 
     {"id": "c265", "text": "1. A little", "quickKey": 1}, 
     {"id": "c287", "text": "2. Somewhat", "quickKey": 2}, 
     {"id": "c3202", "text": "3. Much", "quickKey": 3}, 
     {"id": "c3203", "text": "4. Very much noticeable", "quickKey": 4}
   ]}, 
  "
   {"id": "q6637", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "6. How WORRIED/DISTRESSED are you about your current sleep problem?", 
    "intro": "Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).
  ", 
    "columns": 3, 
    "choices":[
     {"id": "c2603", "text": "0. Not at all worried", "quickKey": 0}, 
     {"id": "c265", "text": "1. A little", "quickKey": 1}, 
     {"id": "c287", "text": "2. Somewhat", "quickKey": 2}, 
     {"id": "c3202", "text": "3. Much", "quickKey": 3}, 
    }, 
     {"id": "c3204", "text": "4. Very much worried", "quickKey": 4}
   ]}, 
   {"id": "q6638", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "7. To what extent do you consider your sleep problem to INTERFERE with your daily
 functioning (e.g. daytime fatigue, mood, ability to function at work/daily
 chores, concentration, memory, mood, etc.)    CURRENTLY? ", 
    "intro": "Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).
  ", 
    "columns": 3, 
    "choices":[
   {"id": "q6632", "type": "ChoiceQuestion", "required": false, "inline": true, 
     {"id": "c3205", "text": "0. Not at all interfering", "quickKey": 0}, 
     {"id": "c265", "text": "1. A little", "quickKey": 1}, 
     {"id": "c287", "text": "2. Somewhat", "quickKey": 2}, 
     {"id": "c3202", "text": "3. Much", "quickKey": 3}, 
     {"id": "c3206", "text": "4. Very much interfering", "quickKey": 4}
   ]}]
}