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}
]}]
}
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