| ENTRY SPECIFICATION |
{"name": "RLS",
"intro": "In the past week: ",
"text": "9. Overall, how severe was the impact of your RLS symptoms on your ability to
carry out your daily affairs, for example, carrying out a satisfactory family,
home, social, school or work life?",
"intro": "In the past week: ",
"columns": 2,
"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},
"columns": 2,
{"id": "c1457", "text": "4. Very severe", "quickKey": 4}
]},
{"id": "q6673", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "10. How severe was your mood disturbance due to your RLS symptoms - for example,
angry, depressed, sad, anxious or irritable?",
"intro": "In the past week: ",
"columns": 2,
"choices":[
{"id": "c1", "text": "0. None", "quickKey": 0},
{"id": "c3", "text": "1. Mild", "quickKey": 1},
"choices":[
{"id": "c4", "text": "2. Moderate", "quickKey": 2},
{"id": "c5", "text": "3. Severe", "quickKey": 3},
{"id": "c1457", "text": "4. Very severe", "quickKey": 4}
]}],
"rules":[
{"question": "q6664", "operator": "EQ", "value": "c1",
"skips":["q6665"]}]
}
{"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}
]},
{"id": "q6665", "type": "ChoiceQuestion", "required": false, "inline": true,
"restartDays": 2,
"text": "2. Overall, how would you rate the need to move around because of your RLS
symptoms?",
"intro": "In the past week: ",
"columns": 2,
"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}
"printTitle": "Restless Legs Syndrome Rating Scale",
]},
{"id": "q6666", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "3. Overall, how much relief of your RLS arm or leg discomfort did you get from
moving around?",
"intro": "In the past week: ",
"columns": 2,
"choices":[
{"id": "c786", "text": "0. No RLS symptoms to be relieved", "quickKey": 0},
{"id": "c787", "text": "1. Either complete or almost complete relief", "quickKey": 1},
{"id": "c788", "text": "2. Moderate relief", "quickKey": 2},
"content":[
{"id": "c790", "text": "3. Mild relief", "quickKey": 3},
{"id": "c791", "text": "4. No relief", "quickKey": 4}
]},
{"id": "q6667", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "4. How severe was your sleep disturbance due to your RLS symptoms?",
"intro": "In the past week: ",
"columns": 2,
"choices":[
{"id": "c1", "text": "0. None", "quickKey": 0},
{"id": "c3", "text": "1. Mild", "quickKey": 1},
{"id": "i1515", "type": "IntroText",
{"id": "c4", "text": "2. Moderate", "quickKey": 2},
{"id": "c5", "text": "3. Severe", "quickKey": 3},
{"id": "c1457", "text": "4. Very severe", "quickKey": 4}
]},
{"id": "q6668", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "5. How severe was your tiredness or sleepiness during the day due to your RLS
symptoms?",
"intro": "In the past week: ",
"columns": 2,
"choices":[
"text": "In the past week: "
{"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}
]},
{"id": "q6669", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "6. How severe was your RLS as a whole?",
"intro": "In the past week: ",
"columns": 2,
},
"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}
]},
{"id": "q6670", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "7. How often did you get RLS symptoms?",
"intro": "In the past week: ",
{"id": "q6664", "type": "ChoiceQuestion", "required": false, "inline": true,
"columns": 2,
"choices":[
{"id": "c217", "text": "0. Never", "quickKey": 0},
{"id": "c792", "text": "1. Occasionally (1 day in 1 week)", "quickKey": 1},
{"id": "c793", "text": "2. Sometimes (2 to 3 days in a week)", "quickKey": 2},
{"id": "c795", "text": "3. Often (4 to 5 days in 1 week)", "quickKey": 3},
{"id": "c797", "text": "4. Very often (6 to 7 days in a week)", "quickKey": 4}
]},
{"id": "q6671", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "8. When you had RLS symptoms, how severe were they on average?",
"text": "1. Overall, how would you rate the RLS discomfort in your legs or arms?",
"intro": "In the past week: ",
"columns": 2,
"choices":[
{"id": "c1", "text": "0. None", "quickKey": 0},
{"id": "c799", "text": "1. Mild (less than 1 hour per 24 hours)", "quickKey": 1},
{"id": "c1002", "text": "2. Moderate (1 to 3 hours per 24 hours)", "quickKey": 2},
{"id": "c3613", "text": "3. Severe (3 to 8 hours per 24 hours)", "quickKey": 3},
{"id": "c1185", "text": "4. Very Severe (8 hours or more per 24 hours)", "quickKey": 4}
]},
{"id": "q6672", "type": "ChoiceQuestion", "required": false, "inline": true,
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