| ENTRY SPECIFICATION |
{"name": "CCSA-DSM5",
{"id": "q7216", "type": "ChoiceQuestion", "required": false, "inline": false,
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7224", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "9. Unexplained aches and pains (e.g., head, back, joints, abdomen, legs)?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"text": "1. Little interest or pleasure in doing things?",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7225", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "10. Feeling that your illnesses are not being taken seriously enough?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
the following problems? ",
{"id": "q7226", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "11. Thoughts of actually hurting yourself?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7227", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "12. Hearing things other people couldn't hear, such as voices even when no one
was around?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
"choices":[
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7228", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "13. Feeling that someone could hear your thoughts, or that you could hear what
another person was thinking?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7229", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "14. Problems with sleep that affected your sleep quality over all?",
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "q7230", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "15. Problems with memory (e.g., learning new information) or with location (e.g.,
finding way home)?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7231", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "16. Unpleasant thoughts, urges, or images that repeatedly enter your mind?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
"copyright": "Copyright 2013 American Psychiatric Association. All Rights Reserved.",
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7232", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "17. Feeling driven to perform certain behaviors or mental acts over and over
again?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
]},
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7233", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "18. Feeling detached or distant from yourself, your body, your physical
{"id": "q7217", "type": "ChoiceQuestion", "required": false, "inline": false,
surroundings, or your memories?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
"text": "2. Feeling down, depressed, or hopeless?",
]},
{"id": "q7234", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "19. Not knowing who you really are or what you want out of life?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7235", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "20. Not feeling close to other people or enjoying your relationships with them?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
the following problems? ",
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7236", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "21. Drinking at least 4 drinks of any kind of alcohol in a single day?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7237", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "22. Smoking any cigarettes, a cigar, or pipe or using snuff or chewing tobacco?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
"choices":[
the following problems? ",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7238", "type": "ChoiceQuestion", "required": false, "inline": false,
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
"text": "23. Using any of the following medicines ON YOUR OWN, that is, without a doctors
prescription, in greater amounts or longer than prescribed: painkillers (like
Vicodin), stimulants (like Ritalin or Adderall), sedatives or tranquilizers
(like sleeping pills or Valium), or drugs marijuana, cocaine or crack, club
drugs (like ecstasy), hallucinogens (like LSD), heroin, inhalants or solvents
(like glue), or meth (like speed)? ",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]}]
}
"restartDays": 2,
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7218", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "3. Feeling more irritated, grouchy, or angry than usual?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
"printTitle": "Cross-Cutting Symptom Assessment for DSM-5",
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7219", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "4. Sleeping less than usual, but still have a lot of energy?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"content":[
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7220", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "5. Starting lots more projects than usual or doing more risky things than usual?",
{"id": "i2334", "type": "IntroText",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
"text": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
{"id": "q7221", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "6. Feeling nervous, anxious, frightened, worried, or on edge?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
the following problems? "
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7222", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "7. Feeling panic or being frightened?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
{"id": "c3448", "text": "0. None/not at all", "quickKey": 0},
{"id": "c3449", "text": "1. Slight/rare, less than a day or two", "quickKey": 1},
},
{"id": "c3450", "text": "2. Mild/several days", "quickKey": 2},
{"id": "c3451", "text": "3. Moderate/more than half the days", "quickKey": 3},
{"id": "c3452", "text": "4. Severe/nearly every day", "quickKey": 4}
]},
{"id": "q7223", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "8. Avoiding situations that make you anxious?",
"intro": "During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
the following problems? ",
"choices":[
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