CSI PARTNER VERSION (94)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT CSI PARTNER VERSION
LAST UPDATE 2022-04-08 09:10:54
ENTRY CHECKSUM 3970467576
ENTRY SPECIFICATION
{"name": "CSI PARTNER VERSION", 
    "text": "1. Name of Partner Completing this questionnaire:", 
   {"id": "q6494", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "9. How well does your partner meet your needs?", 
    "columns": 2, 
    "choices":[
     {"id": "c212", "text": "0. Not at all", "quickKey": 0}, 
     {"id": "c265", "text": "1. A little", "quickKey": 1}, 
     {"id": "c287", "text": "2. Somewhat", "quickKey": 2}, 
     {"id": "c3199", "text": "3. Mostly", "quickKey": 3}, 
     {"id": "c1202", "text": "4. Almost completely", "quickKey": 4}, 
     {"id": "c2362", "text": "5. Completely", "quickKey": 5}
    "intro": "NOTE: This version of the Couple Satisfaction Index is to be completed by the
   ]}, 
   {"id": "q6497", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "10. To what extent has your relationship met your original expectations?", 
    "columns": 2, 
    "choices":[
     {"id": "c212", "text": "0. Not at all", "quickKey": 0}, 
     {"id": "c265", "text": "1. A little", "quickKey": 1}, 
     {"id": "c287", "text": "2. Somewhat", "quickKey": 2}, 
     {"id": "c3199", "text": "3. Mostly", "quickKey": 3}, 
     {"id": "c1202", "text": "4. Almost completely", "quickKey": 4}, 
 Veteran's Partner.", 
     {"id": "c2362", "text": "5. Completely", "quickKey": 5}
   ]}, 
   {"id": "q6559", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "11. In general, how satisfied are you with your relationship?", 
    "columns": 2, 
    "choices":[
     {"id": "c212", "text": "0. Not at all", "quickKey": 0}, 
     {"id": "c265", "text": "1. A little", "quickKey": 1}, 
     {"id": "c287", "text": "2. Somewhat", "quickKey": 2}, 
     {"id": "c3199", "text": "3. Mostly", "quickKey": 3}, 
    "min": 3, "max": 40}, 
     {"id": "c1202", "text": "4. Almost completely", "quickKey": 4}, 
     {"id": "c2362", "text": "5. Completely", "quickKey": 5}
   ]}, 
   {"id": "i1720", "type": "IntroText", 
    "text": "For each of the following items, select the answer that best describes how you
 feel about your relationship. Base your responses on your first impressions and
 immediate feelings about the item.  "
    }, 
   {"id": "q6732", "type": "SliderQuestion", "required": false, 
    "text": "12. My relationship is boring vs. interesting:", 
   {"id": "i2348", "type": "IntroText", 
    "intro": "For each of the following items, select the answer that best describes how you
 feel about your relationship. Base your responses on your first impressions and
 immediate feelings about the item.  ", 
    "min": 0, "max": 5, 
    "legend":["Boring", "Interesting"]}, 
   {"id": "q6733", "type": "SliderQuestion", "required": false, 
    "text": "13. My relationship is bad vs. good:", 
    "intro": "For each of the following items, select the answer that best describes how you
 feel about your relationship. Base your responses on your first impressions and
 immediate feelings about the item.  ", 
    "text": "<br /> Please pick the response corresponding to how you have felt about your
    "min": 0, "max": 5, 
    "legend":["Bad", "Good"]}, 
   {"id": "q6734", "type": "SliderQuestion", "required": false, 
    "text": "14. My relationship is empty vs. full:", 
    "intro": "For each of the following items, select the answer that best describes how you
 feel about your relationship. Base your responses on your first impressions and
 immediate feelings about the item.  ", 
    "min": 0, "max": 5, 
    "legend":["Empty", " Full"]}, 
   {"id": "q6735", "type": "SliderQuestion", "required": false, 
 relationship with your partner IN THE LAST MONTH."
    "text": "15. My relationship is fragile vs. sturdy:", 
    "intro": "For each of the following items, select the answer that best describes how you
 feel about your relationship. Base your responses on your first impressions and
 immediate feelings about the item.  ", 
    "min": 0, "max": 5, 
    "legend":["Fragile", " Sturdy"]}, 
   {"id": "q6736", "type": "SliderQuestion", "required": false, 
    "text": "16. My relationship is discouraging vs. hopeful:", 
    "intro": "For each of the following items, select the answer that best describes how you
 feel about your relationship. Base your responses on your first impressions and
    }, 
 immediate feelings about the item.  ", 
    "min": 0, "max": 5, 
    "legend":["Discouraging", " Hopeful"]}, 
   {"id": "q7294", "type": "SliderQuestion", "required": false, 
    "text": "17. My relationship is miserable vs. enjoyable:", 
    "intro": "For each of the following items, select the answer that best describes how you
 feel about your relationship. Base your responses on your first impressions and
 immediate feelings about the item.  ", 
    "min": 0, "max": 5, 
    "legend":["Miserable", "Enjoyable"]}]
   {"id": "q7336", "type": "ChoiceQuestion", "required": false, "inline": true, 
}
    "text": "2. Please indicate the degree of happiness, all things considered, of your
 "restartDays": 2, 
 relationship.", 
    "intro": "<br /> Please pick the response corresponding to how you have felt about your
 relationship with your partner IN THE LAST MONTH.", 
    "columns": 2, 
    "choices":[
     {"id": "c1190", "text": "0. Extremely unhappy", "quickKey": 0}, 
     {"id": "c1191", "text": "1. Fairly unhappy", "quickKey": 1}, 
     {"id": "c1192", "text": "2. A little unhappy", "quickKey": 2}, 
     {"id": "c1193", "text": "3. Happy", "quickKey": 3}, 
     {"id": "c1194", "text": "4. Very happy", "quickKey": 4}, 
 "printTitle": "Couple Satisfaction Index Partner Version",
     {"id": "c1195", "text": "5. Extremely happy", "quickKey": 5}, 
     {"id": "c1196", "text": "6. Perfect", "quickKey": 6}
   ]}, 
   {"id": "q6485", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "3. In general, how often do you think that things between you and your partner
 are going well?", 
    "columns": 2, 
    "choices":[
     {"id": "c217", "text": "0. Never", "quickKey": 0}, 
     {"id": "c242", "text": "1. Rarely", "quickKey": 1}, 
 "content":[
     {"id": "c290", "text": "2. Occasionally", "quickKey": 2}, 
     {"id": "c1197", "text": "3. More often than not", "quickKey": 3}, 
     {"id": "c772", "text": "4. Most of the time", "quickKey": 4}, 
     {"id": "c216", "text": "5. All the time", "quickKey": 5}
   ]}, 
   {"id": "q6486", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "4. Our relationship is strong.", 
    "columns": 2, 
    "choices":[
     {"id": "c967", "text": "0. Not at all true", "quickKey": 0}, 
   {"id": "i2347", "type": "IntroText", 
     {"id": "c1198", "text": "1. A little true", "quickKey": 1}, 
     {"id": "c969", "text": "2. Somewhat true", "quickKey": 2}, 
     {"id": "c1199", "text": "3. Mostly true", "quickKey": 3}, 
     {"id": "c1200", "text": "4. Almost completely true", "quickKey": 4}, 
     {"id": "c1201", "text": "5. Completely true", "quickKey": 5}
   ]}, 
   {"id": "q6487", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "5. My relationship with my partner makes me happy.", 
    "columns": 2, 
    "choices":[
    "text": "NOTE: This version of the Couple Satisfaction Index is to be completed by the
     {"id": "c967", "text": "0. Not at all true", "quickKey": 0}, 
     {"id": "c1198", "text": "1. A little true", "quickKey": 1}, 
     {"id": "c969", "text": "2. Somewhat true", "quickKey": 2}, 
     {"id": "c1199", "text": "3. Mostly true", "quickKey": 3}, 
     {"id": "c1200", "text": "4. Almost completely true", "quickKey": 4}, 
     {"id": "c1201", "text": "5. Completely true", "quickKey": 5}
   ]}, 
   {"id": "q6488", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "6. I have a warm and comfortable relationship with my partner.", 
    "columns": 2, 
 Veteran's Partner."
    "choices":[
     {"id": "c967", "text": "0. Not at all true", "quickKey": 0}, 
     {"id": "c1198", "text": "1. A little true", "quickKey": 1}, 
     {"id": "c969", "text": "2. Somewhat true", "quickKey": 2}, 
     {"id": "c1199", "text": "3. Mostly true", "quickKey": 3}, 
     {"id": "c1200", "text": "4. Almost completely true", "quickKey": 4}, 
     {"id": "c1201", "text": "5. Completely true", "quickKey": 5}
   ]}, 
   {"id": "q6491", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "7. I really feel like part of a team with my partner.", 
    }, 
    "columns": 2, 
    "choices":[
     {"id": "c967", "text": "0. Not at all true", "quickKey": 0}, 
     {"id": "c1198", "text": "1. A little true", "quickKey": 1}, 
     {"id": "c969", "text": "2. Somewhat true", "quickKey": 2}, 
     {"id": "c1199", "text": "3. Mostly true", "quickKey": 3}, 
     {"id": "c1200", "text": "4. Almost completely true", "quickKey": 4}, 
     {"id": "c1201", "text": "5. Completely true", "quickKey": 5}
   ]}, 
   {"id": "q6492", "type": "ChoiceQuestion", "required": false, "inline": true, 
   {"id": "q7337", "type": "StringQuestion", "required": false, 
    "text": "8. How rewarding is your relationship with your partner?", 
    "columns": 2, 
    "choices":[
     {"id": "c212", "text": "0. Not at all", "quickKey": 0}, 
     {"id": "c265", "text": "1. A little", "quickKey": 1}, 
     {"id": "c287", "text": "2. Somewhat", "quickKey": 2}, 
     {"id": "c3199", "text": "3. Mostly", "quickKey": 3}, 
     {"id": "c1202", "text": "4. Almost completely", "quickKey": 4}, 
     {"id": "c2362", "text": "5. Completely", "quickKey": 5}
   ]},