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introText":"We would like to ask you some questions about your health in general.\r\n|Please respond to each question or statement by selecting one box in each.
","max":0,"min":0,"questionDisplay":97350,"questionId":8796,"questionText":"In the past 7 days... How often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?","required":false,"responseTypeId":1,"
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Measurement Information System (PROMIS-10)\r\n|Global Health Scale\r\n| \r\n| Date Given: <.Date_Given.>\r\n| Clinician: <.Staff_Ordered_By.>
\r\n| Location: <.Location.>\r\n| \r\n| Veteran: <.Patient_Name_Last_First.>\r\n| SSN: <.Patient_SSN.>\r\n| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)\r\n| Gender: <.Patient_Gender.>\r\n| \r\n|<*Answer_7771*>\r\n|\r\n|Th
e PROMIS-10 measures patients' perceptions of their own physical and \r\n|mental health. It can assess the outcomes of many different types of \r\n|patient-centered innovations. It does this by assessing overall \"global\" \r\n|health.\r\n|
\r\n|The mean (average) T-score of PROMIS-10 among the general U.S. population \r\n|is 50, with a standard deviation (SD) of 10. This applies to the Mental \r\n|Health and Physical Health subscales. Higher scores are better, so a score \r\n
|above the mean of 50 is better than average and a score below the mean of \r\n|50 is worse than average.\r\n|\r\n| \r\n|Questions and Answers:\r\n| \r\n| 1) In general, would you say your health is:\r\n| <*Answer_8789*>\r\n| 2
) In general, would you say your quality of life is:\r\n| <*Answer_8790*>\r\n| 3) In general, how would you rate your physical health?\r\n| <*Answer_8791*>\r\n| 4) In general, how would you rate your mental health, includ
ing your\r\n| mood and your ability to think?\r\n| <*Answer_8792*>\r\n| 5) In general, how would you rate your satisfaction with your social \r\n| activities and relationships?\r\n| <*Answer_8793*>\r\n| 6) In g
eneral, please rate how well you carry out your usual social \r\n| activities and roles. (This includes activities at home, at work \r\n| and in your community, and responsibilities as a parent, child, \r\n| spouse, employ
ee, friend, etc.)\r\n| <*Answer_8794*>\r\n| 7) To what extent are you able to carry out your everyday physical \r\n| activities such as walking, climbing stairs, carrying groceries,\r\n| or moving a chair?\r\n| <*
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Answer_8795*>\r\n| 8) In the past 7 days... How often have you been bothered by emotional \r\n| problems such as feeling anxious, depressed or irritable?\r\n| <*Answer_8796*>\r\n| 9) How would you rate your fatigue on ave
rage?\r\n| <*Answer_8797*>\r\n| 10) How would you rate your pain on average?\r\n| <*Answer_8798*>\r\n| \r\n|Information contained in this note is based on a self-report assessment \r\n|and is not sufficient to use alone for d
iagnostic purposes. Assessment \r\n|results should be verified for accuracy and used in conjunction with \r\n|other diagnostic activities."},"scaleGroup":[{"grid1":0,"grid2":0,"grid3":0,"id":347,"instrument":297,"name":"PROMIS10 T-SCORES","
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n general, would you say your health is:\", \r\n \"intro\": \"We would like to ask you some questions about your health in general. <br
\r\n \/>Please respond to each question or statement by selecting one box in each.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5351\", \"text\": \"1. Excellent\", \"quickKey\": 1}, \r\n {\"id\": \"c5352\", \"tex
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t\": \"2. Very Good\", \"quickKey\": 2}, \r\n {\"id\": \"c5353\", \"text\": \"3. Good\", \"quickKey\": 3}, \r\n {\"id\": \"c5354\", \"text\": \"4. Fair\", \"quickKey\": 4}, \r\n {\"id\": \"c5355\", \"text\": \"5. Poor\", \"quick
Key\": 5}\r\n ]}, \r\n {\"id\": \"q8790\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"2). In general, would you say your quality of life is:\", \r\n \"intro\": \"We would like to ask you
some questions about your health in general. <br\r\n \/>Please respond to each question or statement by selecting one box in each.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5351\", \"text\": \"1. Excellent\", \"q
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\"id\": \"c5355\", \"text\": \"5. Poor\", \"quickKey\": 5}\r\n ]}, \r\n {\"id\": \"q8791\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"3). In general, how would you rate your physical healt
h?\", \r\n \"intro\": \"We would like to ask you some questions about your health in general. <br\r\n \/>Please respond to each question or statement by selecting one box in each.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n
{\"id\": \"c5351\", \"text\": \"1. Excellent\", \"quickKey\": 1}, \r\n {\"id\": \"c5352\", \"text\": \"2. Very Good\", \"quickKey\": 2}, \r\n {\"id\": \"c5353\", \"text\": \"3. Good\", \"quickKey\": 3}, \r\n {\"id\": \"c5354\",
\"text\": \"4. Fair\", \"quickKey\": 4}, \r\n {\"id\": \"c5355\", \"text\": \"5. Poor\", \"quickKey\": 5}\r\n ]}, \r\n {\"id\": \"q8792\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"4).
In general, how would you rate your mental health, including your mood and\r\n your ability to think?\", \r\n \"intro\": \"We would like to ask you some questions about your health in general. <br\r\n \/>Please respond to each question
or statement by selecting one box in each.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5351\", \"text\": \"1. Excellent\", \"quickKey\": 1}, \r\n {\"id\": \"c5352\", \"text\": \"2. Very Good\", \"quickKey\": 2},
n|Please respond to each question or statement by selecting one box in each.","max":0,"min":0,"questionDisplay":97350,"questionId":8790,"questionText":"In general, would you say your quality of life is:","required":false,"responseTypeId":1,
\r\n {\"id\": \"c5353\", \"text\": \"3. Good\", \"quickKey\": 3}, \r\n {\"id\": \"c5354\", \"text\": \"4. Fair\", \"quickKey\": 4}, \r\n {\"id\": \"c5355\", \"text\": \"5. Poor\", \"quickKey\": 5}\r\n ]}, \r\n {\"id\": \"q8
793\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"5). In general, how would you rate your satisfaction with your social activities\r\n and relationships?\", \r\n \"intro\": \"We would like t
o ask you some questions about your health in general. <br\r\n \/>Please respond to each question or statement by selecting one box in each.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5351\", \"text\": \"1. Excelle
nt\", \"quickKey\": 1}, \r\n {\"id\": \"c5352\", \"text\": \"2. Very Good\", \"quickKey\": 2}, \r\n {\"id\": \"c5353\", \"text\": \"3. Good\", \"quickKey\": 3}, \r\n {\"id\": \"c5354\", \"text\": \"4. Fair\", \"quickKey\": 4}, \
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y out your usual social activities\r\n and roles. (This includes activities at home, at work and in your community, and
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\"text\": \"3. Good\", \"quickKey\": 3}, \r\n {\"id\": \"c5354\", \"text\": \"4. Fair\", \"quickKey\": 4}, \r\n {\"id\": \"c5355\", \"text\": \"5. Poor\", \"quickKey\": 5}\r\n ]}, \r\n {\"id\": \"q8795\", \"type\": \"ChoiceQues
tion\", \"required\": false, \"inline\": false, \r\n \"text\": \"7). To what extent are you able to carry out your everyday physical activities\r\n such as walking, climbing stairs, carrying groceries, or moving a chair?\", \r\n \"int
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ro\": \"We would like to ask you some questions about your health in general. <br\r\n \/>Please respond to each question or statement by selecting one box in each.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5356\",
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he past 7 days... How often have you been bothered by emotional problems\r\n such as feeling anxious, depressed or irritable?\", \r\n \"intro\": \"We would like to ask you some questions about your health in general. <br\r\n \/>Please re
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"quickKey\": 2}, \r\n {\"id\": \"c5363\", \"text\": \"3. Sometimes\", \"quickKey\": 3}, \r\n {\"id\": \"c5364\", \"text\": \"4. Often\", \"quickKey\": 4}, \r\n {\"id\": \"c5365\", \"text\": \"5. Always\", \"quickKey\": 5}\r\n
]}, \r\n {\"id\": \"q8797\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"9). How would you rate your fatigue on average?\", \r\n \"intro\": \"We would like to ask you some questions about y
our health in general. <br\r\n \/>Please respond to each question or statement by selecting one box in each.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5366\", \"text\": \"1. None\", \"quickKey\": 1}, \r\n {\"i
d\": \"c5367\", \"text\": \"2. Mild\", \"quickKey\": 2}, \r\n {\"id\": \"c5368\", \"text\": \"3. Moderate\", \"quickKey\": 3}, \r\n {\"id\": \"c5369\", \"text\": \"4. Severe\", \"quickKey\": 4}, \r\n {\"id\": \"c5370\", \"text\"
: \"5. Very Severe\", \"quickKey\": 5}\r\n ]}, \r\n {\"id\": \"q8798\", \"type\": \"SliderQuestion\", \"required\": false, \r\n \"text\": \"10). How would you rate your pain on average?\", \r\n \"intro\": \"We would like to ask yo
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