| SPECIFICATION |
{"test":[{"content":[{"choice":[{"choiceId":3448,"choiceText":"None\/not at all","ien":106780,"legacyValue":0,"sequence":1},{"choiceId":3449,"choiceText":"Slight\/rare, less than a day or two","ien":106781,"legacyValue":1,"sequence":2},{"ch
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"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 \r\nAdderall), sedatives or tranquilizers (lik
e sleeping pills or Valium), or drugs marijuana, cocaine or crack, club drugs (like ecstasy), hallucinogens (like LSD), heroin, inhalants or solvents (like \r\nglue), or meth (like speed)?\r\n","required":false,"responseTypeId":1,"responseT
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,"auxVersion":null,"copyrightText":"Copyright 2013 American Psychiatric Association. All Rights Reserved.","copyrighted":true,"dllDate":null,"dllVersion":null,"enteredBy":"HOWELL,LYNN","entryDate":"2013-03-27","fullText":true,"id":215,"in
terpretiveText":null,"lastEditDate":3190205.1931,"lastEditedBy":"HOWELL,LYNN","legacy":false,"licenseCurrent":false,"name":"CCSA-DSM5","national":true,"normSample":null,"operational":"Y","printTitle":"Cross-Cutting Symptom Assessment for DS
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M-5","publicationDate":2013,"publisher":null,"purpose":null,"reference":null,"requireSignature":false,"requiresLicense":"N","scoringRevision":1,"scoringRoutine":null,"scoringTag":null,"staffOnly":null,"submitNational":true,"suicideriskRouti
ne":"YTQRQAD6","suicideriskTag":"CCSA","targetPopulation":null,"version":"03\/27\/2013","wasOperational":true},"report":{"id":143,"instrument":215,"template":".| .| Cross-Cutting Symptom Assessment for DSM-5| | Date Given: <.Date_Given.>| C
linician: <.Staff_Ordered_By.>| Location: <.Location.>| | Veteran: <.Patient_Name_Last_First.>| SSN: <.Patient_SSN.>| \r\nDOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)| Gender: <.Patient_Gender.>| | | |Items\/domains with a rating of MIL
D OR GREATER (or SLIGHT OR GREATER for items 21-23\/Substance Use domain, 11\/suicidal ideation \r\nand 12-13\/psychosis )indicate the need for additional assessment.| | | Domain Results | | Domain
Screening Results| |\r\n I. Depression...................................<*Answer_7771*>| II. Anger........................................<*Answer_7772*>| III. Mania.....................................
...<*Answer_7773*>|\r\n IV. Anxiety......................................<*Answer_7774*>| V. Somatic Symptoms.............................<*Answer_7775*>| VI. Suicidal Ideation............................<*Answer_7776*>|\r\n
VII. Psychosis....................................<*Answer_7777*>| VIII. Sleep Problems...............................<*Answer_7778*>| IX. Memory.......................................<*Answer_7779*>|\r\n X. Repetitive Th
oughts and Behaviors............<*Answer_7780*>| XI. Dissociation.................................<*Answer_7781*>|\r\n XII. Personality Functioning......................<*Answer_7782*>| XIII. Substance Use.......................
.........<*Answer_7783*>|\r\n| Questions and Answers| | 1. Little interest or pleasure in doing things?| <*Answer_7216*>| 2. Feeling down, depressed, \r\nor hopeless?| <*Answer_7217*>| 3. Feeling more irritated, grouchy, or angry th
an usual?| <*Answer_7218*>| 4. Sleeping less than usual, but still have a lot of energy?| <*Answer_7219*>| 5.
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\r\nStarting lots more projects than usual or doing more risky things than usual?| <*Answer_7220*>| 6. Feeling nervous, anxious, frightened, worried, or on edge?| <*Answer_7221*>| 7. Feeling \r\npanic or being frightened?| <*Ans
wer_7222*>| 8. Avoiding situations that make you anxious?| <*Answer_7223*>| 9. Unexplained aches and pains (e.g., head, back, joints, abdomen, legs)?| \r\n<*Answer_7224*>| 10. Feeling that your illnesses are not being taken seriousl
y enough?| <*Answer_7225*>| 11. Thoughts of actually hurting yourself?| <*Answer_7226*>| 12. Hearing things other \r\npeople couldnt hear, such as voices even when no one was around?| <*Answer_7227*>| 13. Feeling that someone co
uld hear your thoughts, or that you could hear what another person was thinking?| \r\n<*Answer_7228*>| 14. Problems with sleep that affected your sleep quality over all?| <*Answer_7229*>| 15. Problems with memory (e.g., learning new
information) or with location (e.g., finding way \r\nhome)?| <*Answer_7230*>| 16. Unpleasant thoughts, urges, or images that repeatedly enter your mind?| <*Answer_7231*>| 17. Feeling driven to perform certain behaviors or mental ac
ts over and \r\nover again?| <*Answer_7232*>| 18. Feeling detached or distant from yourself, your body, your physical surroundings, or your memories?| <*Answer_7233*>| 19. Not knowing who you really are or \r\nwhat you want out of l
ife?| <*Answer_7234*>| 20. Not feeling close to other people or enjoying your relationships with them?| <*Answer_7235*>| 21. Drinking at least 4 drinks of any kind of \r\nalcohol in a single day?| <*Answer_7236*>| 22. Smoking an
y cigarettes, a cigar, or pipe or using snuff or chewing tobacco?| <*Answer_7237*>| 23. Using any of the following medicines ON YOUR \r\nOWN, that is, without a doctors prescription, in greater amounts or longer than prescribed: painkil
lers (like Vicodin), stimulants (like Ritalin or Adderall), sedatives or tranquilizers (like \r\nsleeping pills or Valium), or drugs marijuana, cocaine or crack, club drugs (like ecstasy), hallucinogens (like LSD), heroin, inhalants or sol
vents (like glue), or meth (like speed)? | \r\n <*Answer_7238*>| | | Copyright (c) 2013 American Psychiatric Association. All Rights Reserved. This material can be reproduced without permission by researchers and by clinicians for use w
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ith their \r\npatients.| | Information contained in this note is based on a self-report assessment and is not sufficient to use alone for diagnostic purposes. Assessment results should be verified for accuracy \r\nand used in conjunction w
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uch (or how often) have you been bothered by the following problems? ","max":0,"min":0,"questionDisplay":40666,"questionId":7219,"questionText":
006,"targetText":"Moderate\/more than half the days","value":3},{"id":9015,"questionId":7232,"scaleId":1006,"targetText":"Severe\/nearly every day","value":4}],
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,{"id":9024,"questionId":7234,"scaleId":1008,"targetText":"Moderate\/more than half the days","value":3},{"id":9025,"questionId":7234,"scaleId":1008,"targetText":"Severe\/nearly every day","value":4},{"id":9026,"questionId":7235,"scaleId":1
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2},{"id":9029,"questionId":7235,"scaleId":1008,"targetText":"Moderate\/more than half the days","value":3},{"id":9030,"questionId":7235,"scaleId":1008,"targetText":"Severe\/nearly every day","value":4}],"sequence":12,"xLabel":"PerFn"},{"gro
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"Sleeping less than usual, but still have a lot of energy?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":50},{"choice":[{"choiceId":3448,"choiceText":"None\/not at all","ien":106800,"legacyValue":0,"sequence":
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est or pleasure in doing things?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by
\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\"
: 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Severe\
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/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7217\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"2. Feeling down, depressed, or hopeless?\", \r\n \"intro\": \"During the
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\"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7218\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"3. Fe
eling more irritated, grouchy, or angry than usual?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\"id\": \"c3
448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \"quickKey\"
: 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7219\", \"type\":
\"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"4. Sleeping less than usual, but still have a lot of energy?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothe
red by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quic
kKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. S
oiceId":3450,"choiceText":"Mild\/several days","ien":106782,"legacyValue":2,"sequence":3},{"choiceId":3451,"choiceText":"Moderate\/more than half the days","ien":106783,"legacyValue":3,"sequence":4},{"choiceId":3452,"choiceText":"Severe\/ne
Moderate\/more than half the days","ien":106803,"legacyValue":3,"sequence":4},{"choiceId":3452,"choiceText":"Severe\/nearly every day","ien":106804,"legacyValue":4,"sequence":5}],"choiceDisplay":38383,"choiceIdentifier":0,"choiceIdentifierI
evere\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7220\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"5. Starting lots more projects than usual or doing more risky things
than usual?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\"
, \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"tex
t\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7221\", \"type\": \"ChoiceQuestion\", \"required\": false
, \"inline\": false, \r\n \"text\": \"6. Feeling nervous, anxious, frightened, worried, or on edge?\",
\r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\":
0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moder
ate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7222\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": f
alse, \r\n \"text\": \"7. Feeling panic or being frightened?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {
\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\",
en":41869,"choiceTypeId":50879,"designator":"5.","hint":null,"id":7165,"instrument":215,"introDisplay":108,"introId":2334,"introText":"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by the following problems?
\"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7223\
", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"8. Avoiding situations that make you anxious?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered
by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKe
y\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Seve
re\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7224\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"9. Unexplained aches and pains (e.g., head, back, joints, abdomen, legs)
?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickK
ey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3.
Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7225\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline
\": false, \r\n \"text\": \"10. Feeling that your illnesses are not being taken seriously enough?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r
\n \r\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\",
","max":0,"min":0,"questionDisplay":40666,"questionId":7220,"questionText":"Starting lots more projects than usual or doing more risky things than usual?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":60},{"cho
\"text\": \"2. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\":
4}\r\n ]}, \r\n {\"id\": \"q7226\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false,
\r\n \"text\": \"11. Thoughts of actually hurting yourself?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\
"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \
"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7227\"
, \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"12. Hearing things other people couldn't hear, such as voices even when no one\r\n was around?\", \r\n \"intro\": \"During the past TWO (2) WEEKS
, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. S
light\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3},
\r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7228\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"13. Feeling that someone
could hear your thoughts, or that you could hear what\r\n another person was thinking?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r\n
ice":[{"choiceId":3448,"choiceText":"None\/not at all","ien":106805,"legacyValue":0,"sequence":1},{"choiceId":3449,"choiceText":"Slight\/rare, less than a day or two","ien":106806,"legacyValue":1,"sequence":2},{"choiceId":3450,"choiceText":
\"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2
. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]},
\r\n {\"id\": \"q7229\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"14. Problems with sleep that affected your sleep quality over all?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, h
ow much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slig
ht\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\
n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7230\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"15. Problems with memory (e
.g., learning new information) or with location (e.g.,\r\n finding way home)?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r\n \"choices
\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/se
veral days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3},
\r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7231\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"16. Unpleasant thoughts,
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urges, or images that repeatedly enter your mind?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\"id\": \"c34
48\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \"quickKey\":
2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7232\", \"type\":
\"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"17. Feeling driven to perform certain behaviors or mental acts over and over\r\n again?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how
often) have you been bothered by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less t
han a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \
"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7233\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"18. Feeling detached or distant from yourse
lf, your body, your physical\r\n surroundings, or your memories?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n
{\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\",
\"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7234
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\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"19. Not knowing who you really are or what you want out of life?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) ha
ve you been bothered by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day
or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\",
\"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7235\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"20. Not feeling close to other people or enjoying yo
ur relationships with them?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. No
ne\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1},
\r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearl
y every day\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7236\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"21. Drinking at least 4 drinks of any kind of alcohol in a single day?\", \r\n
\"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r
\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\": \"2. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/mo
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r\n \"text\": \"22. Smoking any cigarettes, a cigar, or pipe or using snuff or chewing tobacco?\", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n
\r\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"
text\": \"2. Mild\/several days\", \"quickKey\": 2}, \r\n {\"id\": \"c3451\", \"text\": \"3. Moderate\/more than half the days\", \"quickKey\": 3}, \r\n {\"id\": \"c3452\", \"text\": \"4. Severe\/nearly every day\", \"quickKey\": 4}
\r\n ]}, \r\n {\"id\": \"q7238\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"23. Using any of the following medicines ON YOUR OWN, that is, without a doctors\r\n prescription, in greater am
ounts or longer than prescribed: painkillers (like\r\n Vicodin), stimulants (like Ritalin or Adderall), sedatives or tranquilizers\r\n (like sleeping pills or Valium), or drugs marijuana, cocaine or crack, club\r\n drugs (like ecstasy), hal
lucinogens (like LSD), heroin, inhalants or solvents\r\n (like glue), or meth (like speed)? \", \r\n \"intro\": \"During the past TWO (2) WEEKS, how much (or how often) have you been bothered by\r\n the following problems? \", \r\n \r
\n \"choices\":[\r\n {\"id\": \"c3448\", \"text\": \"0. None\/not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c3449\", \"text\": \"1. Slight\/rare, less than a day or two\", \"quickKey\": 1}, \r\n {\"id\": \"c3450\", \"text\"
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