YS*5.01*236 SF36 (673)    MH INSTRUMENT EXCHANGE (601.95)

Name Value
NAME YS*5.01*236 SF36
DATE CREATED 2025-03-13 13:10:01
SOURCE LEE@CAMP MASTER
SPECIFICATION
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null,"questionId":3581,"questionText":"How TRUE or FALSE is this for you?\r\n \r\nI seem to get sick a little easier than other people.\r\n ","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":33},{"choice":[{"choice
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SE is this for you?\r\n \r\nI am as healthy as anybody I know.\r\n ","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":34},{"choice":[{"choiceId":1095,"choiceText":"Definitely true.","ien":1319,"legacyValue":1,"sequ
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","ien":1323,"legacyValue":5,"sequence":5}],"choiceDisplay":null,"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId":346,"designator":36,"hint":null,"id":3584,"instrument":47,"introDisplay":null,"introId":null,"introText":null,"m
ax":null,"min":null,"questionDisplay":null,"questionId":3584,"questionText":"How TRUE or FALSE is this for you?\r\n \r\nMy health is excellent.\r\n ","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":36}],"info":{"a
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:"  Guide for interpreting SF-36 scores (range 2-100):\r\n\r\n   A high value indicates a response toward good health, a low value 
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hoiceText":"Yes, limited a lot.","ien":1287,"legacyValue":1,"sequence":1},{"choiceId":1070,"choiceText":"Yes, limited a little.","ien":1288,"legacyValue":2,"sequence":2},{"choiceId":1071,"choiceText":"No, not limited at all.","ien":1289,"le
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id":197,"name":"Social Functioning","sequence":6,"xLabel":null},{"groupId":43,"id":198,"name":"Role-Emotional","sequence":7,"xLabel":null},{"groupId":43,"id":199,"name":"Mental Health","sequence":8,"xLabel":null},{"groupId":43,"id":1610,"na
me":"Reported Health Transition","sequence":9,"xLabel":null}],"sequence":1}],"spec":{"entryChecksum":2626008467,"entrySpec":"{\"name\": \"SF36\", \r\n \"copyright\": \"Medical Outcomes Trust\", \r\n \"restartDays\": 2, \r\n \"printTitle\": 
\"SF-36 Health Survey\",\r\n \"content\":[\r\n   {\"id\": \"i52\", \"type\": \"IntroText\", \r\n    \"text\": \"This survey asks for your views about your health.  This information will help\r\n keep track of how you feel and how well you a
re able to do your usual\r\n activities. Answer every question by making the appropriate selection.  If you\r\n are unsure about how to answer a question, please give the best answer you can.\"\r\n    }, \r\n   {\"id\": \"q3549\", \"type\":
 \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"1. In general, would you say your health is: \", \r\n    \"intro\": \"This survey asks for your views about your health.  This information will help\r\n keep track of how you fee
l and how well you are able to do your usual\r\n activities. Answer every question by making the appropriate selection.  If you\r\n are unsure about how to answer a question, please give the best answer you can.\", \r\n    \r\n    \"choices
\":[\r\n     {\"id\": \"c1059\", \"text\": \"1. Excellent\", \"quickKey\": 1}, \r\n     {\"id\": \"c1060\", \"text\": \"2. Very good\", \"quickKey\": 2}, \r\n     {\"id\": \"c1061\", \"text\": \"3. Good\", \"quickKey\": 3}, \r\n     {\"id\"
gacyValue":3,"sequence":3}],"choiceDisplay":null,"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId":339,"designator":4,"hint":null,"id":3552,"instrument":47,"introDisplay":null,"introId":null,"introText":null,"max":null,"min":nu
: \"c1062\", \"text\": \"4. Fair\", \"quickKey\": 4}, \r\n     {\"id\": \"c1063\", \"text\": \"5. Poor\", \"quickKey\": 5}\r\n   ]}, \r\n   {\"id\": \"q3550\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"2. COMPAR
ED TO ONE YEAR AGO, how would you rate your health in general now? \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1064\", \"text\": \"1. Much better now than one year ago\", \"quickKey\": 1}, \r\n     {\"id\": \"c1065\", \"text\": \"
2. Somewhat better now than one year ago\", \"quickKey\": 2}, \r\n     {\"id\": \"c1066\", \"text\": \"3. About the same as one year ago\", \"quickKey\": 3}, \r\n     {\"id\": \"c1067\", \"text\": \"4. Somewhat worse now than one year ago\"
, \"quickKey\": 4}, \r\n     {\"id\": \"c1068\", \"text\": \"5. Much worse now than one year ago\", \"quickKey\": 5}\r\n   ]}, 
\r\n   {\"id\": \"i53\", \"type\": \"IntroText\", \r\n    \"text\": \"The following items are about activities you might do during a typical day.  Does\r\n YOUR HEALTH NOW LIMIT YOU in the activities? If so, how much?\"\r\n    }, \r\n   {\"
id\": \"q3551\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"3. During a typical day, does YOUR HEALTH NOW LIMIT YOU in: VIGOROUS ACTIVITIES,\r\n such as running, lifting heavy objects, participating in strenuous 
sports. \", \r\n    \"intro\": \"The following items are about activities you might do during a typical day.  Does\r\n YOUR HEALTH NOW LIMIT YOU in the activities? If so, how much?\", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1069\"
, \"text\": \"1. Yes, limited a lot.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1070\", \"text\": \"2. Yes, limited a little.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1071\", \"text\": \"3. No, not limited at all.\", \"quickKey\": 3}\r\n   
]}, \r\n   {\"id\": \"q3552\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"4. During a typical day, does YOUR HEALTH NOW LIMIT YOU in: MODERATE ACTIVITIES,\r\n such as moving a table, pushing a vacuum cleaner, bow
ling, or playing golf. \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1069\", \"text\": \"1. Yes, limited a lot.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1070\", \"text\": \"2. Yes, limited a little.\", \"quickKey\": 2}, \r\n     {\
ll,"questionDisplay":null,"questionId":3552,"questionText":"During a typical day, does YOUR HEALTH NOW LIMIT YOU in:\r\n \r\nMODERATE ACTIVITIES, such as moving a table, pushing a vacuum cleaner,\r\nbowling, or playing golf.\r\n ","required
"id\": \"c1071\", \"text\": \"3. No, not limited at all.\", \"quickKey\": 3}\r\n   ]}, \r\n   {\"id\": \"q3553\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"5. During a typical day, does YOUR HEALTH NOW LIMIT YOU
 in: Lifting or carrying\r\n groceries. \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1069\", \"text\": \"1. Yes, limited a lot.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1070\", \"text\": \"2. Yes, limited a little.\", \"quickKey\"
: 2}, \r\n     {\"id\": \"c1071\", \"text\": \"3. No, not limited at all.\", \"quickKey\": 3}\r\n   ]}, \r\n   {\"id\": \"q3554\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"6. During a typical day, does YOUR HEA
LTH NOW LIMIT YOU in: Climbing SEVERAL\r\n flights of stairs. \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1069\", \"text\": \"1. Yes, limited a lot.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1070\", \"text\": \"2. Yes, limited a l
ittle.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1071\", \"text\": \"3. No, not limited at all.\", \"quickKey\": 3}\r\n   ]}, \r\n   {\"id\": \"q3555\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"7. During a typi
cal day, does YOUR HEALTH NOW LIMIT YOU in: Climbing ONE flight\r\n of stairs. \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1069\", \"text\": \"1. Yes, limited a lot.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1070\", \"text\": \"2.
 Yes, limited a little.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1071\", \"text\": \"3. No, not limited at all.\", \"quickKey\": 3}\r\n   ]}, \r\n   {\"id\": \"q3556\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \
"8. During a typical day, does YOUR HEALTH NOW LIMIT YOU in: Bending, kneeling, or\r\n stooping. \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1069\", \"text\": \"1. Yes, limited a lot.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1070
\", \"text\": \"2. Yes, limited a little.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1071\", \"text\": \"3. No, not limited at all.\", \"quickKey\": 3}\r\n   ]}, \r\n   {\"id\": \"q3557\", \"type\": \"ChoiceQuestion\", \"required\": false, \
r\n    \"text\": \"9. During a typical day, does YOUR HEALTH NOW LIMIT YOU in: Walking MORE THAN A\r\n MILE. \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1069\", \"text\": \"1. Yes, limited a lot.\", \"quickKey\": 1}, \r\n     {\"i
":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":4},{"choice":[{"choiceId":1069,"choiceText":"Yes, limited a lot.","ien":1287,"legacyValue":1,
d\": \"c1070\", \"text\": \"2. Yes, limited a little.\", \"quickKey\": 2}, 
\r\n     {\"id\": \"c1071\", \"text\": \"3. No, not limited at all.\", \"quickKey\": 3}\r\n   ]}, \r\n   {\"id\": \"q3558\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"10. During a typical day, does YOUR HEALTH N
OW LIMIT YOU in: Walking SEVERAL\r\n BLOCKS. \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1069\", \"text\": \"1. Yes, limited a lot.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1070\", \"text\": \"2. Yes, limited a little.\", \"quick
Key\": 2}, \r\n     {\"id\": \"c1071\", \"text\": \"3. No, not limited at all.\", \"quickKey\": 3}\r\n   ]}, \r\n   {\"id\": \"q3559\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"11. During a typical day, does YO
UR HEALTH NOW LIMIT YOU in: Walking ONE BLOCK. \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1069\", \"text\": \"1. Yes, limited a lot.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1070\", \"text\": \"2. Yes, limited a little.\", \"qui
ckKey\": 2}, \r\n     {\"id\": \"c1071\", \"text\": \"3. No, not limited at all.\", \"quickKey\": 3}\r\n   ]}, \r\n   {\"id\": \"q3560\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"12. During a typical day, does 
YOUR HEALTH NOW LIMIT YOU in: Bathing or dressing\r\n yourself. \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1069\", \"text\": \"1. Yes, limited a lot.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1070\", \"text\": \"2. Yes, limited a
 little.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1071\", \"text\": \"3. No, not limited at all.\", \"quickKey\": 3}\r\n   ]}, \r\n   {\"id\": \"i54\", \"type\": \"IntroText\", \r\n    \"text\": \"During the PAST 4 WEEKS, have you had any 
of the following problems with your\r\n work or other regular daily activities AS A RESULT OF YOUR PHYSICAL HEALTH?\"\r\n    }, \r\n   {\"id\": \"q3561\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"13. During the
 PAST 4 WEEKS, AS A RESULT OF YOUR PHYSICAL HEALTH have you: Cut\r\n down on the AMOUNT OF TIME you spent on work or other activities. \", \r\n    \"intro\": \"During the PAST 4 WEEKS, have you had any of the following problems with your\r\
"sequence":1},{"choiceId":1070,"choiceText":"Yes, limited a little.","ien":1288,"legacyValue":2,"sequence":2},{"choiceId":1071,"choiceText":"No, not limited at all.","ien":1289,"legacyValue":3,"sequence":3}],"choiceDisplay":null,"choiceIden
n work or other regular daily activities AS A RESULT OF YOUR PHYSICAL HEALTH?\", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1072\", \"text\": \"1. Yes.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1073\", \"text\": \"2. No.\", \"quickKe
y\": 2}\r\n   ]}, \r\n   {\"id\": \"q3562\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"14. During the PAST 4 WEEKS, AS A RESULT OF YOUR PHYSICAL HEALTH have you:\r\n ACCOMPLISHED LESS than you would like. \", \r
\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1072\", \"text\": \"1. Yes.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1073\", \"text\": \"2. No.\", \"quickKey\": 2}\r\n   ]}, \r\n   {\"id\": \"q3563\", \"type\": \"ChoiceQuestion\", \"requir
ed\": false, \r\n    \"text\": \"15. During the PAST 4 WEEKS, AS A RESULT OF YOUR PHYSICAL HEALTH is it true that\r\n you: Were limited in the KIND of work or other activities. \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1072\", \
"text\": \"1. Yes.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1073\", \"text\": \"2. No.\", \"quickKey\": 2}\r\n   ]}, \r\n   {\"id\": \"q3564\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"16. During the PAST 4 WE
EKS, AS A RESULT OF YOUR PHYSICAL HEALTH is it true that\r\n you: Had DIFFICULTY performing the work or other activities. (for example, it\r\n took extra effort) \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1072\", \"text\": \"1. Y
es.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1073\", \"text\": \"2. No.\", \"quickKey\": 2}\r\n   ]}, \r\n   {\"id\": \"i55\", \"type\": \"IntroText\", \r\n    \"text\": \"During the PAST 4 WEEKS, have you had any of the following problems
 with your\r\n work or other regular daily activities AS A RESULT OF ANY EMOTIONAL PROBLEMS\r\n (such as feeling depressed or anxious)?\"\r\n    }, 
\r\n   {\"id\": \"q3565\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"17. During the PAST 4 WEEKS, AS A RESULT OF ANY EMOTIONAL PROBLEMS have you: Cut\r\n down the AMOUNT OF TIME you spent on work or other activi
ties. \", \r\n    \"intro\": \"During the PAST 4 WEEKS, have you had any of the following problems with your\r\n work or other regular daily activities AS A RESULT OF ANY EMOTIONAL PROBLEMS\r\n (such as feeling depressed or anxious)?\", \r\
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n    \r\n    \"choices\":[\r\n     {\"id\": \"c1072\", \"text\": \"1. Yes.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1073\", \"text\": \"2. No.\", \"quickKey\": 2}\r\n   ]}, \r\n   {\"id\": \"q3566\", \"type\": \"ChoiceQuestion\", \"require
d\": false, \r\n    \"text\": \"18. During the PAST 4 WEEKS, AS A RESULT OF ANY EMOTIONAL PROBLEMS is it true\r\n that you: ACCOMPLISHED LESS than you would like. \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1072\", \"text\": \"1. 
Yes.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1073\", \"text\": \"2. No.\", \"quickKey\": 2}\r\n   ]}, \r\n   {\"id\": \"q3567\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"19. During the PAST 4 WEEKS, AS A RESU
LT OF ANY EMOTIONAL PROBLEMS is it true\r\n that you: Didn't do work or other activities as CAREFULLY as usual. \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1072\", \"text\": \"1. Yes.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1073
\", \"text\": \"2. No.\", \"quickKey\": 2}\r\n   ]}, \r\n   {\"id\": \"q3568\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"20. During the PAST 4 WEEKS, to what extent has your physical health or emotional\r\n pro
blems interfered with your normal social activities with family, friends,\r\n neighbors, or groups? \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1074\", \"text\": \"1. Not at all.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1075\", \
"text\": \"2. Slightly.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1076\", \"text\": \"3. Moderately.\", \"quickKey\": 3}, \r\n     {\"id\": \"c1077\", \"text\": \"4. Quite a bit.\", \"quickKey\": 4}, \r\n     {\"id\": \"c1078\", \"text\": \
"5. Extremely.\", \"quickKey\": 5}\r\n   ]}, \r\n   {\"id\": \"q3569\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"21. How much BODILY pain have you had during the PAST 4 WEEKS? \", \r\n    \r\n    \"choices\":[\
r\n     {\"id\": \"c1079\", \"text\": \"1. None.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1080\", \"text\": \"2. Very mild.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1081\", \"text\": \"3. Mild.\", \"quickKey\": 3}, \r\n     {\"id\": \"c10
82\", \"text\": \"4. Moderate.\", \"quickKey\": 4}, \r\n     {\"id\": \"c1083\", \"text\": \"5. Severe.\", \"quickKey\": 5}, \r\n     {\"id\": \"c1084\", \"text\": \"6. Very severe.\", \"quickKey\": 6}\r\n   ]}, \r\n   {\"id\": \"q3570\", \
:1279,"legacyValue":3,"sequence":3},{"choiceId":1062,"choiceText":"Fair","ien":1280,"legacyValue":4,"sequence":4},{"choiceId":1063,"choiceText":"Poor","ien":1281,"legacyValue":5,"sequence":5}],"choiceDisplay":null,"choiceIdentifier":null,"c
During a typical day, does YOUR HEALTH NOW LIMIT YOU in:\r\n \r\nLifting or carrying groceries.\r\n ","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":5},{"choice":[{"choiceId":1069,"choiceText":"Yes, limited a lot
"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"22. During the PAST 4 WEEKS, how much did PAIN interfere with your normal work\r\n (including both work outside the home and housework)? \", \r\n    \r\n    \"choices\":[
\r\n     {\"id\": \"c1074\", \"text\": \"1. Not at all.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1085\", \"text\": \"2. A little bit.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1076\", \"text\": \"3. Moderately.\", \"quickKey\": 3}, \r\n   
  {\"id\": \"c1077\", \"text\": \"4. Quite a bit.\", \"quickKey\": 4}, \r\n     {\"id\": \"c1078\", \"text\": \"5. Extremely.\", \"quickKey\": 5}\r\n   ]}, \r\n   {\"id\": \"i56\", \"type\": \"IntroText\", \r\n    \"text\": \"These question
s are about how you feel and how things have been with you DURING\r\n THE PAST 4 WEEKS.  For each question, please give the one answer that comes\r\n closest to the way you have been feeling. How much of the time during the PAST 4\r\n WEEKS
:\"\r\n    }, \r\n   {\"id\": \"q3571\", \"type\": \"ChoiceQuestion\", \"required\": false, 
\r\n    \"text\": \"23. DURING THE PAST 4 WEEKS: Did you feel full of pep? \", \r\n    \"intro\": \"These questions are about how you feel and how things have been with you DURING\r\n THE PAST 4 WEEKS.  For each question, please give the on
e answer that comes\r\n closest to the way you have been feeling. How much of the time during the PAST 4\r\n WEEKS:\", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1086\", \"text\": \"1. All of the time.\", \"quickKey\": 1}, \r\n     {
\"id\": \"c1087\", \"text\": \"2. Most of the time.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1088\", \"text\": \"3. A good bit of the time.\", \"quickKey\": 3}, \r\n     {\"id\": \"c1089\", \"text\": \"4. Some of the time.\", \"quickKey\":
 4}, \r\n     {\"id\": \"c1090\", \"text\": \"5. A little of the time.\", \"quickKey\": 5}, \r\n     {\"id\": \"c1091\", \"text\": \"6. None of the time.\", \"quickKey\": 6}\r\n   ]}, \r\n   {\"id\": \"q3572\", \"type\": \"ChoiceQuestion\",
 \"required\": false, \r\n    \"text\": \"24. DURING THE PAST 4 WEEKS: Have you been a very nervous person? \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1086\", \"text\": \"1. All of the time.\", \"quickKey\": 1}, \r\n     {\"id\":
.","ien":1287,"legacyValue":1,"sequence":1},{"choiceId":1070,"choiceText":"Yes, limited a little.","ien":1288,"legacyValue":2,"sequence":2},{"choiceId":1071,"choiceText":"No, not limited at all.","ien":1289,"legacyValue":3,"sequence":3}],"c
 \"c1087\", \"text\": \"2. Most of the time.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1088\", \"text\": \"3. A good bit of the time.\", \"quickKey\": 3}, \r\n     {\"id\": \"c1089\", \"text\": \"4. Some of the time.\", \"quickKey\": 4}, \r
\n     {\"id\": \"c1090\", \"text\": \"5. A little of the time.\", \"quickKey\": 5}, \r\n     {\"id\": \"c1091\", \"text\": \"6. None of the time.\", \"quickKey\": 6}\r\n   ]}, \r\n   {\"id\": \"q3573\", \"type\": \"ChoiceQuestion\", \"requ
ired\": false, \r\n    \"text\": \"25. DURING THE PAST 4 WEEKS: Have you felt so down in the dumps that nothing\r\n could cheer you up? \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1086\", \"text\": \"1. All of the time.\", \"quick
Key\": 1}, \r\n     {\"id\": \"c1087\", \"text\": \"2. Most of the time.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1088\", \"text\": \"3. A good bit of the time.\", \"quickKey\": 3}, \r\n     {\"id\": \"c1089\", \"text\": \"4. Some of the t
ime.\", \"quickKey\": 4}, \r\n     {\"id\": \"c1090\", \"text\": \"5. A little of the time.\", \"quickKey\": 5}, \r\n     {\"id\": \"c1091\", \"text\": \"6. None of the time.\", \"quickKey\": 6}\r\n   ]}, \r\n   {\"id\": \"q3574\", \"type\"
: \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"26. DURING THE PAST 4 WEEKS: Have you felt calm and peaceful? \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1086\", \"text\": \"1. All of the time.\", \"quickKey\": 1}, 
\r\n     {\"id\": \"c1087\", \"text\": \"2. Most of the time.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1088\", \"text\": \"3. A good bit of the time.\", \"quickKey\": 3}, \r\n     {\"id\": \"c1089\", \"text\": \"4. Some of the time.\", \"q
uickKey\": 4}, \r\n     {\"id\": \"c1090\", \"text\": \"5. A little of the time.\", \"quickKey\": 5}, \r\n     {\"id\": \"c1091\", \"text\": \"6. None of the time.\", \"quickKey\": 6}\r\n   ]}, \r\n   {\"id\": \"q3575\", \"type\": \"ChoiceQ
uestion\", \"required\": false, \r\n    \"text\": \"27. DURING THE PAST 4 WEEKS: Did you have a lot of energy? \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1086\", \"text\": \"1. All of the time.\", \"quickKey\": 1}, \r\n     {\"id
\": \"c1087\", \"text\": \"2. Most of the time.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1088\", \"text\": \"3. A good bit of the time.\", \"quickKey\": 3}, \r\n     {\"id\": \"c1089\", \"text\": \"4. Some of the time.\", \"quickKey\": 4},
hoiceDisplay":null,"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId":339,"designator":6,"hint":null,"id":3554,"instrument":47,"introDisplay":null,"introId":null,"introText":null,"max":null,"min":null,"questionDisplay":null,"que
 \r\n     {\"id\": \"c1090\", \"text\": \"5. A little of the time.\", \"quickKey\": 5}, \r\n     {\"id\": \"c1091\", \"text\": \"6. None of the time.\", \"quickKey\": 6}\r\n   ]}, \r\n   {\"id\": \"q3576\", \"type\": \"ChoiceQuestion\", \"r
equired\": false, \r\n    \"text\": \"28. DURING THE PAST 4 WEEKS: Have you felt downhearted and blue? \", \r\n    \r\n    \"choices\":[
\r\n     {\"id\": \"c1086\", \"text\": \"1. All of the time.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1087\", \"text\": \"2. Most of the time.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1088\", \"text\": \"3. A good bit of the time.\", \"qu
ickKey\": 3}, \r\n     {\"id\": \"c1089\", \"text\": \"4. Some of the time.\", \"quickKey\": 4}, \r\n     {\"id\": \"c1090\", \"text\": \"5. A little of the time.\", \"quickKey\": 5}, \r\n     {\"id\": \"c1091\", \"text\": \"6. None of the 
time.\", \"quickKey\": 6}\r\n   ]}, \r\n   {\"id\": \"q3577\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"29. DURING THE PAST 4 WEEKS: Did you feel worn out? \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c
1086\", \"text\": \"1. All of the time.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1087\", \"text\": \"2. Most of the time.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1088\", \"text\": \"3. A good bit of the time.\", \"quickKey\": 3}, \r\n   
  {\"id\": \"c1089\", \"text\": \"4. Some of the time.\", \"quickKey\": 4}, \r\n     {\"id\": \"c1090\", \"text\": \"5. A little of the time.\", \"quickKey\": 5}, \r\n     {\"id\": \"c1091\", \"text\": \"6. None of the time.\", \"quickKey\"
: 6}\r\n   ]}, \r\n   {\"id\": \"q3578\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"30. DURING THE PAST 4 WEEKS: Have you been a happy person? \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1086\", \"text
\": \"1. All of the time.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1087\", \"text\": \"2. Most of the time.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1088\", \"text\": \"3. A good bit of the time.\", \"quickKey\": 3}, \r\n     {\"id\": \"c
1089\", \"text\": \"4. Some of the time.\", \"quickKey\": 4}, \r\n     {\"id\": \"c1090\", \"text\": \"5. A little of the time.\", \"quickKey\": 5}, \r\n     {\"id\": \"c1091\", \"text\": \"6. None of the time.\", \"quickKey\": 6}\r\n   ]},
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 \r\n   {\"id\": \"q3579\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"31. DURING THE PAST 4 WEEKS: Did you feel tired? \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1086\", \"text\": \"1. All of the time
.\", \"quickKey\": 1}, \r\n     {\"id\": \"c1087\", \"text\": \"2. Most of the time.\", \"quickKey\": 2}, \r\n     {\"id\": \"c1088\", \"text\": \"3. A good bit of the time.\", \"quickKey\": 3}, \r\n     {\"id\": \"c1089\", \"text\": \"4. S
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\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"32. During the PAST 4 WEEKS, how much of the time has your PHYSICAL HEALTH OR\r\n EMOTIONAL PROBLEMS interfered with your social activities (like visiting with\r\n f
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 \"c1092\", \"text\": \"3. Some of the time.\", \"quickKey\": 3}, \r\n     {\"id\": \"c1093\", \"text\": \"4. A little of the time.\", \"quickKey\": 4}, \r\n     {\"id\": \"c1094\", \"text\": \"5. None of the time.\", \"quickKey\": 5}\r\n  
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\r\n     {\"id\": \"c1097\", \"text\": \"3. Don't know.\", \"quickKey\": 3}, \r\n     {\"id\": \"c1098\", \"text\": \"4. Mostly false.\", \"quickKey\": 4}, \r\n     {\"id\": \"c1099\", \"text\": \"5. Definitely false.\", \"quickKey\": 5}\r\
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n   ]}, \r\n   {\"id\": \"q3582\", \"type\": \"ChoiceQuestion\", \"required\": false, \r\n    \"text\": \"34. How TRUE or FALSE is this for you? I am as healthy as anybody I know. \", \r\n    \r\n    \"choices\":[\r\n     {\"id\": \"c1095\"
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n":null,"questionDisplay":null,"questionId":3555,"questionText":"During a typical day, does YOUR HEALTH NOW LIMIT YOU in:\r\n \r\nClimbing ONE flight of stairs.\r\n ","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence
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not limited at all.","ien":1289,"legacyValue":3,"sequence":3}],"choiceDisplay":null,"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId":339,"designator":8,"hint":null,"id":3556,"instrument":47,"introDisplay":null,"introId":null,"
introText":null,"max":null,"min":null,"questionDisplay":null,"questionId":3556,"questionText":"During a typical day, does YOUR HEALTH NOW LIMIT YOU in:\r\n \r\nBending, kneeling, or stooping.\r\n ","required":null,"responseTypeId":1,"respon
hoiceIdentifierIen":0,"choiceTypeId":337,"designator":1,"hint":null,"id":3549,"instrument":47,"introDisplay":null,"introId":52,"introText":"This survey asks for your views about your health.  This information\r\nwill help keep track of how 
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oDisplay":null,"introId":null,"introText":null,"max":null,"min":null,"questionDisplay":null,"questionId":3557,"questionText":"During a typical day, does YOUR HEALTH NOW LIMIT YOU in:\r\n \r\nWalking MORE THAN A MILE.\r\n ","required":null,"
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DESCRIPTION
Add scale Reported Health Transition to SF36 definition.
INSTALL HISTORY
  • INSTALL DATE:   2025-07-29 15:51:57
    INSTALLED BY:   USER,NINETY