| SPECIFICATION |
{"test":[{"content":[{"choice":[{"choiceId":5321,"choiceText":"Not at all","ien":100284,"legacyValue":0,"sequence":1},{"choiceId":5322,"choiceText":"A little","ien":100285,"legacyValue":1,"sequence":2},{"choiceId":5323,"choiceText":"Quite a
ionText":"... made you feel critical of yourself?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":20},{"choice":[{"choiceId":5321,"choiceText":"Not at all","ien":100284,"legacyValue":0,"sequence":1},{"choiceId":
ing\r\n habits <br \/> ... exercising <br \/> ... or your feelings about your eating,\r\n shape or weight ...\"\r\n }, \r\n {\"id\": \"q8739\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"1
. ... made it difficult to concentrate?\", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>exercising or feelings about your eating, shape or weight have\r\n affected
<br \/>your life over the past four weeks (28 days). Thank you. <br \/>
\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits <br \/> ... exercising <br \/> ... or your feelings about your eating,\r\n shape or weight ...\", \r\n \"columns\": 1, \r
\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5322\", \"text\": \"1. A little\", \"quickKey\": 1}, \r\n {\"id\": \"c5323\", \"text\": \"2. Quite a bit\", \"quickKey\"
: 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8740\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"2. ... made you feel critical of your
self?\", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>exercising or feelings about your eating, shape or weight have\r\n affected <br \/>your life over the past fou
r weeks (28 days). Thank you. <br \/>\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits <br \/> ... exercising <br \/> ... or your feelings about your eating,\r\n shape or we
ight ...\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5322\", \"text\": \"1. A little\", \"quickKey\": 1}, \r\n {\"id\": \"c5323\", \"te
xt\": \"2. Quite a bit\", \"quickKey\": 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8741\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \
5322,"choiceText":"A little","ien":100285,"legacyValue":1,"sequence":2},{"choiceId":5323,"choiceText":"Quite a bit","ien":100286,"legacyValue":2,"sequence":3},{"choiceId":5324,"choiceText":"A lot","ien":100287,"legacyValue":3,"sequence":4}]
"3. ... stopped you going out with others?\", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>exercising or feelings about your eating, shape or weight have\r\n affect
ed <br \/>your life over the past four weeks (28 days). Thank you. <br \/>\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits <br \/> ... exercising <br \/> ... or your feelin
gs about your eating,\r\n shape or weight ...\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5322\", \"text\": \"1. A little\", \"quickKey\":
1}, \r\n {\"id\": \"c5323\", \"text\": \"2. Quite a bit\", \"quickKey\": 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8742\", \"type\": \"ChoiceQuestion\", \"required\": false, \
"inline\": false, \r\n \"text\": \"4. ... affected your work performance (if applicable)?\", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>exercising or feelings
about your eating, shape or weight have\r\n affected <br \/>your life over the past four weeks (28 days). Thank you. <br \/>\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits
<br \/> ... exercising <br \/> ... or your feelings about your eating,\r\n shape or weight ...\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"
c5322\", \"text\": \"1. A little\", \"quickKey\": 1}, \r\n {\"id\": \"c5323\", \"text\": \"2. Quite a bit\", \"quickKey\": 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8743\", \"
type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"5. ... made you forgetful?\", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>e
xercising or feelings about your eating, shape or weight have\r\n affected <br \/>your life over the past four weeks (28 days). Thank you. <br \/>
,"choiceDisplay":99240,"choiceIdentifier":0,"choiceIdentifierIen":42302,"choiceTypeId":15057,"designator":3,"hint":null,"id":8806,"instrument":293,"introDisplay":82614,"introId":2470,"introText":"INSTRUCTIONS\r\n|Please select the option th
\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits <br \/> ... exercising <br \/> ... or your feelings about your eating,\r\n shape or weight ...\", \r\n \"columns\": 1, \r
\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5322\", \"text\": \"1. A little\", \"quickKey\": 1}, \r\n {\"id\": \"c5323\", \"text\": \"2. Quite a bit\", \"quickKey\"
: 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8744\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"6. ... affected your ability to make
everyday decisions?\", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>exercising or feelings about your eating, shape or weight have\r\n affected <br \/>your life ove
r the past four weeks (28 days). Thank you. <br \/>\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits <br \/> ... exercising <br \/> ... or your feelings about your eating,\r
\n shape or weight ...\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5322\", \"text\": \"1. A little\", \"quickKey\": 1}, \r\n {\"id\": \
"c5323\", \"text\": \"2. Quite a bit\", \"quickKey\": 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8745\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n
\"text\": \"7. ... interfered with meals with family or friends?\", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>exercising or feelings about your eating, shape
or weight have\r\n affected <br \/>your life over the past four weeks (28 days). Thank you. <br \/>\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits <br \/> ... exercising <
br \/> ... or your feelings about your eating,\r\n shape or weight ...\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5322\", \"text\": \"1. A
at best describes how your eating habits, \r\n|exercising or feelings about your eating, shape or weight have affected\r\n|your life over the past four weeks (28 days). Thank you.\r\n|\r\n|\r\n|Over the past 28 days, to what extent have yo
little\", \"quickKey\": 1}, \r\n {\"id\": \"c5323\", \"text\": \"2. Quite a bit\", \"quickKey\": 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8746\", \"type\": \"ChoiceQuestion\
", \"required\": false, \"inline\": false, \r\n \"text\": \"8. ... made you upset?\", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>exercising or feelings about y
our eating, shape or weight have\r\n affected <br \/>your life over the past four weeks (28 days). Thank you. <br \/>\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits <br \/
> ... exercising <br \/> ... or your feelings about your eating,\r\n shape or weight ...\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5322\"
, \"text\": \"1. A little\", \"quickKey\": 1}, \r\n {\"id\": \"c5323\", \"text\": \"2. Quite a bit\", \"quickKey\": 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8747\", \"type\":
\"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"9. ... made you feel ashamed of yourself?\", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits,
<br \/>exercising or feelings about your eating, shape or weight have\r\n affected <br \/>your life over the past four weeks (28 days). Thank you. <br \/>
\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits <br \/> ... exercising <br \/> ... or your feelings about your eating,\r\n shape or weight ...\", \r\n \"columns\": 1, \r
\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5322\", \"text\": \"1. A little\", \"quickKey\": 1}, \r\n {\"id\": \"c5323\", \"text\": \"2. Quite a bit\", \"quickKey\"
: 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8748\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"10. ... made it difficult to eat out
ur\r\n| ... eating habits\r\n| ... exercising\r\n| ... or your feelings about your eating, shape or weight ...","max":0,"min":0,"questionDisplay":97350,"questionId":8741,"questionText":"... stopped you going out with others?","required":fal
with others?\", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>exercising or feelings about your eating, shape or weight have\r\n affected <br \/>your life over the p
ast four weeks (28 days). Thank you. <br \/>\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits <br \/> ... exercising <br \/> ... or your feelings about your eating,\r\n shap
e or weight ...\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5322\", \"text\": \"1. A little\", \"quickKey\": 1}, \r\n {\"id\": \"c5323\
", \"text\": \"2. Quite a bit\", \"quickKey\": 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8749\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"te
xt\": \"11. ... made you feel guilty? \", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>exercising or feelings about your eating, shape or weight have\r\n affected <
br \/>your life over the past four weeks (28 days). Thank you. <br \/>\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits <br \/> ... exercising <br \/> ... or your feelings a
bout your eating,\r\n shape or weight ...\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5322\", \"text\": \"1. A little\", \"quickKey\": 1},
\r\n {\"id\": \"c5323\", \"text\": \"2. Quite a bit\", \"quickKey\": 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8750\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inl
ine\": false, \r\n \"text\": \"12. ... interfered with you doing things you used to enjoy?\", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>exercising or feelings
about your eating, shape or weight have\r\n affected <br \/>your life over the past four weeks (28 days). Thank you. <br \/>\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habit
se,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":30},{"choice":[{"choiceId":5321,"choiceText":"Not at all","ien":100284,"legacyValue":0,"sequence":1},{"choiceId":5322,"choiceText":"A little","ien":100285,"legacyValue":1,"sequen
s <br \/> ... exercising <br \/> ... or your feelings about your eating,\r\n shape or weight ...\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \
"c5322\", \"text\": \"1. A little\", \"quickKey\": 1}, \r\n {\"id\": \"c5323\", \"text\": \"2. Quite a bit\", \"quickKey\": 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8751\", \
"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"13. ... made you absent-minded?\", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <b
r \/>exercising or feelings about your eating, shape or weight have\r\n affected <br \/>your life over the past four weeks (28 days). Thank you. <br \/>
\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits <br \/> ... exercising <br \/> ... or your feelings about your eating,\r\n shape or weight ...\", \r\n \"columns\": 1, \r
\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5322\", \"text\": \"1. A little\", \"quickKey\": 1}, \r\n {\"id\": \"c5323\", \"text\": \"2. Quite a bit\", \"quickKey\"
: 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8752\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"14. ... made you feel a failure?\", \
r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>exercising or feelings about your eating, shape or weight have\r\n affected <br \/>your life over the past four weeks (2
8 days). Thank you. <br \/>\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits <br \/> ... exercising <br \/> ... or your feelings about your eating,\r\n shape or weight ...\"
, \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5322\", \"text\": \"1. A little\", \"quickKey\": 1}, \r\n {\"id\": \"c5323\", \"text\": \"2.
ce":2},{"choiceId":5323,"choiceText":"Quite a bit","ien":100286,"legacyValue":2,"sequence":3},{"choiceId":5324,"choiceText":"A lot","ien":100287,"legacyValue":3,"sequence":4}],"choiceDisplay":99240,"choiceIdentifier":0,"choiceIdentifierIen"
Quite a bit\", \"quickKey\": 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8753\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"15. ... i
nterfered with your relationships with others?\", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>exercising or feelings about your eating, shape or weight have\r\n af
fected <br \/>your life over the past four weeks (28 days). Thank you. <br \/>\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits <br \/> ... exercising <br \/> ... or your fe
elings about your eating,\r\n shape or weight ...\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5322\", \"text\": \"1. A little\", \"quickKey
\": 1}, \r\n {\"id\": \"c5323\", \"text\": \"2. Quite a bit\", \"quickKey\": 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q8754\", \"type\": \"ChoiceQuestion\", \"required\": fals
e, \"inline\": false, \r\n \"text\": \"16. ... made you worry?\", \r\n \"intro\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>exercising or feelings about your eating, shape or
weight have\r\n affected <br \/>your life over the past four weeks (28 days). Thank you. <br \/>\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eating\r\n habits <br \/> ... exercising <br
\/> ... or your feelings about your eating,\r\n shape or weight ...\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5321\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5322\", \"text\": \"1. A l
ittle\", \"quickKey\": 1}, \r\n {\"id\": \"c5323\", \"text\": \"2. Quite a bit\", \"quickKey\": 2}, \r\n {\"id\": \"c5324\", \"text\": \"3. A lot\", \"quickKey\": 3}\r\n ]}]\r\n}","instrument":293,"lastUpdate":"2022-06-03T17:43:13
","specIen":146},"verify":["601.71:293","601.72:8739","601.72:8740","601.72:8741","601.72:8742","601.72:8743","601.72:8744","601.72:8745","601.72:8746","601.72:8747","601.72:8748","601.72:8749","601.72:8750","601.72:8751","601.72:8752","601
:42302,"choiceTypeId":15057,"designator":4,"hint":null,"id":8807,"instrument":293,"introDisplay":82614,"introId":2470,"introText":"INSTRUCTIONS
.72:8753","601.72:8754","601.73:2470","601.75:5321","601.75:5322","601.75:5323","601.75:5324","601.751:100284","601.751:100285","601.751:100286","601.751:100287
","601.76:8804","601.76:8805","601.76:8806","601.76:8807","601.76:8808","601.76:8809","601.76:8810","601.76:8811","601.76:8812","601.76:8813","601.76:8814","601.76:8815","601.76:8816","601.76:8817","601.76:8818","601.76:8819","601.86:344","
601.87:1450","601.88:82614","601.88:97350","601.88:99240","601.89:42302"]}],"xchg":{"date":3221117.09433,"description":"New CIA instrument.","name":"YS*5.01*217 CIA","source":"LEE@CAMP MASTER","version":1.02}}
\r\n|Please select the option that best describes how your eating habits, \r\n|exercising or feelings about your eating, shape or weight have affected\r\n|your life over the past four weeks (28 days). Thank you.\r\n|\r\n|\r\n|Over the past
28 days, to what extent have your\r\n| ... eating habits\r\n| ... exercising\r\n| ... or your feelings about your eating, shape or weight ...","max":0,"min":0,"questionDisplay":97350,"questionId":8742,"questionText":"... affected your work
bit","ien":100286,"legacyValue":2,"sequence":3},{"choiceId":5324,"choiceText":"A lot","ien":100287,"legacyValue":3,"sequence":4}],"choiceDisplay":99240,"choiceIdentifier":0,"choiceIdentifierIen":42302,"choiceTypeId":15057,"designator":1,"h
performance (if applicable)?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":40},{"choice":[{"choiceId":5321,"choiceText":"Not at all","ien":100284,"legacyValue":0,"sequence":1},{"choiceId":5322,"choiceText":"A
little","ien":100285,"legacyValue":1,"sequence":2},{"choiceId":5323,"choiceText":"Quite a bit","ien":100286,"legacyValue":2,"sequence":3},{"choiceId":5324,"choiceText":"A lot","ien":100287,"legacyValue":3,"sequence":4}],"choiceDisplay":992
40,"choiceIdentifier":0,"choiceIdentifierIen":42302,"choiceTypeId":15057,"designator":5,"hint":null,"id":8808,"instrument":293,"introDisplay":82614,"introId":2470,"introText":"INSTRUCTIONS\r\n|Please select the option that best describes ho
w your eating habits, \r\n|exercising or feelings about your eating, shape or weight have affected\r\n|your life over the past four weeks (28 days). Thank you.\r\n|\r\n|\r\n|Over the past 28 days, to what extent have your\r\n| ... eating h
abits\r\n| ... exercising\r\n| ... or your feelings about your eating, shape or weight ...","max":0,"min":0,"questionDisplay":97350,"questionId":8743,"questionText":"... made you forgetful?","required":false,"responseTypeId":1,"responseType
Text":"MCHOICE","sequence":50},{"choice":[{"choiceId":5321,"choiceText":"Not at all","ien":100284,"legacyValue":0,"sequence":1},{"choiceId":5322,"choiceText":"A little","ien":100285,"legacyValue":1,"sequence":2},{"choiceId":5323,"choiceText
":"Quite a bit","ien":100286,"legacyValue":2,"sequence":3},{"choiceId":5324,"choiceText":"A lot","ien":100287,"legacyValue":3,"sequence":4}],"choiceDisplay":99240,"choiceIdentifier":0,"choiceIdentifierIen":42302,"choiceTypeId":15057,"design
ator":6,"hint":null,"id":8809,"instrument":293,"introDisplay":82614,"introId":2470,"introText":"INSTRUCTIONS\r\n|Please select the option that best describes how your eating habits, \r\n|exercising or feelings about your eating, shape or we
ight have affected\r\n|your life over the past four weeks (28 days). Thank you.\r\n|\r\n|\r\n|Over the past 28 days, to what extent have your\r\n| ... eating habits\r\n| ... exercising\r\n| ... or your feelings about your eating, shape or
weight ...","max":0,"min":0,"questionDisplay":97350,"questionId":8744,"questionText":"... affected your ability to make everyday decisions?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":60},{"choice":[{"choice
int":null,"id":8804,"instrument":293,"introDisplay":82614,"introId":2470,"introText":"INSTRUCTIONS\r\n|Please select the option that best describes how your eating habits, \r\n|exercising or feelings about your eating, shape or weight have
Id":5321,"choiceText":"Not at all","ien":100284,"legacyValue":0,"sequence":1},{"choiceId":5322,"choiceText":"A little","ien":100285,"legacyValue":1,"sequence":2},{"choiceId":5323,"choiceText":"Quite a bit","ien":100286,"legacyValue":2,"sequ
ence":3},{"choiceId":5324,"choiceText":"A lot","ien":100287,"legacyValue":3,"sequence":4}],"choiceDisplay":99240,"choiceIdentifier":0,"choiceIdentifierIen":42302,"choiceTypeId":15057,"designator":7,"hint":null,"id":8810,"instrument":293,"in
troDisplay":82614,"introId":2470,"introText":"INSTRUCTIONS\r\n|Please select the option that best describes how your eating habits, \r\n|exercising or feelings about your eating, shape or weight have affected\r\n|your life over the past fou
r weeks (28 days). Thank you.\r\n|\r\n|\r\n|Over the past 28 days, to what extent have your\r\n| ... eating habits\r\n| ... exercising\r\n| ... or your feelings about your eating, shape or weight ...","max":0,"min":0,"questionDisplay":9735
0,"questionId":8745,"questionText":"... interfered with meals with family or friends?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":
70},{"choice":[{"choiceId":5321,"choiceText":"Not at all","ien":100284,"legacyValue":0,"sequence":1},{"choiceId":5322,"choiceText":"A little","ien":100285,"legacyValue":1,"sequence":2},{"choiceId":5323,"choiceText":"Quite a bit","ien":10028
6,"legacyValue":2,"sequence":3},{"choiceId":5324,"choiceText":"A lot","ien":100287,"legacyValue":3,"sequence":4}],"choiceDisplay":99240,"choiceIdentifier":0,"choiceIdentifierIen":42302,"choiceTypeId":15057,"designator":8,"hint":null,"id":88
11,"instrument":293,"introDisplay":82614,"introId":2470,"introText":"INSTRUCTIONS\r\n|Please select the option that best describes how your eating habits, \r\n|exercising or feelings about your eating, shape or weight have affected\r\n|your
life over the past four weeks (28 days). Thank you.\r\n|\r\n|\r\n|Over the past 28 days, to what extent have your\r\n| ... eating habits\r\n| ... exercising\r\n| ... or your feelings about your eating, shape or weight ...","max":0,"min":0
,"questionDisplay":97350,"questionId":8746,"questionText":"... made you upset?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":80},{"choice":[{"choiceId":5321,"choiceText":"Not at all","ien":100284,"legacyValue"
affected\r\n|your life over the past four weeks (28 days). Thank you.\r\n|\r\n|\r\n|Over the past 28 days, to what extent have your\r\n| ... eating habits\r\n| ... exercising\r\n| ... or your feelings about your eating, shape or weight ...
:0,"sequence":1},{"choiceId":5322,"choiceText":"A little","ien":100285,"legacyValue":1,"sequence":2},{"choiceId":5323,"choiceText":"Quite a bit","ien":100286,"legacyValue":2,"sequence":3},{"choiceId":5324,"choiceText":"A lot","ien":100287,"
legacyValue":3,"sequence":4}],"choiceDisplay":99240,"choiceIdentifier":0,"choiceIdentifierIen":42302,"choiceTypeId":15057,"designator":9,"hint":null,"id":8812,"instrument":293,"introDisplay":82614,"introId":2470,"introText":"INSTRUCTIONS\r\
n|Please select the option that best describes how your eating habits, \r\n|exercising or feelings about your eating, shape or weight have affected\r\n|your life over the past four weeks (28 days). Thank you.\r\n|\r\n|\r\n|Over the past 28
days, to what extent have your\r\n| ... eating habits\r\n| ... exercising\r\n| ... or your feelings about your eating, shape or weight ...","max":0,"min":0,"questionDisplay":97350,"questionId":8747,"questionText":"... made you feel ashamed
of yourself?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":90},{"choice":[{"choiceId":5321,"choiceText":"Not at all","ien":100284,"legacyValue":0,"sequence":1},{"choiceId":5322,"choiceText":"A little","ien":1
00285,"legacyValue":1,"sequence":2},{"choiceId":5323,"choiceText":"Quite a bit","ien":100286,"legacyValue":2,"sequence":3},{"choiceId":5324,"choiceText":"A lot","ien":100287,"legacyValue":3,"sequence":4}],"choiceDisplay":99240,"choiceIdenti
fier":0,"choiceIdentifierIen":42302,"choiceTypeId":15057,"designator":10,"hint":null,"id":8813,"instrument":293,"introDisplay":82614,"introId":2470,"introText":"INSTRUCTIONS\r\n|Please select the option that best describes how your eating h
abits, \r\n|exercising or feelings about your eating, shape or weight have affected\r\n|your life over the past four weeks (28 days). Thank you.\r\n|\r\n|\r\n|Over the past 28 days, to what extent have your\r\n| ... eating habits\r\n| ...
exercising\r\n| ... or your feelings about your eating, shape or weight ...","max":0,"min":0,"questionDisplay":97350,"questionId":8748,"questionText":"... made it difficult to eat out with others?","required":false,"responseTypeId":1,"respo
nseTypeText":"MCHOICE","sequence":100},{"choice":[{"choiceId":5321,"choiceText":"Not at all","ien":100284,"legacyValue":0,"sequence":1},{"choiceId":5322,"choiceText":"A little","ien":100285,"legacyValue":1,"sequence":2},{"choiceId":5323,"ch
","max":0,"min":0,"questionDisplay":97350,"questionId":8739,"questionText":"... made it difficult to concentrate?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":10},{"choice":[{"choiceId":5321,"choiceText":"Not
oiceText":"Quite a bit","ien":100286,"legacyValue":2,"sequence":3},{"choiceId":5324,"choiceText":"A lot","ien":100287,"legacyValue":3,"sequence":4}],"choiceDisplay":99240,"choiceIdentifier":0,"choiceIdentifierIen":42302,"choiceTypeId":15057
,"designator":11,"hint":null,"id":8814,"instrument":293,"introDisplay":82614,"introId":2470,"introText":"INSTRUCTIONS
\r\n|Please select the option that best describes how your eating habits, \r\n|exercising or feelings about your eating, shape or weight have affected\r\n|your life over the past four weeks (28 days). Thank you.\r\n|\r\n|\r\n|Over the past
28 days, to what extent have your\r\n| ... eating habits\r\n| ... exercising\r\n| ... or your feelings about your eating, shape or weight ...","max":0,"min":0,"questionDisplay":97350,"questionId":8749,"questionText":"... made you feel guil
ty?\r\n","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":110},{"choice":[{"choiceId":5321,"choiceText":"Not at all","ien":100284,"legacyValue":0,"sequence":1},{"choiceId":5322,"choiceText":"A little","ien":100285
,"legacyValue":1,"sequence":2},{"choiceId":5323,"choiceText":"Quite a bit","ien":100286,"legacyValue":2,"sequence":3},{"choiceId":5324,"choiceText":"A lot","ien":100287,"legacyValue":3,"sequence":4}],"choiceDisplay":99240,"choiceIdentifier"
:0,"choiceIdentifierIen":42302,"choiceTypeId":15057,"designator":12,"hint":null,"id":8815,"instrument":293,"introDisplay":82614,"introId":2470,"introText":"INSTRUCTIONS\r\n|Please select the option that best describes how your eating habits
, \r\n|exercising or feelings about your eating, shape or weight have affected\r\n|your life over the past four weeks (28 days). Thank you.\r\n|\r\n|\r\n|Over the past 28 days, to what extent have your\r\n| ... eating habits\r\n| ... exerc
ising\r\n| ... or your feelings about your eating, shape or weight ...","max":0,"min":0,"questionDisplay":97350,"questionId":8750,"questionText":"... interfered with you doing things you used to enjoy?","required":false,"responseTypeId":1,"
responseTypeText":"MCHOICE","sequence":120},{"choice":[{"choiceId":5321,"choiceText":"Not at all","ien":100284,"legacyValue":0,"sequence":1},{"choiceId":5322,"choiceText":"A little","ien":100285,"legacyValue":1,"sequence":2},{"choiceId":532
at all","ien":100284,"legacyValue":0,"sequence":1},{"choiceId":5322,"choiceText":"A little","ien":100285,"legacyValue":1,"sequence":2},{"choiceId":5323,"choiceText":"Quite a bit","ien":100286,"legacyValue":2,"sequence":3},{"choiceId":5324,
3,"choiceText":"Quite a bit","ien":100286,"legacyValue":2,"sequence":3},{"choiceId":5324,"choiceText":"A lot","ien":100287,"legacyValue":3,"sequence":4}],"choiceDisplay":99240,"choiceIdentifier":0,"choiceIdentifierIen":42302,"choiceTypeId":
15057,"designator":13,"hint":null,"id":8816,"instrument":293,"introDisplay":82614,"introId":2470,"introText":"INSTRUCTIONS\r\n|Please select the option that best describes how your eating habits, \r\n|exercising or feelings about your eatin
g, shape or weight have affected\r\n|your life over the past four weeks (28 days). Thank you.\r\n|\r\n|\r\n|Over the past 28 days, to what extent have your\r\n| ... eating habits\r\n| ... exercising\r\n| ... or your feelings about your eat
ing, shape or weight ...","max":0,"min":0,"questionDisplay":97350,"questionId":8751,"questionText":"... made you absent-minded?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":130},{"choice":[{"choiceId":5321,"c
hoiceText":"Not at all","ien":100284,"legacyValue":0,"sequence":1},{"choiceId":5322,"choiceText":"A little","ien":100285,"legacyValue":1,"sequence":2},{"choiceId":5323,"choiceText":"Quite a bit","ien":100286,"legacyValue":2,"sequence":3},{"
choiceId":5324,"choiceText":"A lot","ien":100287,"legacyValue":3,"sequence":4}],"choiceDisplay":99240,"choiceIdentifier":0,"choiceIdentifierIen":42302,"choiceTypeId":15057,"designator":14,"hint":null,"id":8817,"instrument":293,"introDisplay
":82614,"introId":2470,"introText":"INSTRUCTIONS\r\n|Please select the option that best describes how your eating habits, \r\n|exercising or feelings about your eating, shape or weight have affected\r\n|your life over the past four weeks (2
8 days). Thank you.\r\n|\r\n|\r\n|Over the past 28 days, to what extent have your\r\n| ... eating habits\r\n| ... exercising\r\n| ... or your feelings about your eating, shape or weight ...","max":0,"min":0,"questionDisplay":97350,"questio
nId":8752,"questionText":"... made you feel a failure?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":140},{"choice":[{"choiceId":
5321,"choiceText":"Not at all","ien":100284,"legacyValue":0,"sequence":1},{"choiceId":5322,"choiceText":"A little","ien":100285,"legacyValue":1,"sequence":2},{"choiceId":5323,"choiceText":"Quite a bit","ien":100286,"legacyValue":2,"sequence
"choiceText":"A lot","ien":100287,"legacyValue":3,"sequence":4}],"choiceDisplay":99240,"choiceIdentifier":0,"choiceIdentifierIen":42302,"choiceTypeId":15057,"designator":2,"hint":null,"id":8805,"instrument":293,"introDisplay":82614,"introId
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Display":82614,"introId":2470,"introText":"INSTRUCTIONS\r\n|Please select the option that best describes how your eating habits, \r\n|exercising or feelings about your eating, shape or weight have affected\r\n|your life over the past four w
eeks (28 days). Thank you.\r\n|\r\n|\r\n|Over the past 28 days, to what extent have your\r\n| ... eating habits\r\n| ... exercising\r\n| ... or your feelings about your eating, shape or weight ...","max":0,"min":0,"questionDisplay":97350,"
questionId":8753,"questionText":"... interfered with your relationships with others?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":150},{"choice":[{"choiceId":5321,"choiceText":"Not at all","ien":100284,"legac
yValue":0,"sequence":1},{"choiceId":5322,"choiceText":"A little","ien":100285,"legacyValue":1,"sequence":2},{"choiceId":5323,"choiceText":"Quite a bit","ien":100286,"legacyValue":2,"sequence":3},{"choiceId":5324,"choiceText":"A lot","ien":1
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TIONS\r\n|Please select the option that best describes how your eating habits, \r\n|exercising or feelings about your eating, shape or weight have affected\r\n|your life over the past four weeks (28 days). Thank you.\r\n|\r\n|\r\n|Over the
past 28 days, to what extent have your\r\n| ... eating habits\r\n| ... exercising\r\n| ... or your feelings about your eating, shape or weight ...","max":0,"min":0,"questionDisplay":97350,"questionId":8754,"questionText":"... made you worr
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":2470,"introText":"INSTRUCTIONS\r\n|Please select the option that best describes how your eating habits, \r\n|exercising or feelings about your eating, shape or weight have affected\r\n|your life over the past four weeks (28 days). Thank
e,"id":97350,"left":2,"mask":null},{"alignment":"L","columns":1,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":99240,"left":8,"mask":null}
],"info":{"author":"Bonn K, Fairburn CG","auxDate":null,"auxVersion":null,"copyrightText":"Copyright Bohn and Fairburn, 2008","copyrighted":true,"dllDate":null,"dllVersion":null,"enteredBy":"Kevin Meldrum","entryDate":"2022-06-03","fullText
":true,"id":293,"interpretiveText":"Guide for interpreting CIA scores (range 0-48):\r\n A score of 16 or greater may be used to predict eating disorder case status.","lastEditDate":3221024.1442,"lastEditedBy":"Kevin Meldrum","legacy":false,
"licenseCurrent":false,"name":"CIA","national":true,"normSample":null,"operational":"Y","printTitle":"Clinical Impairment Assessment Questionnaire 3.0","publicationDate":2008,"publisher":null,"purpose":null,"reference":"Bohn K, Doll HA, Coo
per Z, O'Connor ME, Palmer RL, Fairburn CG. The measurement of impairment due to eating disorder psychopathology. Behavior Research and Therapy 2008; 46: 1105-1110. & Bohn K, Fairburn CG. Clinical Impairment Assessment Questionnaire (CIA
3.0). In Fairburn CG. Cognitive Behavior Therapy and Eating Disorders. New York: Guilford Press, 2008.","requireSignature":false,"requiresLicense":"N",
"scoringRevision":1,"scoringRoutine":"YTSCIA","scoringTag":"DLLSTR","staffOnly":null,"submitNational":true,"suicideriskRoutine":null,"suicideriskTag":null,"targetPopulation":null,"version":"3.0","wasOperational":true},"report":{"id":216,"in
strument":293,"template":"|Clinical Impairment Assessment Questionnaire 3.0 (CIA)\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_Fir
st.>\r\n| SSN: <.Patient_SSN.>\r\n| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)\r\n| Gender: <.Patient_Gender.>\r\n| <*Answer_7771*>\r\n| \r\n| Scores can range from 0 to 48 with a higher score being indicative of a \r\n|
higher level of psychosocial impairment secondary to eating disorder \r\n| psychopathology. A score of 16 or greater may be used to predict eating \r\n| disorder case status.\r\n| \r\n| \r\n|Questions and Answers:\r\n| \r\n| 1 ...
you.\r\n|\r\n|\r\n|Over the past 28 days, to what extent have your\r\n| ... eating habits\r\n| ... exercising\r\n| ... or your feelings about your eating, shape or weight ...","max":0,"min":0,"questionDisplay":97350,"questionId":8740,"quest
made it difficult to concentrate?\r\n| <*Answer_8739*>\r\n| 2 ... made you feel critical of yourself?\r\n| <*Answer_8740*>\r\n| 3 ... stopped you going out with others?\r\n| <*Answer_8741*>\r\n| 4 ... affected your w
ork performance (if applicable)?\r\n| <*Answer_8742*>\r\n| 5 ... made you forgetful?\r\n| <*Answer_8743*>\r\n| 6 ... affected your ability to make everyday decisions?\r\n| <*Answer_8744*>\r\n| 7 ... interfered with m
eals with family or friends?\r\n| <*Answer_8745*>\r\n| 8 ... made you upset?\r\n| <*Answer_8746*>\r\n| 9 ... made you feel ashamed of yourself?\r\n| <*Answer_8747*>\r\n| 10 ... made it difficult to eat out with othe
rs?\r\n| <*Answer_8748*>\r\n| 11 ... made you feel guilty?\r\n| <*Answer_8749*>\r\n| 12 ... interfered with you doing things you used to enjoy?\r\n| <*Answer_8750*>\r\n| 13 ... made you absent-minded?\r\n| <
*Answer_8751*>\r\n| 14 ... made you feel a failure?\r\n| <*Answer_8752*>\r\n| 15 ... interfered with your relationships with others?\r\n| <*Answer_8753*>\r\n| 16 ... made you worry?\r\n| <*Answer_8754*>\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 diagnostic purposes. Assessment \r\n|results should be verified for accuracy and used in conjunction with \r\n|other diagno
stic activities.\r\n||Copyright Bohn and Fairburn, 2008"},"scaleGroup":[{"grid1":0,"grid2":0,"grid3":0,"id":344,"instrument":293,"name":"CIA","ordInc":12,"ordMax":48,"ordMin":0,"ordTitle":"Score","scale":[{"groupId":344,"id":1450,"name":"To
tal","sequence":10,"xLabel":"Total"}],"sequence":10}],"spec":{"entryChecksum":3890953635,"entrySpec":"{\"name\": \"CIA\", \r\n \"copyright\": \"Copyright Bohn and Fairburn, 2008\", \r\n \"restartDays\": 2, \r\n \"printTitle\": \"Clinical Im
pairment Assessment Questionnaire 3.0\", \r\n \"content\":[\r\n {\"id\": \"i2470\", \"type\": \"IntroText\", \r\n \"text\": \"INSTRUCTIONS <br \/>Please select the option that best describes how your eating\r\n habits, <br \/>exercisin
g or feelings about your eating, shape or weight have\r\n affected <br \/>your life over the past four weeks (28 days). Thank you. <br \/>\r\n <br \/> <br \/><strong>Over the past 28 days<\/strong>, to what extent have your <br \/> ... eat
|
