Title
FoRSE Progress Monitoring Survey
instrumentId
9V2A
Description
Instructions

Questions

Q1: Over the last 7 days, how many days have you used alcohol or other drugs?

 
Question Number Q1
Allow 'Not Answered'? Yes
Question Type pick_one
Answer Options pick_one
Value Text
0 0
1 1
2 2
3 3
4 4
5 5
6 6
7 7
Not Answered Not Answered

Q2: Over the last 7 days, how much were you bothered by cravings or urges to drink alcohol or use drugs?

 
Question Number Q2
Allow 'Not Answered'? Yes
Question Type pick_one
Answer Options pick_one
Value Text
1 1- Not at all bothered
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10- Very bothered
Not Answered Not Answered

Q3: How confident are you that you will be able to stay in recovery for the next 7 days or one week? (10 = very confident)

 
Question Number Q3
Allow 'Not Answered'? Yes
Question Type pick_one
Answer Options pick_one
Value Text
1 1- Not at all confident
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10- Very confident
Not Answered Not Answered

Q4: How much do you feel understood and supported by your counselor or primary caregiver?

 
Question Number Q4
Allow 'Not Answered'? Yes
Question Type pick_one
Answer Options pick_one
Value Text
1 1- Not at all supported and understood
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10- Very supported and understood
Not Answered Not Answered

Q5: To what extent do you feel that physical pain prevents you from doing what you need to do?

 
Question Number Q5
Allow 'Not Answered'? Yes
Question Type pick_one
Answer Options pick_one
Value Text
1 1- Not at all
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10 - An extreme amount
Not Answered Not Answered

Q6: Over the last 7 days, how much have you been troubled or bothered by psychological or emotional problems?

 
Question Number Q6
Allow 'Not Answered'? Yes
Question Type pick_one
Answer Options pick_one
Value Text
1 1- Not at all
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10 - An extreme amount
Not Answered Not Answered

Scoring

The scoring details below are for information only. The scoring for this survey happens on our side. Please do not provide survey scores.

JSON Instrument Definition for developers

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    "instrumentId": "9V2A",
    "title": "FoRSE Progress Monitoring Survey",
    "description": "",
    "instructions": "",
    "questions": [
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            "instrumentId": "9V2A",
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            "question_status": "ACTIVE",
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                    "date_created": "2023-12-30 12:55:29"
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                    "answer_status": "ACTIVE",
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                    "date_created": "2023-12-30 12:55:29"
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                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
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                    "answer_order": 8,
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                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_severity": null,
                    "answer_value": null,
                    "answer_text": "Not Answered",
                    "answer_status": "ACTIVE"
                }
            ]
        },
        {
            "assign_qnum": "y",
            "instrumentId": "9V2A",
            "include_in_export": "y",
            "allow_NotAnswered": "y",
            "question_status": "ACTIVE",
            "question_text": "Over the last 7 days, how much were you bothered by cravings or urges to drink alcohol or use drugs?",
            "question_order": 2,
            "question_type": "pick_one",
            "textbox_max_chars": null,
            "textbox_input_type": null,
            "textbox_min_value": null,
            "textbox_max_value": null,
            "date_created": "2023-12-30 12:55:58",
            "qNum": "Q2",
            "answer_options": [
                {
                    "answer_text": "1- Not at all bothered",
                    "answer_order": 1,
                    "answer_severity": null,
                    "answer_value": "1.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "2",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
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                    "answer_text": "3",
                    "answer_order": 3,
                    "answer_severity": null,
                    "answer_value": "3.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "4",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "5",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "6",
                    "answer_order": 6,
                    "answer_severity": null,
                    "answer_value": "6.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "7",
                    "answer_order": 7,
                    "answer_severity": null,
                    "answer_value": "7.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "8",
                    "answer_order": 8,
                    "answer_severity": null,
                    "answer_value": "8.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "9",
                    "answer_order": 9,
                    "answer_severity": null,
                    "answer_value": "9.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "10- Very bothered",
                    "answer_order": 10,
                    "answer_severity": null,
                    "answer_value": "10.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_severity": null,
                    "answer_value": null,
                    "answer_text": "Not Answered",
                    "answer_status": "ACTIVE"
                }
            ]
        },
        {
            "assign_qnum": "y",
            "instrumentId": "9V2A",
            "include_in_export": "y",
            "allow_NotAnswered": "y",
            "question_status": "ACTIVE",
            "question_text": "How confident are you that you will be able to stay in recovery for the next 7 days or one week? (10 = very confident)",
            "question_order": 3,
            "question_type": "pick_one",
            "textbox_max_chars": null,
            "textbox_input_type": null,
            "textbox_min_value": null,
            "textbox_max_value": null,
            "date_created": "2023-12-30 12:55:58",
            "qNum": "Q3",
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                    "answer_text": "1- Not at all confident",
                    "answer_order": 1,
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                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "2",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
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                    "answer_text": "3",
                    "answer_order": 3,
                    "answer_severity": null,
                    "answer_value": "3.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "4",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "5",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "6",
                    "answer_order": 6,
                    "answer_severity": null,
                    "answer_value": "6.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "7",
                    "answer_order": 7,
                    "answer_severity": null,
                    "answer_value": "7.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "8",
                    "answer_order": 8,
                    "answer_severity": null,
                    "answer_value": "8.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "9",
                    "answer_order": 9,
                    "answer_severity": null,
                    "answer_value": "9.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "10- Very confident",
                    "answer_order": 10,
                    "answer_severity": null,
                    "answer_value": "10.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_severity": null,
                    "answer_value": null,
                    "answer_text": "Not Answered",
                    "answer_status": "ACTIVE"
                }
            ]
        },
        {
            "assign_qnum": "y",
            "instrumentId": "9V2A",
            "include_in_export": "y",
            "allow_NotAnswered": "y",
            "question_status": "ACTIVE",
            "question_text": "How much do you feel understood and supported by your counselor or primary caregiver?",
            "question_order": 4,
            "question_type": "pick_one",
            "textbox_max_chars": null,
            "textbox_input_type": null,
            "textbox_min_value": null,
            "textbox_max_value": null,
            "date_created": "2023-12-30 12:55:58",
            "qNum": "Q4",
            "answer_options": [
                {
                    "answer_text": "1- Not at all supported and understood",
                    "answer_order": 1,
                    "answer_severity": null,
                    "answer_value": "1.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "2",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "3",
                    "answer_order": 3,
                    "answer_severity": null,
                    "answer_value": "3.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "4",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "5",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "6",
                    "answer_order": 6,
                    "answer_severity": null,
                    "answer_value": "6.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "7",
                    "answer_order": 7,
                    "answer_severity": null,
                    "answer_value": "7.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "8",
                    "answer_order": 8,
                    "answer_severity": null,
                    "answer_value": "8.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "9",
                    "answer_order": 9,
                    "answer_severity": null,
                    "answer_value": "9.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "10- Very supported and understood",
                    "answer_order": 10,
                    "answer_severity": null,
                    "answer_value": "10.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_severity": null,
                    "answer_value": null,
                    "answer_text": "Not Answered",
                    "answer_status": "ACTIVE"
                }
            ]
        },
        {
            "assign_qnum": "y",
            "instrumentId": "9V2A",
            "include_in_export": "y",
            "allow_NotAnswered": "y",
            "question_status": "ACTIVE",
            "question_text": "To what extent do you feel that physical pain prevents you from doing what you need to do?",
            "question_order": 5,
            "question_type": "pick_one",
            "textbox_max_chars": null,
            "textbox_input_type": null,
            "textbox_min_value": null,
            "textbox_max_value": null,
            "date_created": "2023-12-30 12:55:58",
            "qNum": "Q5",
            "answer_options": [
                {
                    "answer_text": "1- Not at all",
                    "answer_order": 1,
                    "answer_severity": null,
                    "answer_value": "1.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "2",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "3",
                    "answer_order": 3,
                    "answer_severity": null,
                    "answer_value": "3.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "4",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "5",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "6",
                    "answer_order": 6,
                    "answer_severity": null,
                    "answer_value": "6.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "7",
                    "answer_order": 7,
                    "answer_severity": null,
                    "answer_value": "7.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "8",
                    "answer_order": 8,
                    "answer_severity": null,
                    "answer_value": "8.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "9",
                    "answer_order": 9,
                    "answer_severity": null,
                    "answer_value": "9.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "10 - An extreme amount",
                    "answer_order": 10,
                    "answer_severity": null,
                    "answer_value": "10.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_severity": null,
                    "answer_value": null,
                    "answer_text": "Not Answered",
                    "answer_status": "ACTIVE"
                }
            ]
        },
        {
            "assign_qnum": "y",
            "instrumentId": "9V2A",
            "include_in_export": "y",
            "allow_NotAnswered": "y",
            "question_status": "ACTIVE",
            "question_text": "Over the last 7 days, how much have you been troubled or bothered by psychological or emotional problems?",
            "question_order": 6,
            "question_type": "pick_one",
            "textbox_max_chars": null,
            "textbox_input_type": null,
            "textbox_min_value": null,
            "textbox_max_value": null,
            "date_created": "2023-12-30 12:55:58",
            "qNum": "Q6",
            "answer_options": [
                {
                    "answer_text": "1- Not at all",
                    "answer_order": 1,
                    "answer_severity": null,
                    "answer_value": "1.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "2",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "3",
                    "answer_order": 3,
                    "answer_severity": null,
                    "answer_value": "3.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "4",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "5",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "6",
                    "answer_order": 6,
                    "answer_severity": null,
                    "answer_value": "6.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "7",
                    "answer_order": 7,
                    "answer_severity": null,
                    "answer_value": "7.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "8",
                    "answer_order": 8,
                    "answer_severity": null,
                    "answer_value": "8.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "9",
                    "answer_order": 9,
                    "answer_severity": null,
                    "answer_value": "9.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "10 - An extreme amount",
                    "answer_order": 10,
                    "answer_severity": null,
                    "answer_value": "10.00",
                    "answer_status": "ACTIVE",
                    "clients_colName": "",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_severity": null,
                    "answer_value": null,
                    "answer_text": "Not Answered",
                    "answer_status": "ACTIVE"
                }
            ]
        }
    ]
}

Example Push for developers

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https://naatpdata.com/v2/api/surveys.php

Authentication

$FACILITY_ID = '123DEMO'; Provided By Us
$SECRET_KEY = 'aaaaaabbbbbbbbccccccccdddddddeeeeeefffffgggggg'; Provided By Us
$API_DATE = gmdate( time() ); Current UNIX UTC time = 1732188130
$API_SIGNATURE = hash_hmac('sha256', $API_DATE . $FACILITY_ID, $SECRET_KEY); 617c1cdc3c05c4d13c4b5e268fd7ecb1f268bb5bc88f407e87cafdb7d59d3074
 

Complete Post

{
    "facilityId": "123DEMO",
    "apiDate": "1732188130",
    "apiSignature": "617c1cdc3c05c4d13c4b5e268fd7ecb1f268bb5bc88f407e87cafdb7d59d3074",
    "surveys": [
        {
            "instrumentId": "9V2A",
            "sessionId": "123session",
            "clientId": "123client",
            "assignedToType": "Client",
            "yearOfAdmit": "2023",
            "yearCompleted": "2023",
            "daysFromAdmit": -99,
            "daysFromDischarge": 180,
            "completedWhile": "postDischarge",
            "answerStyle": "byText",
            "Q1": "4",
            "Q2": "4",
            "Q3": "2",
            "Q4": "4",
            "Q5": "8",
            "Q6": "10 - An extreme amount"
        },
        {
            "instrumentId": "9V2A",
            "sessionId": "123session",
            "clientId": "123client",
            "assignedToType": "Client",
            "yearOfAdmit": "2023",
            "yearCompleted": "2023",
            "daysFromAdmit": 30,
            "daysFromDischarge": -99,
            "completedWhile": "inTreatment",
            "answerStyle": "byValue",
            "Q1": 3,
            "Q2": 1,
            "Q3": 4,
            "Q4": 2,
            "Q5": "Not Answered",
            "Q6": 2
        }
    ]
}