- 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
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
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
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
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
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
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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"title": "FoRSE Progress Monitoring Survey",
"description": "",
"instructions": "",
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"date_created": "2023-12-30 12:55:29"
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{
"assign_qnum": "y",
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"include_in_export": "y",
"allow_NotAnswered": "y",
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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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"clients_colName": "",
"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"
},
{
"answer_severity": null,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
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"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,
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"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
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"clients_colName": "",
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"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
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"answer_order": 4,
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"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
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{
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"answer_order": 5,
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"answer_status": "ACTIVE",
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"date_created": "2023-12-30 12:55:29"
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{
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"answer_status": "ACTIVE",
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"date_created": "2023-12-30 12:55:29"
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{
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"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "8",
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"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
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"answer_order": 9,
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"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
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"answer_severity": null,
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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": "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,
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"date_created": "2023-12-30 12:55:58",
"qNum": "Q4",
"answer_options": [
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"answer_status": "ACTIVE",
"clients_colName": "",
"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"
},
{
"answer_text": "3",
"answer_order": 3,
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"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,
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"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"
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]
},
{
"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,
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"date_created": "2023-12-30 12:55:58",
"qNum": "Q5",
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"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "2",
"answer_order": 2,
"answer_severity": null,
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"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,
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"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"
},
{
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"answer_order": 9,
"answer_severity": null,
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"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "10 - An extreme amount",
"answer_order": 10,
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"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",
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{
"answer_text": "1- Not at all",
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"answer_status": "ACTIVE",
"clients_colName": "",
"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": 3,
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"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,
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"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"
},
{
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"answer_order": 8,
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"answer_value": "8.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "9",
"answer_order": 9,
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"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
URL Endpoint:
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
}
]
}