- Title
- WHOQOL-BREF
- instrumentId
- BJ4R
- Description
- Instructions
- The following questions ask how you feel about your quality of life, health, or other areas of your life. Please choose the answer that appears most appropriate. If you are unsure about which response to give to a question, the first response you think of is often the best one. Please keep in mind your standards, hopes, pleasures and concerns. We ask that you think about your life in the last four weeks.
Questions
Q1: How would you rate your quality of life?
| Question Number |
Q1 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Very poor |
| 2 |
Poor |
| 3 |
Neither poor nor good |
| 4 |
Good |
| 5 |
Very good |
| Not Answered |
Not Answered |
Q2: How satisfied are you with your health?
| Question Number |
Q2 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Very dissatisfied |
| 2 |
Dissatisfied |
| 3 |
Neither satisfied nor dissatisfied |
| 4 |
Satisfied |
| 5 |
Very satisfied |
| Not Answered |
Not Answered |
: The following questions ask about how much you have experienced certain things in the last four weeks.
| Question Number |
|
| Allow 'Not Answered'? |
Yes |
| Question Type |
info |
Q3: To what extent do you feel that physical pain prevents you from doing what you need to do?
| Question Number |
Q3 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 5 |
Not at all |
| 4 |
A little |
| 3 |
A moderate amount |
| 2 |
Very much |
| 1 |
An extreme amount |
| Not Answered |
Not Answered |
Q4: How much do you need any medical treatment to function in your daily life?
| Question Number |
Q4 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 5 |
Not at all |
| 4 |
A little |
| 3 |
A moderate amount |
| 2 |
Very much |
| 1 |
An extreme amount |
| Not Answered |
Not Answered |
Q5: How much do you enjoy life?
| Question Number |
Q5 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Not at all |
| 2 |
A little |
| 3 |
A moderate amount |
| 4 |
Very much |
| 5 |
An extreme amount |
| Not Answered |
Not Answered |
Q6: To what extent do you feel your life to be meaningful?
| Question Number |
Q6 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Not at all |
| 2 |
A little |
| 3 |
A moderate amount |
| 4 |
Very much |
| 5 |
An extreme amount |
| Not Answered |
Not Answered |
Q7: How well are you able to concentrate?
| Question Number |
Q7 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Not at all |
| 2 |
A little |
| 3 |
A moderate amount |
| 4 |
Very much |
| 5 |
Extremely |
| Not Answered |
Not Answered |
Q8: How safe do you feel in your daily life?
| Question Number |
Q8 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Not at all |
| 2 |
A little |
| 3 |
A moderate amount |
| 4 |
Very much |
| 5 |
Extremely |
| Not Answered |
Not Answered |
Q9: How healthy is your physical environment?
| Question Number |
Q9 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Not at all |
| 2 |
A little |
| 3 |
A moderate amount |
| 4 |
Very much |
| 5 |
Extremely |
| Not Answered |
Not Answered |
: The following questions ask about how completely you experience or were able to do certain things in the last four weeks.
| Question Number |
|
| Allow 'Not Answered'? |
Yes |
| Question Type |
info |
Q10: Do you have enough energy for everyday life?
| Question Number |
Q10 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Not at all |
| 2 |
A little |
| 3 |
Moderately |
| 4 |
Mostly |
| 5 |
Completely |
| Not Answered |
Not Answered |
Q11: Are you able to accept your bodily appearance?
| Question Number |
Q11 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Not at all |
| 2 |
A little |
| 3 |
Moderately |
| 4 |
Mostly |
| 5 |
Completely |
| Not Answered |
Not Answered |
Q12: Have you enough money to meet your needs?
| Question Number |
Q12 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Not at all |
| 2 |
A little |
| 3 |
Moderately |
| 4 |
Mostly |
| 5 |
Completely |
| Not Answered |
Not Answered |
Q13: How available to you is the information that you need in your day-to-day life?
| Question Number |
Q13 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Not at all |
| 2 |
A little |
| 3 |
Moderately |
| 4 |
Mostly |
| 5 |
Completely |
| Not Answered |
Not Answered |
Q14: To what extent do you have the opportunity for leisure activities?
| Question Number |
Q14 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Not at all |
| 2 |
A little |
| 3 |
Moderately |
| 4 |
Mostly |
| 5 |
Completely |
| Not Answered |
Not Answered |
Q15: How well are you able to get around?
| Question Number |
Q15 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Very poor |
| 2 |
Poor |
| 3 |
Neither poor nor good |
| 4 |
Good |
| Not Answered |
Not Answered |
: The following questions ask you to say how good or satisfied you have felt about various aspects of your life over the last two weeks
| Question Number |
|
| Allow 'Not Answered'? |
Yes |
| Question Type |
info |
Q16: How satisfied are you with your sleep?
| Question Number |
Q16 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Very dissatisfied |
| 2 |
Dissatisfied |
| 3 |
Neither satisfied nor dissatisfied |
| 4 |
Satisfied |
| 5 |
Very satisfied |
| Not Answered |
Not Answered |
Q17: How satisfied are you with your ability to perform your daily living activities?
| Question Number |
Q17 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Very dissatisfied |
| 2 |
Dissatisfied |
| 3 |
Neither satisfied nor dissatisfied |
| 4 |
Satisfied |
| 5 |
Very satisfied |
| Not Answered |
Not Answered |
Q18: How satisfied are you with your capacity for work?
| Question Number |
Q18 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Very dissatisfied |
| 2 |
Dissatisfied |
| 3 |
Neither satisfied nor dissatisfied |
| 4 |
Satisfied |
| 5 |
Very satisfied |
| Not Answered |
Not Answered |
Q19: How satisfied are you with yourself?
| Question Number |
Q19 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Very dissatisfied |
| 2 |
Dissatisfied |
| 3 |
Neither satisfied nor dissatisfied |
| 4 |
Satisfied |
| 5 |
Very satisfied |
| Not Answered |
Not Answered |
Q20: How satisfied are you with your personal relationships?
| Question Number |
Q20 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Very dissatisfied |
| 2 |
Dissatisfied |
| 3 |
Neither satisfied nor dissatisfied |
| 4 |
Satisfied |
| 5 |
Very satisfied |
| Not Answered |
Not Answered |
Q21: How satisfied are you with your sex life?
| Question Number |
Q21 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Very dissatisfied |
| 2 |
Dissatisfied |
| 3 |
Neither satisfied nor dissatisfied |
| 4 |
Satisfied |
| 5 |
Very satisfied |
| Not Answered |
Not Answered |
Q22: How satisfied are you with the support you get from your friends?
| Question Number |
Q22 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Very dissatisfied |
| 2 |
Dissatisfied |
| 3 |
Neither satisfied nor dissatisfied |
| 4 |
Satisfied |
| 5 |
Very satisfied |
| Not Answered |
Not Answered |
Q23: How satisfied are you with the conditions of your living place?
| Question Number |
Q23 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Very dissatisfied |
| 2 |
Dissatisfied |
| 3 |
Neither satisfied nor dissatisfied |
| 4 |
Satisfied |
| 5 |
Very satisfied |
| Not Answered |
Not Answered |
Q24: How satisfied are you with your access to health services?
| Question Number |
Q24 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Very dissatisfied |
| 2 |
Dissatisfied |
| 3 |
Neither satisfied nor dissatisfied |
| 4 |
Satisfied |
| 5 |
Very satisfied |
| Not Answered |
Not Answered |
Q25: How satisfied are you with your transport?
| Question Number |
Q25 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 1 |
Very dissatisfied |
| 2 |
Dissatisfied |
| 3 |
Neither satisfied nor dissatisfied |
| 4 |
Satisfied |
| 5 |
Very satisfied |
| Not Answered |
Not Answered |
: The following question refers to how often you have felt or experienced certain things in the last four weeks.
| Question Number |
|
| Allow 'Not Answered'? |
Yes |
| Question Type |
info |
Q26: How often do you have negative feelings such as blue mood, despair, anxiety, depression?
| Question Number |
Q26 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 5 |
Never |
| 4 |
Seldom |
| 3 |
Quite often |
| 2 |
Very often |
| 1 |
Always |
| 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.
Domain 1: Domain 1
| Question Numbers |
Q3, Q4, Q10, Q15, Q16, Q17, Q18 |
| Scoring Source |
Mean of answered Values |
Domain 2: Domain 2
| Question Numbers |
Q5, Q6, Q7, Q11, Q19, Q26 |
| Scoring Source |
Mean of answered Values |
Domain 3: Domain 3
| Question Numbers |
Q20, Q21, Q22 |
| Scoring Source |
Mean of answered Values |
Domain 4: Domain 4
| Question Numbers |
Q8, Q9, Q12, Q13, Q14, Q23, Q24, Q25 |
| Scoring Source |
Mean of answered Values |
JSON Instrument Definition for developers
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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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"question_text": "To what extent do you feel that physical pain prevents you from doing what you need to do?",
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"answer_text": "Not at all",
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"answer_text": "A little",
"answer_order": 2,
"answer_severity": null,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
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"answer_text": "A moderate amount",
"answer_order": 3,
"answer_severity": null,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
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"answer_text": "Very much",
"answer_order": 4,
"answer_severity": null,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "An extreme amount",
"answer_order": 5,
"answer_severity": null,
"answer_value": "1.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How much do you need any medical treatment to function in your daily life?",
"question_order": 6,
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"answer_options": [
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"answer_text": "Not at all",
"answer_order": 1,
"answer_severity": null,
"answer_value": "5.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
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"answer_text": "A little",
"answer_order": 2,
"answer_severity": null,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "A moderate amount",
"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": "Very much",
"answer_order": 4,
"answer_severity": null,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "An extreme amount",
"answer_order": 5,
"answer_severity": null,
"answer_value": "1.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How much do you enjoy life?",
"question_order": 7,
"question_type": "pick_one",
"textbox_max_chars": null,
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"date_created": "2023-12-30 12:55:58",
"qNum": "Q5",
"answer_options": [
{
"answer_text": "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": "A little",
"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": "A moderate amount",
"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": "Very much",
"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": "An extreme amount",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "To what extent do you feel your life to be meaningful?",
"question_order": 8,
"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": "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": "A little",
"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": "A moderate amount",
"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": "Very much",
"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": "An extreme amount",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How well are you able to concentrate?",
"question_order": 9,
"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": "Q7",
"answer_options": [
{
"answer_text": "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": "A little",
"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": "A moderate amount",
"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": "Very much",
"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": "Extremely",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How safe do you feel in your daily life?",
"question_order": 10,
"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": "Q8",
"answer_options": [
{
"answer_text": "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": "A little",
"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": "A moderate amount",
"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": "Very much",
"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": "Extremely",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How healthy is your physical environment?",
"question_order": 11,
"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": "Q9",
"answer_options": [
{
"answer_text": "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": "A little",
"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": "A moderate amount",
"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": "Very much",
"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": "Extremely",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "n",
"instrumentId": "BJ4R",
"include_in_export": "n",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "The following questions ask about how completely you experience or were able to do certain things in the last four weeks.",
"question_order": 12,
"question_type": "info",
"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": "",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Do you have enough energy for everyday life?",
"question_order": 13,
"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": "Q10",
"answer_options": [
{
"answer_text": "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": "A little",
"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": "Moderately",
"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": "Mostly",
"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": "Completely",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Are you able to accept your bodily appearance?",
"question_order": 14,
"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": "Q11",
"answer_options": [
{
"answer_text": "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": "A little",
"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": "Moderately",
"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": "Mostly",
"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": "Completely",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Have you enough money to meet your needs?",
"question_order": 15,
"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": "Q12",
"answer_options": [
{
"answer_text": "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": "A little",
"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": "Moderately",
"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": "Mostly",
"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": "Completely",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How available to you is the information that you need in your day-to-day life?",
"question_order": 16,
"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": "Q13",
"answer_options": [
{
"answer_text": "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": "A little",
"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": "Moderately",
"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": "Mostly",
"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": "Completely",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "To what extent do you have the opportunity for leisure activities?",
"question_order": 17,
"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": "Q14",
"answer_options": [
{
"answer_text": "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": "A little",
"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": "Moderately",
"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": "Mostly",
"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": "Completely",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How well are you able to get around?",
"question_order": 18,
"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": "Q15",
"answer_options": [
{
"answer_text": "Very poor",
"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": "Poor",
"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": "Neither poor nor good",
"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": "Good",
"answer_order": 4,
"answer_severity": null,
"answer_value": "4.00",
"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": "n",
"instrumentId": "BJ4R",
"include_in_export": "n",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "The following questions ask you to say how good or satisfied you have felt about various aspects of your life over the last two weeks",
"question_order": 19,
"question_type": "info",
"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": "",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How satisfied are you with your sleep?",
"question_order": 20,
"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": "Q16",
"answer_options": [
{
"answer_text": "Very dissatisfied",
"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": "Dissatisfied",
"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": "Neither satisfied nor dissatisfied",
"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": "Satisfied",
"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": "Very satisfied",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How satisfied are you with your ability to perform your daily living activities?",
"question_order": 21,
"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": "Q17",
"answer_options": [
{
"answer_text": "Very dissatisfied",
"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": "Dissatisfied",
"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": "Neither satisfied nor dissatisfied",
"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": "Satisfied",
"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": "Very satisfied",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How satisfied are you with your capacity for work?",
"question_order": 22,
"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": "Q18",
"answer_options": [
{
"answer_text": "Very dissatisfied",
"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": "Dissatisfied",
"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": "Neither satisfied nor dissatisfied",
"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": "Satisfied",
"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": "Very satisfied",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How satisfied are you with yourself?",
"question_order": 23,
"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": "Q19",
"answer_options": [
{
"answer_text": "Very dissatisfied",
"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": "Dissatisfied",
"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": "Neither satisfied nor dissatisfied",
"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": "Satisfied",
"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": "Very satisfied",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How satisfied are you with your personal relationships?",
"question_order": 24,
"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": "Q20",
"answer_options": [
{
"answer_text": "Very dissatisfied",
"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": "Dissatisfied",
"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": "Neither satisfied nor dissatisfied",
"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": "Satisfied",
"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": "Very satisfied",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How satisfied are you with your sex life?",
"question_order": 25,
"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": "Q21",
"answer_options": [
{
"answer_text": "Very dissatisfied",
"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": "Dissatisfied",
"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": "Neither satisfied nor dissatisfied",
"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": "Satisfied",
"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": "Very satisfied",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How satisfied are you with the support you get from your friends?",
"question_order": 26,
"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": "Q22",
"answer_options": [
{
"answer_text": "Very dissatisfied",
"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": "Dissatisfied",
"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": "Neither satisfied nor dissatisfied",
"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": "Satisfied",
"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": "Very satisfied",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How satisfied are you with the conditions of your living place?",
"question_order": 27,
"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": "Q23",
"answer_options": [
{
"answer_text": "Very dissatisfied",
"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": "Dissatisfied",
"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": "Neither satisfied nor dissatisfied",
"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": "Satisfied",
"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": "Very satisfied",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How satisfied are you with your access to health services?",
"question_order": 28,
"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": "Q24",
"answer_options": [
{
"answer_text": "Very dissatisfied",
"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": "Dissatisfied",
"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": "Neither satisfied nor dissatisfied",
"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": "Satisfied",
"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": "Very satisfied",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How satisfied are you with your transport?",
"question_order": 29,
"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": "Q25",
"answer_options": [
{
"answer_text": "Very dissatisfied",
"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": "Dissatisfied",
"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": "Neither satisfied nor dissatisfied",
"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": "Satisfied",
"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": "Very satisfied",
"answer_order": 5,
"answer_severity": null,
"answer_value": "5.00",
"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": "n",
"instrumentId": "BJ4R",
"include_in_export": "n",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "The following question refers to how often you have felt or experienced certain things in the last four weeks.",
"question_order": 30,
"question_type": "info",
"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": "",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "BJ4R",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How often do you have negative feelings such as blue mood, despair, anxiety, depression?",
"question_order": 31,
"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": "Q26",
"answer_options": [
{
"answer_text": "Never",
"answer_order": 1,
"answer_severity": null,
"answer_value": "5.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Seldom",
"answer_order": 2,
"answer_severity": null,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Quite often",
"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": "Very often",
"answer_order": 4,
"answer_severity": null,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Always",
"answer_order": 5,
"answer_severity": null,
"answer_value": "1.00",
"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 = 1732179888
$API_SIGNATURE = hash_hmac('sha256', $API_DATE . $FACILITY_ID, $SECRET_KEY); 78593dd395e3eb8c55f25839941ec05d4c17d79869bb905fb9eb764c3a9d3998
Complete Post
{
"facilityId": "123DEMO",
"apiDate": "1732179888",
"apiSignature": "78593dd395e3eb8c55f25839941ec05d4c17d79869bb905fb9eb764c3a9d3998",
"surveys": [
{
"instrumentId": "BJ4R",
"sessionId": "123session",
"clientId": "123client",
"assignedToType": "Client",
"yearOfAdmit": "2023",
"yearCompleted": "2023",
"daysFromAdmit": -99,
"daysFromDischarge": 180,
"completedWhile": "postDischarge",
"answerStyle": "byText",
"Q1": "Neither poor nor good",
"Q2": "Satisfied",
"": "--INFO: No Answer Expected--",
"Q3": "Not at all",
"Q4": "A little",
"Q5": "A moderate amount",
"Q6": "A little",
"Q7": "Not at all",
"Q8": "Not Answered",
"Q9": "Not at all",
"Q10": "Completely",
"Q11": "Completely",
"Q12": "Mostly",
"Q13": "Not Answered",
"Q14": "Not Answered",
"Q15": "Neither poor nor good",
"Q16": "Not Answered",
"Q17": "Dissatisfied",
"Q18": "Satisfied",
"Q19": "Neither satisfied nor dissatisfied",
"Q20": "Very dissatisfied",
"Q21": "Very satisfied",
"Q22": "Very satisfied",
"Q23": "Dissatisfied",
"Q24": "Satisfied",
"Q25": "Satisfied",
"Q26": "Quite often"
},
{
"instrumentId": "BJ4R",
"sessionId": "123session",
"clientId": "123client",
"assignedToType": "Client",
"yearOfAdmit": "2023",
"yearCompleted": "2023",
"daysFromAdmit": 30,
"daysFromDischarge": -99,
"completedWhile": "inTreatment",
"answerStyle": "byValue",
"Q1": 2,
"Q2": 2,
"": "--INFO: No Answer Expected--",
"Q3": "Not Answered",
"Q4": 2,
"Q5": 5,
"Q6": "Not Answered",
"Q7": 5,
"Q8": 2,
"Q9": "Not Answered",
"Q10": 5,
"Q11": "Not Answered",
"Q12": 4,
"Q13": 4,
"Q14": 4,
"Q15": 3,
"Q16": "Not Answered",
"Q17": 5,
"Q18": 2,
"Q19": 4,
"Q20": "Not Answered",
"Q21": 2,
"Q22": 1,
"Q23": "Not Answered",
"Q24": 4,
"Q25": 1,
"Q26": 2
}
]
}
