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

{
    "instrumentId": "BJ4R",
    "title": "WHOQOL-BREF",
    "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": [
        {
            "assign_qnum": "y",
            "instrumentId": "BJ4R",
            "include_in_export": "y",
            "allow_NotAnswered": "y",
            "question_status": "ACTIVE",
            "question_text": "How would you rate your quality of life?",
            "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": "Q1",
            "answer_options": [
                {
                    "answer_text": "Very poor",
                    "answer_order": 1,
                    "answer_severity": null,
                    "answer_value": "1.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Poor",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Good",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Very good",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "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 health?",
            "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": "Q2",
            "answer_options": [
                {
                    "answer_text": "Very dissatisfied",
                    "answer_order": 1,
                    "answer_severity": null,
                    "answer_value": "1.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Dissatisfied",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Satisfied",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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 much you have experienced certain things in the last four weeks.",
            "question_order": 4,
            "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": "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": "Q3",
            "answer_options": [
                {
                    "answer_text": "Not at all",
                    "answer_order": 1,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "A little",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "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",
                    "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 need any medical treatment to function in your daily life?",
            "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": "Q4",
            "answer_options": [
                {
                    "answer_text": "Not at all",
                    "answer_order": 1,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "A little",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "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",
                    "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,
            "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": "Not at all",
                    "answer_order": 1,
                    "answer_severity": null,
                    "answer_value": "1.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "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",
                    "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",
                    "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",
                    "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",
                    "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",
                    "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",
                    "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",
                    "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",
                    "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",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Extremely",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Extremely",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Extremely",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Moderately",
                    "answer_order": 3,
                    "answer_severity": null,
                    "answer_value": "3.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Mostly",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Completely",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Moderately",
                    "answer_order": 3,
                    "answer_severity": null,
                    "answer_value": "3.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Mostly",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Completely",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Moderately",
                    "answer_order": 3,
                    "answer_severity": null,
                    "answer_value": "3.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Mostly",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Completely",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Moderately",
                    "answer_order": 3,
                    "answer_severity": null,
                    "answer_value": "3.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Mostly",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Completely",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Moderately",
                    "answer_order": 3,
                    "answer_severity": null,
                    "answer_value": "3.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Mostly",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Completely",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "5.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Poor",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Good",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Dissatisfied",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Satisfied",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Dissatisfied",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Satisfied",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Dissatisfied",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Satisfied",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Dissatisfied",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Satisfied",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Dissatisfied",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Satisfied",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Dissatisfied",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Satisfied",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Dissatisfied",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Satisfied",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Dissatisfied",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Satisfied",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Dissatisfied",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Satisfied",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Dissatisfied",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "2.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Satisfied",
                    "answer_order": 4,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Seldom",
                    "answer_order": 2,
                    "answer_severity": null,
                    "answer_value": "4.00",
                    "answer_status": "ACTIVE",
                    "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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Always",
                    "answer_order": 5,
                    "answer_severity": null,
                    "answer_value": "1.00",
                    "answer_status": "ACTIVE",
                    "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 = 1720278312
$API_SIGNATURE = hash_hmac('sha256', $API_DATE . $FACILITY_ID, $SECRET_KEY); 36d7893976294a21fed789020733f57115a2903553728008aae0c88551b08aed
 

Complete Post

{
    "facilityId": "123DEMO",
    "apiDate": "1720278312",
    "apiSignature": "36d7893976294a21fed789020733f57115a2903553728008aae0c88551b08aed",
    "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": "Dissatisfied",
            "": "--INFO: No Answer Expected--",
            "Q3": "A moderate amount",
            "Q4": "Not Answered",
            "Q5": "A moderate amount",
            "Q6": "An extreme amount",
            "Q7": "Not Answered",
            "Q8": "A little",
            "Q9": "A moderate amount",
            "Q10": "Moderately",
            "Q11": "Moderately",
            "Q12": "Moderately",
            "Q13": "Completely",
            "Q14": "Completely",
            "Q15": "Neither poor nor good",
            "Q16": "Dissatisfied",
            "Q17": "Neither satisfied nor dissatisfied",
            "Q18": "Not Answered",
            "Q19": "Neither satisfied nor dissatisfied",
            "Q20": "Satisfied",
            "Q21": "Neither satisfied nor dissatisfied",
            "Q22": "Dissatisfied",
            "Q23": "Neither satisfied nor dissatisfied",
            "Q24": "Not Answered",
            "Q25": "Neither satisfied nor dissatisfied",
            "Q26": "Always"
        },
        {
            "instrumentId": "BJ4R",
            "sessionId": "123session",
            "clientId": "123client",
            "assignedToType": "Client",
            "yearOfAdmit": "2023",
            "yearCompleted": "2023",
            "daysFromAdmit": 30,
            "daysFromDischarge": -99,
            "completedWhile": "inTreatment",
            "answerStyle": "byValue",
            "Q1": 5,
            "Q2": 1,
            "": "--INFO: No Answer Expected--",
            "Q3": 2,
            "Q4": 3,
            "Q5": 3,
            "Q6": 1,
            "Q7": 1,
            "Q8": 2,
            "Q9": 2,
            "Q10": 4,
            "Q11": 1,
            "Q12": 2,
            "Q13": 4,
            "Q14": 5,
            "Q15": 4,
            "Q16": "Not Answered",
            "Q17": 3,
            "Q18": 5,
            "Q19": "Not Answered",
            "Q20": 4,
            "Q21": 1,
            "Q22": 2,
            "Q23": "Not Answered",
            "Q24": 2,
            "Q25": 4,
            "Q26": 1
        }
    ]
}