- Title
- BAM-IOP
- instrumentId
- GQU5
- Description
- BAM-IOP 7
- Instructions
- This is a standard set of questions about several areas of your life such as your health, alcohol and drug use, etc. The questions generally ask about the past 7 days. Please consider each question and answer as accurately as possible.
Questions
Q1: In the past 7 days, would you say your physical health has been:
| Question Number |
Q1 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
Excellent |
| 1 |
Very Good |
| 2 |
Good |
| 3 |
Fair |
| 4 |
Poor |
| Not Answered |
Not Answered |
Q2: In the past 7 days, how many nights did you have trouble falling asleep or staying asleep?
| Question Number |
Q2 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q3: In the past 7 days, how many days have you felt depressed, anxious, angry, or very upset throughout the most of the day
| Question Number |
Q3 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q4: In the past 7 days, how many days did you drink ANY alcohol?
| Question Number |
Q4 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q5: In the past 7 days, how many days did you have at least 5 drinks (if you are a man) or at least four drinks (if you are a woman)? [One drink is considered one shot of hard liquor (1.5 oz.) or 12-ounce can/bottle of beer or 5 ounce glass of wine.]
| Question Number |
Q5 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q6: In the past 7 days, how many days did you use any illegal/street drugs or abuse any prescription medications?
| Question Number |
Q6 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q7: In the past 7 days, how many days did you use any of the following drugs:
| Question Number |
Q7 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
info |
Q7a: Marijuana (cannabis, pot, weed)
| Question Number |
Q7a |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q7b: Sedatives/Tranquilizers (e.g.,
| Question Number |
Q7b |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q7c: Cocaine/Crack?
| Question Number |
Q7c |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q7d: Other Stimulants (e.g., amphetamine, methamphetamine, Dexedrine, Ritalin, Adderall, "speed", "crystal meth", "ice", etc.)?
| Question Number |
Q7d |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q7e: Opiates (e.g., Heroin, Morphine, Dilaudid, Demerol, Oxycontin, oxy, codeine (Tylenol 2,3,4), Percocet, Vicodin, Fentany, etc.)?
| Question Number |
Q7e |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q7f: Inhalants (glues/adhesives, nail polish remover, paint thinner, etc.)?
| Question Number |
Q7f |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q7g: Other Drugs (steroids, non-prescription sleep/diet pills, Benadryl, Ephedra, other over-the-counter/unknown medications)?
| Question Number |
Q7g |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q8: In the past 7 days, how much were you bothered by cravings or urges to drink alcohol or use drugs?
| Question Number |
Q8 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
Not at all |
| 1 |
Slightly |
| 2 |
Moderately |
| 3 |
Considerably |
| 4 |
Extremely |
| Not Answered |
Not Answered |
Q9: How confident are you in your ability to be completely abstinent (clean) from alcohol and drugs In the next 7 days?
| Question Number |
Q9 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
Not at all |
| 1 |
Slightly |
| 2 |
Moderately |
| 3 |
Considerably |
| 4 |
Extremely |
| Not Answered |
Not Answered |
Q10: In the past 7 days, how many days did you attend self-help meetings like AA or NA to support your recovery?
| Question Number |
Q10 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q11: In the past 7 days, how many days were you in any situations or with any people that might put you at an increased risk for using Alcohol or drugs (i.e., around risky people, places or things)?
| Question Number |
Q11 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q12: Does your religion or spiritually help support your recovery?
| Question Number |
Q12 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
Not at all |
| 1 |
Slightly |
| 2 |
Moderately |
| 3 |
Considerably |
| 4 |
Extremely |
| Not Answered |
Not Answered |
Q13: In the past 7 days, how many days did you spend much of the time at work, school, or doing volunteer work?
| Question Number |
Q13 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q14: Do you have enough income (from legal sources) to pay for necessities such as housing, transportation, food and clothing for Yourself and your dependents?
| Question Number |
Q14 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
No |
| 4 |
Yes |
| Not Answered |
Not Answered |
Q15: In the past 7 days, how much have you been bothered by arguments or problems getting along with any family members or friends?
| Question Number |
Q15 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
Not at all |
| 1 |
Slightly |
| 2 |
Moderately |
| 3 |
Considerably |
| 4 |
Extremely |
| Not Answered |
Not Answered |
Q16: In the past 7 days, how many days were you in contact or spent time with any family members or friends who are supportive of your recovery?
| Question Number |
Q16 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 0 |
None |
| 1 |
1 day |
| 2 |
2 days |
| 3 |
3 days |
| 4 |
4 or more days |
| Not Answered |
Not Answered |
Q17: How satisfied are you with your progress toward achieving your recovery goals?
| Question Number |
Q17 |
| Allow 'Not Answered'? |
Yes |
| Question Type |
pick_one |
Answer Options pick_one
| Value |
Text |
| 4 |
Not at all |
| 3 |
Slightly |
| 2 |
Moderately |
| 1 |
Considerably |
| 0 |
Extremely |
| 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.
Use: Use
| Question Numbers |
Q4, Q5, Q6 |
| Scoring Source |
Sum of answered Values |
Scoring Ranges
| Short Label |
Long Label |
Min |
Max |
| Not severe |
Not severe |
0 |
3.99 |
| Moderate Severity |
Moderate Severity |
4 |
6.99 |
| Severe |
Severe |
7 |
9.99 |
| Very Severe |
Very Severe |
10 |
12 |
Risk: Risk
| Question Numbers |
Q1, Q2, Q3, Q8, Q11, Q15 |
| Scoring Source |
Sum of answered Values |
Scoring Ranges
| Short Label |
Long Label |
Min |
Max |
| Not severe |
Not severe |
0 |
6 |
| Moderate Severity |
Moderate Severity |
6 |
12 |
| Severe |
Severe |
12 |
18 |
| Very Severe |
Very Severe |
18 |
24 |
Protective: Protective Factors
| Question Numbers |
Q9, Q10, Q12, Q13, Q14, Q16 |
| Scoring Source |
Sum of answered Values |
Scoring Ranges
| Short Label |
Long Label |
Min |
Max |
| Not severe |
Not severe |
0 |
6.99 |
| Moderate Severity |
Moderate Severity |
7 |
12.99 |
| Severe |
Severe |
13 |
18.99 |
| Very Severe |
Very Severe |
19 |
24 |
Satisfaction: Progress Satisfaction
| Question Numbers |
Q17 |
| Scoring Source |
Sum of answered Values |
Scoring Ranges
| Short Label |
Long Label |
Min |
Max |
| Not at all |
Long Label |
0 |
.99 |
| Slightly |
Long Label |
1 |
1.99 |
| Moderately |
Long Label |
2 |
2.99 |
| Considerably |
Long Label |
3 |
3.99 |
| Extremely |
Long Label |
4 |
4.99 |
JSON Instrument Definition for developers
{
"instrumentId": "GQU5",
"title": "BAM-IOP",
"description": "BAM-IOP 7",
"instructions": "This is a standard set of questions about several areas of your life such as your health, alcohol and drug use, etc. The questions generally ask about the past 7 days. Please consider each question and answer as accurately as possible.",
"questions": [
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 7 days, would you say your physical health has been:",
"question_order": 1,
"question_type": "pick_one",
"textbox_max_chars": null,
"textbox_input_type": null,
"textbox_min_value": null,
"textbox_max_value": null,
"date_created": "2023-12-31 20:14:37",
"qNum": "Q1",
"answer_options": [
{
"answer_text": "Excellent",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "Very Good",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "Good",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "Fair",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "Poor",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 7 days, how many nights did you have trouble falling asleep or staying asleep?",
"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": "2023-12-31 20:14:37",
"qNum": "Q2",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 7 days, how many days have you felt depressed, anxious, angry, or very upset throughout the most of the day",
"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": "2023-12-31 20:14:37",
"qNum": "Q3",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 7 days, how many days did you drink ANY alcohol?",
"question_order": 4,
"question_type": "pick_one",
"textbox_max_chars": null,
"textbox_input_type": null,
"textbox_min_value": null,
"textbox_max_value": null,
"date_created": "2023-12-31 20:14:37",
"qNum": "Q4",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 7 days, how many days did you have at least 5 drinks (if you are a man) or at least four drinks (if you are a woman)? [One drink is considered one shot of hard liquor (1.5 oz.) or 12-ounce can\/bottle of beer or 5 ounce glass of wine.]",
"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": "2023-12-31 20:14:37",
"qNum": "Q5",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 7 days, how many days did you use any illegal\/street drugs or abuse any prescription medications?",
"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": "2023-12-31 20:14:37",
"qNum": "Q6",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "n",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 7 days, how many days did you use any of the following drugs:",
"question_order": 7,
"question_type": "info",
"textbox_max_chars": null,
"textbox_input_type": null,
"textbox_min_value": null,
"textbox_max_value": null,
"date_created": "2023-12-31 20:14:37",
"qNum": "Q7",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Marijuana (cannabis, pot, weed)",
"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": "2023-12-31 20:14:37",
"qNum": "Q7a",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Sedatives\/Tranquilizers (e.g.,",
"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": "2023-12-31 20:14:37",
"qNum": "Q7b",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Cocaine\/Crack?",
"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": "2023-12-31 20:14:37",
"qNum": "Q7c",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:37"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Other Stimulants (e.g., amphetamine, methamphetamine, Dexedrine, Ritalin, Adderall, \"speed\", \"crystal meth\", \"ice\", etc.)?",
"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": "2023-12-31 20:14:38",
"qNum": "Q7d",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Opiates (e.g., Heroin, Morphine, Dilaudid, Demerol, Oxycontin, oxy, codeine (Tylenol 2,3,4), Percocet, Vicodin, Fentany, etc.)?",
"question_order": 12,
"question_type": "pick_one",
"textbox_max_chars": null,
"textbox_input_type": null,
"textbox_min_value": null,
"textbox_max_value": null,
"date_created": "2023-12-31 20:14:38",
"qNum": "Q7e",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Inhalants (glues\/adhesives, nail polish remover, paint thinner, etc.)?",
"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": "2023-12-31 20:14:38",
"qNum": "Q7f",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Other Drugs (steroids, non-prescription sleep\/diet pills, Benadryl, Ephedra, other over-the-counter\/unknown medications)?",
"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": "2023-12-31 20:14:38",
"qNum": "Q7g",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 7 days, how much were you bothered by cravings or urges to drink alcohol or use drugs?",
"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": "2023-12-31 20:14:38",
"qNum": "Q8",
"answer_options": [
{
"answer_text": "Not at all",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Slightly",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Moderately",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Considerably",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Extremely",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How confident are you in your ability to be completely abstinent (clean) from alcohol and drugs In the next 7 days?",
"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": "2023-12-31 20:14:38",
"qNum": "Q9",
"answer_options": [
{
"answer_text": "Not at all",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Slightly",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Moderately",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Considerably",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Extremely",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 7 days, how many days did you attend self-help meetings like AA or NA to support your recovery?",
"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": "2023-12-31 20:14:38",
"qNum": "Q10",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 7 days, how many days were you in any situations or with any people that might put you at an increased risk for using Alcohol or drugs (i.e., around risky people, places or things)?",
"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": "2023-12-31 20:14:38",
"qNum": "Q11",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Does your religion or spiritually help support your recovery?",
"question_order": 19,
"question_type": "pick_one",
"textbox_max_chars": null,
"textbox_input_type": null,
"textbox_min_value": null,
"textbox_max_value": null,
"date_created": "2023-12-31 20:14:38",
"qNum": "Q12",
"answer_options": [
{
"answer_text": "Not at all",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Slightly",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Moderately",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Considerably",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Extremely",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 7 days, how many days did you spend much of the time at work, school, or doing volunteer work?",
"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": "2023-12-31 20:14:38",
"qNum": "Q13",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 4,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 3,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 2,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Do you have enough income (from legal sources) to pay for necessities such as housing, transportation, food and clothing for Yourself and your dependents?",
"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": "2023-12-31 20:14:38",
"qNum": "Q14",
"answer_options": [
{
"answer_text": "No",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Yes",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 7 days, how much have you been bothered by arguments or problems getting along with any family members or friends?",
"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": "2023-12-31 20:14:38",
"qNum": "Q15",
"answer_options": [
{
"answer_text": "Not at all",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Slightly",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Moderately",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Considerably",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Extremely",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 7 days, how many days were you in contact or spent time with any family members or friends who are supportive of your recovery?",
"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": "2023-12-31 20:14:38",
"qNum": "Q16",
"answer_options": [
{
"answer_text": "None",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "1 day",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "2 days",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "3 days",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "4 or more days",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "GQU5",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How satisfied are you with your progress toward achieving your recovery goals?",
"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": "2023-12-31 20:14:38",
"qNum": "Q17",
"answer_options": [
{
"answer_text": "Not at all",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "4.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Slightly",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "3.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Moderately",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "2.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Considerably",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "1.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_text": "Extremely",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-31 20:14:38"
},
{
"answer_severity": 0,
"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 = 1738103123
$API_SIGNATURE = hash_hmac('sha256', $API_DATE . $FACILITY_ID, $SECRET_KEY); 4a4cacc054212da55a788c1f4640fb5af646f8ae4f96dd8d80fc890a2eaa5739
Complete Post
{
"facilityId": "123DEMO",
"apiDate": "1738103123",
"apiSignature": "4a4cacc054212da55a788c1f4640fb5af646f8ae4f96dd8d80fc890a2eaa5739",
"surveys": [
{
"instrumentId": "GQU5",
"sessionId": "123session",
"clientId": "123client",
"assignedToType": "Client",
"yearOfAdmit": "2024",
"yearCompleted": "2024",
"daysFromAdmit": -99,
"daysFromDischarge": 180,
"completedWhile": "postDischarge",
"answerStyle": "byText",
"Q1": "Excellent",
"Q2": "2 days",
"Q3": "1 day",
"Q4": "2 days",
"Q5": "None",
"Q6": "1 day",
"Q7": "--INFO: No Answer Expected--",
"Q7a": "3 days",
"Q7b": "1 day",
"Q7c": "Not Answered",
"Q7d": "Not Answered",
"Q7e": "4 or more days",
"Q7f": "2 days",
"Q7g": "4 or more days",
"Q8": "Considerably",
"Q9": "Moderately",
"Q10": "2 days",
"Q11": "3 days",
"Q12": "Slightly",
"Q13": "4 or more days",
"Q14": "Yes",
"Q15": "Considerably",
"Q16": "1 day",
"Q17": "Moderately"
},
{
"instrumentId": "GQU5",
"sessionId": "123session",
"clientId": "123client",
"assignedToType": "Client",
"yearOfAdmit": "2024",
"yearCompleted": "2024",
"daysFromAdmit": 30,
"daysFromDischarge": -99,
"completedWhile": "inTreatment",
"answerStyle": "byValue",
"Q1": "Not Answered",
"Q2": 2,
"Q3": 4,
"Q4": 2,
"Q5": "Not Answered",
"Q6": 1,
"Q7": "--INFO: No Answer Expected--",
"Q7a": 4,
"Q7b": 0,
"Q7c": 4,
"Q7d": 0,
"Q7e": 2,
"Q7f": 3,
"Q7g": 4,
"Q8": 2,
"Q9": 3,
"Q10": 0,
"Q11": 3,
"Q12": 0,
"Q13": 1,
"Q14": 4,
"Q15": 2,
"Q16": 4,
"Q17": 0
}
]
}
