- Title
- BAM-R
- instrumentId
- TQES
- Description
- 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 30 days. Please consider each question and answer as accurately as possible.
Questions
Q1: In the past 30 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 |
8 |
Very Good |
15 |
Good |
22 |
Fair |
30 |
Poor |
Not Answered |
Not Answered |
Q2: In the past 30 days, how many nights did you have trouble falling asleep or staying asleep?
Question Number |
Q2 |
Allow 'Not Answered'? |
Yes |
Question Type |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
Q3: In the past 30 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 |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
Q4: In the past 30 days, how many days did you drink ANY alcohol?
Question Number |
Q4 |
Allow 'Not Answered'? |
Yes |
Question Type |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
Q5: In the past 30 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 |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
Q6: In the past 30 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 |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
Q7: In the past 30 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 |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
Q7b: Sedatives/Tranquilizers (e.g., benzos, Valium, Xanax, Ativan, Ambien, barbs, Phenobarbital, downers, etc.)?
Question Number |
Q7b |
Allow 'Not Answered'? |
Yes |
Question Type |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
Q7c: Cocaine/Crack?
Question Number |
Q7c |
Allow 'Not Answered'? |
Yes |
Question Type |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
Q7d: Other Stimulants (e.g., amphetamine, methamphetamine, Dexedrine, Ritalin, Adderall, speed, meth, ice, etc.)?
Question Number |
Q7d |
Allow 'Not Answered'? |
Yes |
Question Type |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
Q7e: Opiates (e.g., Heroin, Morphine, Dilaudid, Demerol, Oxycontin, oxy, codeine (Tylenol 2,3,4), Percocet, Vicodin, Fentanyl, etc.)?
Question Number |
Q7e |
Allow 'Not Answered'? |
Yes |
Question Type |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
Q7f: Inhalants (glues/adhesives, nail polish remover, paint thinner, etc.)?
Question Number |
Q7f |
Allow 'Not Answered'? |
Yes |
Question Type |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
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 |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
Q8: In the past 30 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 |
8 |
Slightly |
15 |
Moderately |
22 |
Considerably |
30 |
Extremely |
Not Answered |
Not Answered |
Q9: How confident are you that you will NOT use alcohol and drugs in the next 30 days?
Question Number |
Q9 |
Allow 'Not Answered'? |
Yes |
Question Type |
pick_one |
Answer Options pick_one
Value |
Text |
0 |
Not at all |
8 |
Slightly |
15 |
Moderately |
22 |
Considerably |
30 |
Extremely |
Not Answered |
Not Answered |
Q10: In the past 30 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 |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
Q11: In the past 30 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 |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
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 |
8 |
Slightly |
15 |
Moderately |
22 |
Considerably |
30 |
Extremely |
Not Answered |
Not Answered |
Q13: In the past 30 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 |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
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 |
30 |
Yes |
Not Answered |
Not Answered |
Q15: In the past 30 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 |
8 |
Slightly |
15 |
Moderately |
22 |
Considerably |
30 |
Extremely |
Not Answered |
Not Answered |
Q16: In the past 30 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 |
input_box |
Answer Type |
number |
Maximum Characters |
2 |
Min |
0.00 |
Max |
30.00 |
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 |
0 |
Not at all |
8 |
Slightly |
15 |
Moderately |
22 |
Considerably |
30 |
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 |
Risk: Risk
Question Numbers |
Q1, Q2, Q3, Q8, Q11, Q15 |
Scoring Source |
Sum of answered Values |
Protective: Protective Factors
Question Numbers |
Q9, Q10, Q12, Q13, Q14, Q16 |
Scoring Source |
Sum of answered Values |
Satisfaction: Progress Satisfaction
Question Numbers |
Q17 |
Scoring Source |
Sum of answered Values |
JSON Instrument Definition for developers
{
"instrumentId": "TQES",
"title": "BAM-R",
"description": "",
"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 30 days. Please consider each question and answer as accurately as possible.",
"questions": [
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 30 days, would you say your physical health has been:",
"question_order": 1,
"question_type": "pick_one",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q1",
"answer_options": [
{
"answer_text": "Excellent",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Very Good",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "8.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Good",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "15.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Fair",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "22.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Poor",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "30.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_severity": null,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 30 days, how many nights did you have trouble falling asleep or staying asleep?",
"question_order": 2,
"question_type": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q2",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 30 days, how many days have you felt depressed, anxious, angry, or very upset throughout the most of the day",
"question_order": 3,
"question_type": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q3",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 30 days, how many days did you drink ANY alcohol?",
"question_order": 4,
"question_type": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q4",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 30 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": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q5",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 30 days, how many days did you use any illegal\/street drugs or abuse any prescription medications?",
"question_order": 6,
"question_type": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q6",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "n",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 30 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": "2023-12-30 12:55:58",
"qNum": "Q7",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Marijuana (cannabis, pot, weed)",
"question_order": 8,
"question_type": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q7a",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Sedatives\/Tranquilizers (e.g., benzos, Valium, Xanax, Ativan, Ambien, barbs, Phenobarbital, downers, etc.)?",
"question_order": 9,
"question_type": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q7b",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Cocaine\/Crack?",
"question_order": 10,
"question_type": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q7c",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "Other Stimulants (e.g., amphetamine, methamphetamine, Dexedrine, Ritalin, Adderall, speed, meth, ice, etc.)?",
"question_order": 11,
"question_type": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q7d",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"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, Fentanyl, etc.)?",
"question_order": 12,
"question_type": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q7e",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"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": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q7f",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"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": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q7g",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 30 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": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"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": "2023-12-30 12:55:29"
},
{
"answer_text": "Slightly",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "8.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Moderately",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "15.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Considerably",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "22.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Extremely",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "30.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_severity": null,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "How confident are you that you will NOT use alcohol and drugs in the next 30 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": "2023-12-30 12:55:58",
"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": "2023-12-30 12:55:29"
},
{
"answer_text": "Slightly",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "8.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Moderately",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "15.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Considerably",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "22.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Extremely",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "30.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_severity": null,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 30 days, how many days did you attend self-help meetings like AA or NA to support your recovery?",
"question_order": 17,
"question_type": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q10",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 30 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": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q11",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"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": "2023-12-30 12:55:58",
"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": "2023-12-30 12:55:29"
},
{
"answer_text": "Slightly",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "8.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Moderately",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "15.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Considerably",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "22.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Extremely",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "30.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_severity": null,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 30 days, how many days did you spend much of the time at work,school, or doing volunteer work?",
"question_order": 20,
"question_type": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q13",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"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": "2023-12-30 12:55:58",
"qNum": "Q14",
"answer_options": [
{
"answer_text": "No",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Yes",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "30.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_severity": null,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 30 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": "2023-12-30 12:55:58",
"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": "2023-12-30 12:55:29"
},
{
"answer_text": "Slightly",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "8.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Moderately",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "15.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Considerably",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "22.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Extremely",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "30.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_severity": null,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"include_in_export": "y",
"allow_NotAnswered": "y",
"question_status": "ACTIVE",
"question_text": "In the past 30 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": "input_box",
"textbox_max_chars": 2,
"textbox_input_type": "number",
"textbox_min_value": "0.00",
"textbox_max_value": "30.00",
"date_created": "2023-12-30 12:55:58",
"qNum": "Q16",
"answer_options": []
},
{
"assign_qnum": "y",
"instrumentId": "TQES",
"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": "2023-12-30 12:55:58",
"qNum": "Q17",
"answer_options": [
{
"answer_text": "Not at all",
"answer_order": 1,
"answer_severity": 0,
"answer_value": "0.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Slightly",
"answer_order": 2,
"answer_severity": 0,
"answer_value": "8.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Moderately",
"answer_order": 3,
"answer_severity": 0,
"answer_value": "15.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Considerably",
"answer_order": 4,
"answer_severity": 0,
"answer_value": "22.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_text": "Extremely",
"answer_order": 5,
"answer_severity": 0,
"answer_value": "30.00",
"answer_status": "ACTIVE",
"clients_colName": "",
"date_created": "2023-12-30 12:55:29"
},
{
"answer_severity": null,
"answer_value": null,
"answer_text": "Not Answered",
"answer_status": "ACTIVE"
}
]
}
]
}
Example Push for developers
URL Endpoint:
https://naatpdata.com/v2/api/surveys.php
Authentication
$FACILITY_ID = '123DEMO'; Provided By Us
$SECRET_KEY = 'aaaaaabbbbbbbbccccccccdddddddeeeeeefffffgggggg'; Provided By Us
$API_DATE = gmdate( time() ); Current UNIX UTC time = 1732181222
$API_SIGNATURE = hash_hmac('sha256', $API_DATE . $FACILITY_ID, $SECRET_KEY); e1489019ed96a667b2c4cfd5957f82110183da3f34089240af1bd533a6d8bd1a
Complete Post
{
"facilityId": "123DEMO",
"apiDate": "1732181222",
"apiSignature": "e1489019ed96a667b2c4cfd5957f82110183da3f34089240af1bd533a6d8bd1a",
"surveys": [
{
"instrumentId": "TQES",
"sessionId": "123session",
"clientId": "123client",
"assignedToType": "Client",
"yearOfAdmit": "2023",
"yearCompleted": "2023",
"daysFromAdmit": -99,
"daysFromDischarge": 180,
"completedWhile": "postDischarge",
"answerStyle": "byText",
"Q1": "Excellent",
"Q2": 0,
"Q3": 18,
"Q4": 18,
"Q5": 22,
"Q6": 4,
"Q7": "--INFO: No Answer Expected--",
"Q7a": 27,
"Q7b": 16,
"Q7c": 26,
"Q7d": 5,
"Q7e": 17,
"Q7f": 29,
"Q7g": 21,
"Q8": "Not at all",
"Q9": "Not at all",
"Q10": 13,
"Q11": 5,
"Q12": "Slightly",
"Q13": 4,
"Q14": "No",
"Q15": "Considerably",
"Q16": 0,
"Q17": "Not Answered"
},
{
"instrumentId": "TQES",
"sessionId": "123session",
"clientId": "123client",
"assignedToType": "Client",
"yearOfAdmit": "2023",
"yearCompleted": "2023",
"daysFromAdmit": 30,
"daysFromDischarge": -99,
"completedWhile": "inTreatment",
"answerStyle": "byValue",
"Q1": 22,
"Q2": 11,
"Q3": 18,
"Q4": 1,
"Q5": 17,
"Q6": 11,
"Q7": "--INFO: No Answer Expected--",
"Q7a": 11,
"Q7b": 15,
"Q7c": 1,
"Q7d": 3,
"Q7e": 28,
"Q7f": 30,
"Q7g": 20,
"Q8": 22,
"Q9": 8,
"Q10": 24,
"Q11": 22,
"Q12": "Not Answered",
"Q13": 2,
"Q14": 0,
"Q15": 8,
"Q16": 11,
"Q17": 30
}
]
}