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",
                    "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Good",
                    "answer_order": 3,
                    "answer_severity": 0,
                    "answer_value": "15.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Fair",
                    "answer_order": 4,
                    "answer_severity": 0,
                    "answer_value": "22.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Poor",
                    "answer_order": 5,
                    "answer_severity": 0,
                    "answer_value": "30.00",
                    "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": "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Slightly",
                    "answer_order": 2,
                    "answer_severity": 0,
                    "answer_value": "8.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Moderately",
                    "answer_order": 3,
                    "answer_severity": 0,
                    "answer_value": "15.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Considerably",
                    "answer_order": 4,
                    "answer_severity": 0,
                    "answer_value": "22.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Extremely",
                    "answer_order": 5,
                    "answer_severity": 0,
                    "answer_value": "30.00",
                    "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": "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Slightly",
                    "answer_order": 2,
                    "answer_severity": 0,
                    "answer_value": "8.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Moderately",
                    "answer_order": 3,
                    "answer_severity": 0,
                    "answer_value": "15.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Considerably",
                    "answer_order": 4,
                    "answer_severity": 0,
                    "answer_value": "22.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Extremely",
                    "answer_order": 5,
                    "answer_severity": 0,
                    "answer_value": "30.00",
                    "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": "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Slightly",
                    "answer_order": 2,
                    "answer_severity": 0,
                    "answer_value": "8.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Moderately",
                    "answer_order": 3,
                    "answer_severity": 0,
                    "answer_value": "15.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Considerably",
                    "answer_order": 4,
                    "answer_severity": 0,
                    "answer_value": "22.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Extremely",
                    "answer_order": 5,
                    "answer_severity": 0,
                    "answer_value": "30.00",
                    "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": "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Yes",
                    "answer_order": 2,
                    "answer_severity": 0,
                    "answer_value": "30.00",
                    "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": "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Slightly",
                    "answer_order": 2,
                    "answer_severity": 0,
                    "answer_value": "8.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Moderately",
                    "answer_order": 3,
                    "answer_severity": 0,
                    "answer_value": "15.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Considerably",
                    "answer_order": 4,
                    "answer_severity": 0,
                    "answer_value": "22.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Extremely",
                    "answer_order": 5,
                    "answer_severity": 0,
                    "answer_value": "30.00",
                    "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": "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",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Slightly",
                    "answer_order": 2,
                    "answer_severity": 0,
                    "answer_value": "8.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Moderately",
                    "answer_order": 3,
                    "answer_severity": 0,
                    "answer_value": "15.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Considerably",
                    "answer_order": 4,
                    "answer_severity": 0,
                    "answer_value": "22.00",
                    "answer_status": "ACTIVE",
                    "date_created": "2023-12-30 12:55:29"
                },
                {
                    "answer_text": "Extremely",
                    "answer_order": 5,
                    "answer_severity": 0,
                    "answer_value": "30.00",
                    "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 = 1720276177
$API_SIGNATURE = hash_hmac('sha256', $API_DATE . $FACILITY_ID, $SECRET_KEY); f831e3111914cad488e8930a5cd10faec4ea15f526f69909e5b447f8b0834e58
 

Complete Post

{
    "facilityId": "123DEMO",
    "apiDate": "1720276177",
    "apiSignature": "f831e3111914cad488e8930a5cd10faec4ea15f526f69909e5b447f8b0834e58",
    "surveys": [
        {
            "instrumentId": "TQES",
            "sessionId": "123session",
            "clientId": "123client",
            "assignedToType": "Client",
            "yearOfAdmit": "2023",
            "yearCompleted": "2023",
            "daysFromAdmit": -99,
            "daysFromDischarge": 180,
            "completedWhile": "postDischarge",
            "answerStyle": "byText",
            "Q1": "Not Answered",
            "Q2": 2,
            "Q3": 16,
            "Q4": 2,
            "Q5": 18,
            "Q6": 14,
            "Q7": "--INFO: No Answer Expected--",
            "Q7a": 19,
            "Q7b": 1,
            "Q7c": 15,
            "Q7d": 21,
            "Q7e": 29,
            "Q7f": 14,
            "Q7g": 30,
            "Q8": "Extremely",
            "Q9": "Not at all",
            "Q10": 1,
            "Q11": 19,
            "Q12": "Extremely",
            "Q13": 19,
            "Q14": "Not Answered",
            "Q15": "Slightly",
            "Q16": 19,
            "Q17": "Extremely"
        },
        {
            "instrumentId": "TQES",
            "sessionId": "123session",
            "clientId": "123client",
            "assignedToType": "Client",
            "yearOfAdmit": "2023",
            "yearCompleted": "2023",
            "daysFromAdmit": 30,
            "daysFromDischarge": -99,
            "completedWhile": "inTreatment",
            "answerStyle": "byValue",
            "Q1": 15,
            "Q2": 3,
            "Q3": 6,
            "Q4": 9,
            "Q5": 7,
            "Q6": 30,
            "Q7": "--INFO: No Answer Expected--",
            "Q7a": 15,
            "Q7b": 10,
            "Q7c": 12,
            "Q7d": 7,
            "Q7e": 26,
            "Q7f": 24,
            "Q7g": 28,
            "Q8": "Not Answered",
            "Q9": 0,
            "Q10": 3,
            "Q11": 4,
            "Q12": 0,
            "Q13": 18,
            "Q14": 0,
            "Q15": 8,
            "Q16": 11,
            "Q17": 8
        }
    ]
}