survey.tsv

question_type	question_text	required	page_number	option_text	option_values
instruction	Welcome to this survey. Press <strong>Next</strong> to begin.	0	1		
instruction	"The following questions ask about how you have been feeling during the past 30 days. For each
question, please select the option that best describes how often you had this feeling."	0	2		
instruction	"<h4>Q1: During the past 30 days, about how
often did you feel </h4>"	0	3		
radio	nervous?	1	3	All of the time, Most of the time, Some of the time, A little of the time, None of the time	1,2,3,4,5
radio	hopeless?	1	3	All of the time, Most of the time, Some of the time, A little of the time, None of the time	1,2,3,4,5
radio	restless or fidgety?	1	3	All of the time, Most of the time, Some of the time, A little of the time, None of the time	1,2,3,4,5
radio	so depressed that nothing could cheer you up?	1	3	All of the time, Most of the time, Some of the time, A little of the time, None of the time	1,2,3,4,5
radio	that everything was an effort?	1	3	All of the time, Most of the time, Some of the time, A little of the time, None of the time	1,2,3,4,5
radio	worthless?	1	3	All of the time, Most of the time, Some of the time, A little of the time, None of the time	1,2,3,4,5
radio	"Q2: The last six questions asked about feelings that might have occurred during the past 30 days. Taking them altogether, did these feelings occur more often in the past 30 days than is usual for you, about the same as usual, or less often than usual? (If you never have any of these feelings, select 'about the same as usual')"	1	3	A lot, Some<br><strong>More often than usual<br></strong>, A little, About the same as usual, A little , Some<br><strong>Less often than usual<br></strong>, A lot	1,2,3,4,5,6,7
instruction	"<h4>The next few questions are about how these feelings may have affected you in the past 30 days. You need not answer these questions if you answered "None of the time" to all of the six questions about your feelings.</h4>"	0	4		
numeric	"Q3: During the past 30 days, how many days out of 30 were you totally unable to work or carry out your normal activities because of these feelings?<br><br><strong>(Number of Days)</strong>"	0	4		
numeric	"Q4: Not counting the days you reported in response to Q3, how many days in the past 30 were you able to do only half or less of what you would normally have been able to do, because of these feelings?<br><br><strong>(Number of Days)</strong>"	0	4		
numeric	"Q5: During the past 30 days, how many times did you see a doctor or other health professional about these feelings?<br><br><strong>(Number of Times)</strong>"	0	4		
radio	"Q6: During the past 30 days, how often have physical health problems been the main cause of these feelings? "	0	4	All of the time, Most of the time, Some of the time, A little of the time, None of the time	1,2,3,4,5
checkbox	Do you have or have you ever been diagnosed with any of the following psychological disorders (check all that apply)?	1	5	ADHD, Alcohol Dependency, Anorexi Nervosa, Anxiety Disorder, Autism/Autism Specturm Disorder, Borderline Personality Disorder, Bulimia, Drug Dependency, Depression, Manic-Depressive (Bilpolar) illness, Obessive Compulsive Disorder, Schizophrenia, Other, None	
textfield	If you responded "other" to the above question, please describe:	0	5		
radio	Have you been diagnosed with any neurological disorder (e.g. Alzheimer's, Parkinson's)?	1	5	Yes, No	1, 0
textfield	If you responded "yes" to the above question, please describe:	0	5		
checkbox	Do you have or have you ever been diagnosed with any of the following medical conditions (check all that apply)?	1	5	Type II diabetes, Metabolic Syndrome, High Blood Pressure, Heart Disease, Stroke, Cancer, Sleep Apnea, Other, None	
textfield	If you responded "other" to the above question, please describe:	0	5		
instruction	Congratulations for completing this survey! Press <strong>finish</strong> to continue.	0	6