{ "name": "SOMS7T", "units": [ { "type": "Survey", "description": "SOMS-7T", "position": 10, "special": null, "survey_data": { "name": "soms7t", "items": [ { "type": "note", "choice_list": null, "type_options": null, "name": "soms7t_intro", "label": "Im Folgenden finden Sie eine Liste von körperlichen Beschwerden. Bitte geben Sie an, ob und wie sehr Sie im Laufe der vergangenen 7 Tage unter diesen Beschwerden gelitten haben. Geben Sie nur solche Beschwerden an, für die von Ärzten keine genauen Ursachen gefunden wurden und die Ihr Wohlbefinden stark beeinträchtigt haben.", "label_parsed": "Im Folgenden finden Sie eine Liste von körperlichen Beschwerden. Bitte geben Sie an, ob und wie sehr Sie im Laufe der vergangenen 7 Tage unter diesen Beschwerden gelitten haben. Geben Sie nur solche Beschwerden an, für die von Ärzten keine genauen Ursachen gefunden wurden und die Ihr Wohlbefinden stark beeinträchtigt haben.", "optional": 1, "class": "", "showif": "", "value": null, "block_order": null, "item_order": 1 }, { "type": "mc", "choice_list": "soms7t_kontrolle", "type_options": null, "name": "soms7t_kontrolle", "label": "Ich habe die Instruktion gelesen.", "label_parsed": "Ich habe die Instruktion gelesen.", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 2, "choices": { "1": "ja", "2": "nein" } }, { "type": "mc", "choice_list": "soms7t_geschlecht", "type_options": null, "name": "soms7t_geschlecht", "label": "Geschlecht", "label_parsed": "Geschlecht", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 3, "choices": { "1": "weiblich", "2": "männlich" } }, { "type": "note", "choice_list": null, "type_options": null, "name": "soms7t_kopf", "label": "Ich habe **in den vergangenen 7 Tagen** unter folgenden Beschwerden gelitten: (Ausmaß der Beeinträchtigung)", "label_parsed": "Ich habe in den vergangenen 7 Tagen<\/strong> unter folgenden Beschwerden gelitten: (Ausmaß der Beeinträchtigung)", "optional": 1, "class": "", "showif": "", "value": null, "block_order": null, "item_order": 4 }, { "type": "mc", "choice_list": "soms7t_01", "type_options": null, "name": "soms7t_01", "label": "1\\. Kopf- oder Gesichtsschmerzen", "label_parsed": "1. Kopf- oder Gesichtsschmerzen", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 5, "choices": { "1": "gar nicht", "2": "leicht", "3": "mittelmäßig", "4": "stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "soms7t_02", "type_options": null, "name": "soms7t_02", "label": "2\\. Schmerzen im Bauch oder in der Magengegend", "label_parsed": "2. Schmerzen im Bauch oder in der Magengegend", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 6, "choices": { "1": "gar nicht", "2": "leicht", "3": "mittelmäßig", "4": "stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "soms7t_03", "type_options": null, "name": "soms7t_03", "label": "3\\. Rückenschmerzen", "label_parsed": "3. Rückenschmerzen", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 7, "choices": { "1": "gar nicht", "2": "leicht", "3": "mittelmäßig", "4": "stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "soms7t_04", "type_options": null, "name": "soms7t_04", "label": "4\\. Gelenkschmerzen", "label_parsed": "4. Gelenkschmerzen", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 8, "choices": { "1": "gar nicht", "2": "leicht", "3": "mittelmäßig", "4": "stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "soms7t_05", "type_options": null, "name": "soms7t_05", "label": "5\\. Schmerzen in den Armen oder Beinen", "label_parsed": "5. Schmerzen in den Armen oder Beinen", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 9, "choices": { "1": "gar nicht", "2": "leicht", "3": "mittelmäßig", "4": "stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "soms7t_06", "type_options": null, "name": "soms7t_06", "label": "6\\. Brustschmerzen", "label_parsed": "6. Brustschmerzen", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 10, "choices": { "1": "gar nicht", "2": "leicht", "3": "mittelmäßig", "4": "stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "soms7t_07", "type_options": null, "name": "soms7t_07", "label": "7\\. Schmerzen im Enddarm", "label_parsed": "7. 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Häufiger Stuhldrang", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 27, "choices": { "1": "gar nicht", "2": "leicht", "3": "mittelmäßig", "4": "stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "soms7t_24", "type_options": null, "name": "soms7t_24", "label": "24\\. Herzrasen oder Herzstolpern", "label_parsed": "24. Herzrasen oder Herzstolpern", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 28, "choices": { "1": "gar nicht", "2": "leicht", "3": "mittelmäßig", "4": "stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "soms7t_25", "type_options": null, "name": "soms7t_25", "label": "25\\. Druckgefühl in der Herzgegend", "label_parsed": "25. 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Die Ergebnisse besprechen wir gemeinsam in der nächsten Sitzung.\n\nSie können dieses Fenster nun schließen.\n\n**Bis zum nächsten Termin!**", "title": null } ], "settings": { "header_image_path": null, "description": null, "footer_text": "Bei Fragen oder technischen Problemen können Sie sich gerne per E-Mail an Dr. Jonas Karneboge wenden: [psychotherapie@karneboge.de](mailto:psychotherapie@karneboge.de).", "public_blurb": null, "privacy": null, "tos": null, "cron_active": 1, "custom_js": "", "custom_css": "", "custom_r": "", "secrets": [], "expiresOn": "2033-07-25" }, "files": [] }