{ "name": "AFKA", "units": [ { "type": "Survey", "description": "AFKA", "position": 10, "special": null, "survey_data": { "name": "afka", "items": [ { "type": "note", "choice_list": null, "type_options": null, "name": "afka_p1_intro", "label": "Sie haben sich vermutlich schon eigene Gedanken über mögliche Gründe / Bedingungen für Ihre Beschwerden gemacht. Bitte kreuzen Sie in diesem Sinne aus Ihrer persönlichen Perspektive jeden der unten aufgeführten Aspekte auf der Skala von 1 bis 5 an.\n\n**Meine Beschwerden sind (mit)bedingt durch ...**", "label_parsed": "

Sie haben sich vermutlich schon eigene Gedanken über mögliche Gründe / Bedingungen für Ihre Beschwerden gemacht. Bitte kreuzen Sie in diesem Sinne aus Ihrer persönlichen Perspektive jeden der unten aufgeführten Aspekte auf der Skala von 1 bis 5 an.<\/p>\n

Meine Beschwerden sind (mit)bedingt durch ...<\/strong><\/p>", "optional": 1, "class": "", "showif": null, "value": null, "block_order": null, "item_order": 1 }, { "type": "mc", "choice_list": "afka_01", "type_options": null, "name": "afka_01", "label": "1\\. meine Ängste", "label_parsed": "1. meine Ängste", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 2, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_02", "type_options": null, "name": "afka_02", "label": "2\\. meinen Alkoholkonsum", "label_parsed": "2. meinen Alkoholkonsum", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 3, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_03", "type_options": null, "name": "afka_03", "label": "3\\. meine Anspannung", "label_parsed": "3. meine Anspannung", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 4, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_04", "type_options": null, "name": "afka_04", "label": "4\\. meine Arbeit", "label_parsed": "4. meine Arbeit", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 5, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_05", "type_options": null, "name": "afka_05", "label": "5\\. Beeinträchtigungen meines Körpers", "label_parsed": "5. Beeinträchtigungen meines Körpers", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 6, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_06", "type_options": null, "name": "afka_06", "label": "6\\. meine Belastung", "label_parsed": "6. meine Belastung", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 7, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_07", "type_options": null, "name": "afka_07", "label": "7\\. meinen Beruf", "label_parsed": "7. meinen Beruf", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 8, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_08", "type_options": null, "name": "afka_08", "label": "8\\. meine Beziehungen in der Familie", "label_parsed": "8. meine Beziehungen in der Familie", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 9, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_09", "type_options": null, "name": "afka_09", "label": "9\\. meine Beziehung zum/r Partner/in", "label_parsed": "9. meine Beziehung zum/r Partner/in", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 10, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_10", "type_options": null, "name": "afka_10", "label": "10\\. meinen Drogenkonsum", "label_parsed": "10. meinen Drogenkonsum", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 11, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_11", "type_options": null, "name": "afka_11", "label": "11\\. meine Eifersucht", "label_parsed": "11. meine Eifersucht", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 12, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_12", "type_options": null, "name": "afka_12", "label": "12\\. meine Eltern", "label_parsed": "12. meine Eltern", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 13, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_13", "type_options": null, "name": "afka_13", "label": "13\\. meine Erziehung", "label_parsed": "13. meine Erziehung", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 14, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_14", "type_options": null, "name": "afka_14", "label": "14\\. 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Konflikte in meiner Partnerschaft", "label_parsed": "22. Konflikte in meiner Partnerschaft", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 23, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_23", "type_options": null, "name": "afka_23", "label": "23\\. meinen Körper", "label_parsed": "23. meinen Körper", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 24, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_24", "type_options": null, "name": "afka_24", "label": "24\\. meine Lebenseinstellung", "label_parsed": "24. meine Lebenseinstellung", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 25, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_25", "type_options": null, "name": "afka_25", "label": "25\\. meine finanzielle Situation", "label_parsed": "25. meine finanzielle Situation", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 26, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_26", "type_options": null, "name": "afka_26", "label": "26\\. meine Gedanken", "label_parsed": "26. meine Gedanken", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 27, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_27", "type_options": null, "name": "afka_27", "label": "27\\. meine Gefühle", "label_parsed": "27. meine Gefühle", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 28, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "submit", "choice_list": null, "type_options": null, "name": "afka_submit_27", "label": "Weiter", "label_parsed": "Weiter", "optional": 0, "class": "", "showif": null, "value": null, "block_order": null, "item_order": 29 }, { "type": "note", "choice_list": null, "type_options": null, "name": "afka_28_intro", "label": "**Meine Beschwerden sind (mit)bedingt durch …**", "label_parsed": "Meine Beschwerden sind (mit)bedingt durch …<\/strong>", "optional": 1, "class": "", "showif": null, "value": null, "block_order": null, "item_order": 30 }, { "type": "mc", "choice_list": "afka_28", "type_options": null, "name": "afka_28", "label": "28\\. meine Geldsorgen", "label_parsed": "28. meine Geldsorgen", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 31, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_29", "type_options": null, "name": "afka_29", "label": "29\\. meinen Organismus", "label_parsed": "29. meinen Organismus", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 32, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_30", "type_options": null, "name": "afka_30", "label": "30\\. meine/n Partner/in", "label_parsed": "30. meine/n Partner/in", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 33, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_31", "type_options": null, "name": "afka_31", "label": "31\\. mein Pech", "label_parsed": "31. mein Pech", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 34, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_32", "type_options": null, "name": "afka_32", "label": "32\\. meine Probleme mit dem Geld", "label_parsed": "32. meine Probleme mit dem Geld", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 35, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_33", "type_options": null, "name": "afka_33", "label": "33\\. Probleme in meiner Familie", "label_parsed": "33. Probleme in meiner Familie", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 36, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_34", "type_options": null, "name": "afka_34", "label": "34\\. Probleme in meiner Partnerschaft", "label_parsed": "34. Probleme in meiner Partnerschaft", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 37, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_35", "type_options": null, "name": "afka_35", "label": "35\\. meine Persönlichkeit", "label_parsed": "35. meine Persönlichkeit", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 38, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_36", "type_options": null, "name": "afka_36", "label": "36\\. mein Rauchen", "label_parsed": "36. mein Rauchen", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": null, "value": null, "block_order": null, "item_order": 39, "choices": { "1": "gar nicht", "2": "kaum", "3": "mittelmäßig", "4": "ziemlich stark", "5": "sehr stark" } }, { "type": "mc", "choice_list": "afka_37", "type_options": null, "name": "afka_37", "label": "37\\. 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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": "2033-07-23" }, "files": [] }