{ "name": "GBB", "units": [ { "type": "Survey", "description": "GBB", "position": 10, "special": null, "survey_data": { "name": "gbb", "items": [ { "type": "note", "choice_list": null, "type_options": null, "name": "gbb_intro", "label": "Auf den folgenden Seiten ist eine größere Anzahl von Beschwerden aufgeführt. Überlegen Sie bitte, an welchen dieser Beschwerden Sie leiden. Machen Sie ein Kreuz in die entsprechende Spalte. Die Beschwerden, die Sie nicht haben, erhalten natürlich ein Kreuz in der „nicht“-Spalte.\n\nIch fühle mich durch folgende Beschwerden belästigt:", "label_parsed": "

Auf den folgenden Seiten ist eine größere Anzahl von Beschwerden aufgeführt. Überlegen Sie bitte, an welchen dieser Beschwerden Sie leiden. Machen Sie ein Kreuz in die entsprechende Spalte. Die Beschwerden, die Sie nicht haben, erhalten natürlich ein Kreuz in der „nicht“-Spalte.<\/p>\n

Ich fühle mich durch folgende Beschwerden belästigt:<\/p>", "optional": 1, "class": "", "showif": "", "value": null, "block_order": null, "item_order": 1 }, { "type": "mc", "choice_list": "gbb_01", "type_options": null, "name": "gbb_01", "label": "1\\. Schwächegefühl", "label_parsed": "1. Schwächegefühl", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 2, "choices": { "1": "nicht", "2": "kaum", "3": "einigermaßen", "4": "erheblich", "5": "stark" } }, { "type": "mc", "choice_list": "gbb_02", "type_options": null, "name": "gbb_02", "label": "2\\. Herzklopfen, -jagen oder -stolpern", "label_parsed": "2. 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Heißhunger", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 51, "choices": { "1": "nicht", "2": "kaum", "3": "einigermaßen", "4": "erheblich", "5": "stark" } }, { "type": "mc", "choice_list": "gbb_51", "type_options": null, "name": "gbb_51", "label": "51\\. Magenschmerzen", "label_parsed": "51. Magenschmerzen", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 52, "choices": { "1": "nicht", "2": "kaum", "3": "einigermaßen", "4": "erheblich", "5": "stark" } }, { "type": "mc", "choice_list": "gbb_52", "type_options": null, "name": "gbb_52", "label": "52\\. Anfallsweise Atemnot", "label_parsed": "52. Anfallsweise Atemnot", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 53, "choices": { "1": "nicht", "2": "kaum", "3": "einigermaßen", "4": "erheblich", "5": "stark" } }, { "type": "mc", "choice_list": "gbb_53", "type_options": null, "name": "gbb_53", "label": "53\\. Unterleibschmerzen", "label_parsed": "53. Unterleibschmerzen", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 54, "choices": { "1": "nicht", "2": "kaum", "3": "einigermaßen", "4": "erheblich", "5": "stark" } }, { "type": "mc", "choice_list": "gbb_54", "type_options": null, "name": "gbb_54", "label": "54\\. Gewichtsabnahme", "label_parsed": "54. 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Kreuzen Sie bitte an, was Ihrer eigenen Meinung nach zutrifft.", "label_parsed": "Sind Ihrer Meinung nach Ihre Beschwerden eher körperlich oder eher seelisch oder auch körperlich und<\/strong> seelisch bedingt? Kreuzen Sie bitte an, was Ihrer eigenen Meinung nach zutrifft.", "optional": 1, "class": "", "showif": "", "value": null, "block_order": null, "item_order": 59 }, { "type": "mc", "choice_list": "gbb_koerperlich", "type_options": null, "name": "gbb_koerperlich", "label": "körperlich", "label_parsed": "körperlich", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 60, "choices": { "1": "nicht", "2": "kaum", "3": "einigermaßen", "4": "erheblich", "5": "stark" } }, { "type": "mc", "choice_list": "gbb_seelisch", "type_options": null, "name": "gbb_seelisch", "label": "seelisch", "label_parsed": "seelisch", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "", "value": null, "block_order": null, "item_order": 61, "choices": { "1": "nicht", "2": "kaum", "3": "einigermaßen", "4": "erheblich", "5": "stark" } }, { "type": "note", "choice_list": null, "type_options": null, "name": "gbb_zusatz_intro", "label": "Falls Ihre Beschwerden in der Liste nicht vorkommen, bitten wir Sie, diese nachfolgend zu notieren.", "label_parsed": "Falls Ihre Beschwerden in der Liste nicht vorkommen, bitten wir Sie, diese nachfolgend zu notieren.", "optional": 1, "class": "", "showif": "", "value": null, "block_order": null, "item_order": 62 }, { "type": "text", "choice_list": null, "type_options": null, "name": "gbb_zusatz_01_text", "label": "1.", "label_parsed": "

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        1. \n<\/li>\n<\/ol>", "optional": 1, "class": "left400", "showif": "", "value": null, "block_order": null, "item_order": 69 }, { "type": "mc", "choice_list": "gbb_zusatz_04", "type_options": null, "name": "gbb_zusatz_04", "label": "Wie stark?", "label_parsed": "Wie stark?", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "gbb_zusatz_04_text != \"\"", "value": null, "block_order": null, "item_order": 70, "choices": { "1": "nicht", "2": "kaum", "3": "einigermaßen", "4": "erheblich", "5": "stark" } }, { "type": "text", "choice_list": null, "type_options": null, "name": "gbb_zusatz_05_text", "label": "5.", "label_parsed": "
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          1. \n<\/li>\n<\/ol>", "optional": 1, "class": "left400", "showif": "", "value": null, "block_order": null, "item_order": 71 }, { "type": "mc", "choice_list": "gbb_zusatz_05", "type_options": null, "name": "gbb_zusatz_05", "label": "Wie stark?", "label_parsed": "Wie stark?", "optional": 0, "class": "mc_vertical left400 label_align_left", "showif": "gbb_zusatz_05_text != \"\"", "value": null, "block_order": null, "item_order": 72, "choices": { "1": "nicht", "2": "kaum", "3": "einigermaßen", "4": "erheblich", "5": "stark" } }, { "type": "submit", "choice_list": null, "type_options": null, "name": "gbb_submit", "label": "Weiter", "label_parsed": "Weiter", "optional": 0, "class": "", "showif": "", "value": null, "block_order": null, "item_order": 73 } ], "settings": { "maximum_number_displayed": 0, "displayed_percentage_maximum": 100, "add_percentage_points": 0, "enable_instant_validation": 0, "expire_after": 0, "google_file_id": null, "unlinked": 0, "expire_invitation_after": 0, "expire_invitation_grace": 0, "hide_results": 0, "use_paging": 0 } } }, { "type": "Endpage", "description": "Stop", "position": 20, "special": null, "body": "**Vielen Dank für das Ausfüllen des Fragebogens.**\nIhre Angaben wurden erfolgreich übermittelt und werden von mir vor unserem nächsten Termin gesichtet. 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": [] }