Request Data
Important Information
Request Process
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Committee Review
All data requests are carefully reviewed by our Data Access Committee to ensure appropriate use of the data and protection of participant privacy.
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Regulatory Requirements
If approved, you will need to complete appropriate documentation (Data Use Agreement, Memorandum of Understanding, or IRB application/amendment) before receiving data.
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Timeline
Review typically takes 5-10 business days. Once approved, our data team may need up to 10 business days to assemble your requested data after regulatory approval is complete.
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Additional Information
You may be asked to provide additional information about your research objectives to help evaluate your request and ensure appropriate data stewardship.
For questions about the request process, please contact:
prechter-data-request@med.umich.eduData Request Form
Complete this form to request access to the selected variables for your research.
Providing detailed and accurate information will help us process your request more efficiently.
Request Details Guide
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Researcher Information
Please provide complete details about your position, institution, and contact information, including the name of the Principal Investigator.
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Project Description
Clearly state your research objectives, methodology, and how the requested data will be used. Include any specific hypotheses you plan to test and your data disposition plans after the project is complete.
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Timeline
Specify when you need the data and the expected duration of your project. This helps us prioritize requests and plan our resources accordingly.
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IRB Status
Indicate whether your research has IRB approval or exemption if internal to UMICH. If applicable, provide the IRB protocol number and approval date.
Data Specifications
Please select the specific data characteristics you need for your research.
These selections help us understand your data requirements more precisely.
Diagnosis
Time
Selected Variables
You've selected 246 variables for your request.
Review your selected variables below before submitting your request.
| Variable Name | Form | Description | Type |
|---|---|---|---|
| a101_a | A_Mood_Episodes_W_Specifiers | ...how did you spend your time? (work, friends, hobbies? were you especially … | Notes |
| a102 | A_Mood_Episodes_W_Specifiers | Increase in activity | Radio |
| a104 | A_Mood_Episodes_W_Specifiers | Excessive involvement in activities which have a high potential for painful con… | Dropdown |
| a106_logic | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| a113 | A_Mood_Episodes_W_Specifiers | Inflated self-esteem or grandiosity. | Dropdown |
| a113_a | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p><em><span style="font-weight: normal;">if… | Notes |
| a114_notes | A_Mood_Episodes_W_Specifiers | During that time... | descriptive |
| a121_c | A_Mood_Episodes_W_Specifiers | (anything sexual that was likely to get you in trouble? driving recklessly?) | Notes |
| a121_d | A_Mood_Episodes_W_Specifiers | (did you make any risky or impulsive business investments or get involved in a … | Notes |
| a136_a | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p><em><span style="font-weight: normal;">if… | Notes |
| a18 | A_Mood_Episodes_W_Specifiers | Thoughts of own death | Radio |
| a39_b | A_Mood_Episodes_W_Specifiers | Did you feel guilty about things you had done or not done? | Notes |
| a42_a | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p>...did you have trouble thinking or conce… | Notes |
| a43_a | A_Mood_Episodes_W_Specifiers | ...were things so bad that you thought a lot about death or that you would be b… | Notes |
| a54_b | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| a56 | A_Mood_Episodes_W_Specifiers | Irritable mood | Radio |
| a62_a | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p>...were you so easily distracted by thing… | Notes |
| a68_logic | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| a90_d | A_Mood_Episodes_W_Specifiers | Just before this began, were you taking any medications? | Notes |
| a97_a | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p>...did you need less sleep than usual? (h… | Notes |
| as34_notes | A_Mood_Episodes_W_Specifiers | During that time when you were feeling the worst... | descriptive |
| as38_a | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p><em><span style="font-weight: normal;">if… | Notes |
| as42 | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p><span style="color: #e03e2d;">at least th… | Text |
| as49 | A_Mood_Episodes_W_Specifiers | A long-standing pattern of interpersonal rejection sensitivity (not limited to … | Dropdown |
| as56 | A_Mood_Episodes_W_Specifiers | Fear that something awful may happen. | Dropdown |
| as6 | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p><span style="color: #e03e2d;">at least tw… | Text |
| as95 | A_Mood_Episodes_W_Specifiers | Diminished interest or pleasure in all, or almost all, activities (as indicated… | Dropdown |
| aad_12 | Alcohol_Abuse_And_Dependence | Have you often wanted or tried to stop or cut down on drinking? | Radio |
| aad_18a | Alcohol_Abuse_And_Dependence | If yes: did you continue to drink after you knew it caused you any of these pro… | Radio |
| aad_3 | Alcohol_Abuse_And_Dependence | Did you ever get drunk - that is, when your speech was slurred or you were unst… | Radio |
| ad_11 | Anxiety_Disorder | Have you ever had panic attacks or anxiety attacks when you suddenly felt very … | Radio |
| ad_28c | Anxiety_Disorder | Simple/specific: certain animals, height, or being closed in | Radio |
| ad_29 | Anxiety_Disorder | Did you go out of your way to avoid (if no to any, skip to eating disorders) | descriptive |
| ad_30c | Anxiety_Disorder | 30c. Simple/specific fears | Notes |
| ad_33a_1 | Anxiety_Disorder | Agoraphobic | Radio |
| ad_7 | Anxiety_Disorder | What effect did these (obsessions and/or compulsions) have on your life? | Text |
| choking | Anxiety_Disorder | Choking | Checkbox |
| dizziness_lightheadedness | Anxiety_Disorder | Dizziness, lightheadedness, feeling unsteady or faint | Checkbox |
| ad_11_desc | Anxiety_Disorders | Diagnostic criteria for agoraphobia without history of panic disorder | Checkbox |
| ad_17_desc | Anxiety_Disorders | Diagnostic criteria for anxiety disorder not otherwise specified this category … | Notes |
| b10 | B_And_C_Psychotic_And_Associated_Symptoms | Thought insertion, i.e., that certain thoughts are not one's own, but rather ar… | Text |
| b16 | B_And_C_Psychotic_And_Associated_Symptoms | Auditory hallucinations (i.e., involving the perception of sound, most commonly… | Text |
| b30 | B_And_C_Psychotic_And_Associated_Symptoms | Posturing (i.e., spontaneous and active maintenance of a posture against gravit… | Dropdown |
| b36 | B_And_C_Psychotic_And_Associated_Symptoms | Echopraxia (i.e., mimicking another's movements). | Dropdown |
| c2_logic2 | B_And_C_Psychotic_And_Associated_Symptoms | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| c3_delusion | B_And_C_Psychotic_And_Associated_Symptoms | Number of delusion sxs endorsed: | Text |
| bis_13 | Barratt_Impulsiveness_Scale | I plan for job security. | Radio |
| bis_18 | Barratt_Impulsiveness_Scale | I get easily bored when solving thought problems. | Radio |
| bis_27 | Barratt_Impulsiveness_Scale | I am more interested in the present than the future. | Radio |
| bc10a | Bc_Psychotic_Screening | Is the symptom definitely "primary" or whether there is a possible or definite … | Dropdown |
| bc17_tp | Bc_Psychotic_Screening | Period of time during which the symptom was present: | Notes |
| bc8_tp | Bc_Psychotic_Screening | Period of time during which the symptom was present: | Notes |
| bc9_a | Bc_Psychotic_Screening | Did you ever feel that someone or something outside yourself was controlling yo… | Notes |
| be_fd_bp | Best_Estimates | First degree with bipolar | Checkbox |
| be_psych_chronicity | Best_Estimates | Psychosis chronicity | Radio |
| ca_1b1_days | Commorbidity_Assessment | 1b1. If yes: for how long were you using (alcohol/drugs) heavily right before y… | Text |
| ca_2 | Commorbidity_Assessment | Tell me which statement on the card best characterizes these episodes hand com… | Radio |
| cis_5 | Coronavirus_Impact_Scale | Mental health treatment access: | Radio |
| cis_8 | Coronavirus_Impact_Scale | Stress and discord in the family: | Radio |
| cssrs_cs2 | Cssrs_Baseline | <i style="background-color:#4cbb17">past year</i>: has subject engaged in non-s… | Notes |
| deter_a | Cssrs_Baseline | <i style="background-color:#da70d6">lifetime:</i>: | Radio |
| d16_manic | D_Mood_Disorders | Indicate month of regular onset of manic or hypomanic episode: | Dropdown |
| d22_d | D_Mood_Disorders | <div class="rich-text-field-label"><p><strong>how has this affected your abilit… | Notes |
| d23_gmc | D_Mood_Disorders | If there is any indication that the manic or hypomanic sxs may be secondary (i.… | Radio |
| d28_logic | D_Mood_Disorders | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| d2_logic | D_Mood_Disorders | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| d38_c | D_Mood_Disorders | <div class="rich-text-field-label"><p><span style="font-weight: normal;"><stron… | Notes |
| d39_e | D_Mood_Disorders | <div class="rich-text-field-label"><p style="margin-top: 6pt; padding-left: 40p… | Notes |
| d42_a | D_Mood_Disorders | <div class="rich-text-field-label"><p><span style="font-weight: normal;"><i>if … | Notes |
| d4_logic | D_Mood_Disorders | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| dg_notes | Demographics_Edigs | Notes | Notes |
| dudit_f8 | Dudit_Full | How often over the past year have you needed to take a drug the morning after h… | Radio |
| e103 | E_Substance_Use_Disorders | Criteria 7: important social, occupational, or recreational activities given up… | Dropdown |
| e103_a | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>have you had to give up or reduce the tim… | Notes |
| e108_b | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| e164 | E_Substance_Use_Disorders | Sedative/ hypnotic anxiolytic: age at onset | Text |
| e215 | E_Substance_Use_Disorders | Criteria 1: the substance is often taken in larger amounts or over a longer per… | Dropdown |
| e223_a | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>during <span style="font-weight: normal;"… | Notes |
| e230 | E_Substance_Use_Disorders | Criteria 3: a great deal of time is spent in activities necessary to obtain the… | Dropdown |
| e240 | E_Substance_Use_Disorders | Criteria 4: craving, or a strong desire or urge to use the substance. | Dropdown |
| e240_b | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| e246 | E_Substance_Use_Disorders | Criteria 5: recurrent substance use resulting in a failure to fulfill major rol… | Dropdown |
| e250 | E_Substance_Use_Disorders | Criteria 5: recurrent substance use resulting in a failure to fulfill major rol… | Dropdown |
| e274_b | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| e283 | E_Substance_Use_Disorders | Criteria 9: substance use is continued despite knowledge of having a persistent… | Dropdown |
| e338 | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>hallucinogens:<br /><br /><span style="fo… | Notes |
| e339 | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>other and unknown:<br /><br /><em><span s… | Notes |
| e73 | E_Substance_Use_Disorders | Criteria 3: a great deal of time is spent in activities necessary to obtain the… | Dropdown |
| e74 | E_Substance_Use_Disorders | Criteria 3: a great deal of time is spent in activities necessary to obtain the… | Dropdown |
| e78 | E_Substance_Use_Disorders | Criteria 4: craving, or a strong desire or urge to use the substance. | Dropdown |
| e80_a | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>have you had a strong desire or urge to u… | Notes |
| e83_b | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| e85_e | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p><em><span style="font-weight: normal;">if… | Notes |
| e88 | E_Substance_Use_Disorders | Criteria 5: recurrent substance use resulting in a failure to fulfill major ro… | Dropdown |
| e89_e | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p><em><span style="font-weight: normal;">if… | Notes |
| e94_a | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p><span style="font-weight: normal;"><em>if… | Notes |
| ed_25 | Eating_Disorder | <h6 style="background-color:#da70d6">interviewer</h6>: if subject appears to me… | Radio |
| ed_6a | Eating_Disorder | 6a. Is lowest weight (question 3) more than table entry for height, gender and … | Radio |
| ept28 | Ept_Test | Ept 28 neutral | Radio |
| ept30 | Ept_Test | Ept 30 sad | Radio |
| ept40 | Ept_Test | Ept 40 sad | Radio |
| ess_5 | Epworth_Sleepiness_Scale | Lying down to rest in the afternoon when circumstances permit | Radio |
| relationships_father_7 | Experiences_In_Close_Relationships_Questionnairefa | I feel comfortable sharing my private thoughts and feelings with my father. | Radio |
| relationships_mother_14 | Experiences_In_Close_Relationships_Questionnairemo | Sometimes my mother changes her feelings about me for no apparent reason. | Radio |
| relationships_mother_21 | Experiences_In_Close_Relationships_Questionnairemo | My mother only seems to notice me when i'm angry. | Radio |
| relationships_mother_36 | Experiences_In_Close_Relationships_Questionnairemo | My mother really understands me and my needs. | Radio |
| relationships_mother_5 | Experiences_In_Close_Relationships_Questionnairemo | When my mother is out of sight, i worry that she might forget about what i need. | Radio |
| relationships_partner_6 | Experiences_In_Close_Relationships_Questionnairepa | I worry a lot about my relationships. | Radio |
| f109 | F_Anxiety_Disorders | Number of months prior to interview when last had a symptom of specific phobia | Text |
| f127 | F_Anxiety_Disorders | <div class="rich-text-field-label"><p class="p1"><span style="font-weight: norm… | Text |
| f142 | F_Anxiety_Disorders | Symptoms characteristic of an anxiety disorder...predominate...but do not meet … | Dropdown |
| f144_a | F_Anxiety_Disorders | <div class="rich-text-field-label"><p>just before you began having (<span style… | Notes |
| f21_gmc | F_Anxiety_Disorders | If there is any indication that panic attacks may be secondary (i.e., a direct … | Radio |
| f23 | F_Anxiety_Disorders | <div class="rich-text-field-label"><p><span style="color: #e03e2d;">criterion a… | Text |
| f3_a | F_Anxiety_Disorders | <div class="rich-text-field-label"><p>...did your heart race, pound or skip?</p… | Notes |
| f4_a | F_Anxiety_Disorders | ...did you sweat? | Notes |
| f5 | F_Anxiety_Disorders | Trembling or shaking. | Dropdown |
| f50_b | F_Anxiety_Disorders | <div class="rich-text-field-label"><p>(were you afraid that it might be hard fo… | Notes |
| f54 | F_Anxiety_Disorders | The fear, anxiety, or avoidance is persistent, typically lasting for 6 months o… | Dropdown |
| f54_logic | F_Anxiety_Disorders | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| f60_b | F_Anxiety_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| f60_c | F_Anxiety_Disorders | <div class="rich-text-field-label"><p style="padding-left: 80px;"><em><span sty… | Notes |
| f70 | F_Anxiety_Disorders | The social situations almost always provoke fear or anxiety. | Dropdown |
| f75 | F_Anxiety_Disorders | [primary anxiety disorder:] the fear, anxiety, or avoidance is not attributable… | Dropdown |
| f80 | F_Anxiety_Disorders | [during the past 6 months,] the social situations are avoided or endured with i… | Dropdown |
| f91 | F_Anxiety_Disorders | The phobic situation(s) is actively avoided, or endured with intense fear or an… | Dropdown |
| faces_15 | Family_Adaptability_And_Cohesion_Evaluation_Scale | We have difficulty thinking of things to do as a family. | Radio |
| faces_6 | Family_Adaptability_And_Cohesion_Evaluation_Scale | Children have a say in their discipline. | Radio |
| sldi_chronicity | Feature_Of_Illness_Since_The_Last_Diagnostic_Inter | Chronicity of substance abuse (since affective onset) | Radio |
| sldi_first_degree_with_bipolar | Feature_Of_Illness_Since_The_Last_Diagnostic_Inter | First degree with bipolar | Checkbox |
| sldi_second_degree_nmd | Feature_Of_Illness_Since_The_Last_Diagnostic_Inter | Second degree with other non-mood disorder | Checkbox |
| display | G_Obsessive_Compulsive_And_Related_Disorders | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| g29 | G_Obsessive_Compulsive_And_Related_Disorders | <div class="rich-text-field-label"><p>criteria a: obsessions, compulsions, preo… | Dropdown |
| g40_sum | G_Obsessive_Compulsive_And_Related_Disorders | Number of substance/medication-induced obsessive-compulsive and related disord… | Calculation |
| gas_1 | Global_Assessment_Scale | Is the subject hospitalized? | Radio |
| f150_d | Gmcsubstance_For_Anxiety_Symptoms | <div class="rich-text-field-label"><p>how did (<span style="font-weight: normal… | Notes |
| a195 | Gmcsubstance_For_Bipolar_And_Depressive_Symptoms | A. A prominent and persistent period of abnormally elevated, expansive, or irri… | Dropdown |
| a210_notes | Gmcsubstance_For_Bipolar_And_Depressive_Symptoms | <div class="rich-text-field-label"><p><em><span style="font-weight: normal;">co… | descriptive |
| a216 | Gmcsubstance_For_Bipolar_And_Depressive_Symptoms | If symptoms not temporally associated with substance/medication use, check here… | Radio |
| a218_logic_2 | Gmcsubstance_For_Bipolar_And_Depressive_Symptoms | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| a220_c | Gmcsubstance_For_Bipolar_And_Depressive_Symptoms | <div class="rich-text-field-label"><p>how have <span style="font-weight: normal… | Notes |
| c70_notes | Gmcsubstance_For_Psychotic_Symptoms | <div class="rich-text-field-label"><p><span style="font-weight: normal;"><i>ask… | descriptive |
| c75_logic2 | Gmcsubstance_For_Psychotic_Symptoms | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| hamd_20 | Hamd | <u>20. Paranoid symptoms</u> <font size=2 color="#871f78">this past week, have… | Radio |
| hamd_note | Hamd | Note | Notes |
| i11 | I_Eating_Disorders | Indicate type of remission by selecting the appropriate number 1 -in partial r… | Dropdown |
| i18_sum | I_Eating_Disorders | Sum of a.1 and a.2 coded "3" | Calculation |
| i55_a | I_Eating_Disorders | <div class="rich-text-field-label"><p>when did you last have <span style="font-… | Notes |
| tobacco_marijuana_and_viol | Interviewers_Reliability_Assessment | Tobacco, marijuana and violent behavior | Radio |
| adhd_3_a | K_Adult_Attention_Deficit_Hyperactivity_Disorder | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| k12 | K_Adult_Attention_Deficit_Hyperactivity_Disorder | Criteria 1 - i: is often forgetful in everyday activities (e.g., doing chores, … | Dropdown |
| k15_a | K_Adult_Attention_Deficit_Hyperactivity_Disorder | <div class="rich-text-field-label"><p style="padding-left: 40px;">...have you o… | Notes |
| k18_a | K_Adult_Attention_Deficit_Hyperactivity_Disorder | <div class="rich-text-field-label"><p style="padding-left: 40px;">...have you o… | Notes |
| k25_a | K_Adult_Attention_Deficit_Hyperactivity_Disorder | <div class="rich-text-field-label"><p>how old were you when you started having … | Notes |
| k25_b | K_Adult_Attention_Deficit_Hyperactivity_Disorder | Tell me about that. (did teachers complain that you were not paying attention … | Notes |
| k27_e | K_Adult_Attention_Deficit_Hyperactivity_Disorder | <div class="rich-text-field-label"><p>have <span style="font-weight: normal;">(… | Notes |
| k4_a | K_Adult_Attention_Deficit_Hyperactivity_Disorder | <div class="rich-text-field-label"><p style="padding-left: 40px;">...have you o… | Notes |
| l1 | L_Trauma_And_Stress_Or_Related_Disorders | <div class="rich-text-field-label"><p>have you ever been in a life threatening … | yesno |
| l101 | L_Trauma_And_Stress_Or_Related_Disorders | Criteria b5 (lifetime): marked physiological reactions to internal or external … | Dropdown |
| l104_sum | L_Trauma_And_Stress_Or_Related_Disorders | Past month : sum of items coded '3' between criteria b1 and b 4 | Calculation |
| l111_a | L_Trauma_And_Stress_Or_Related_Disorders | ...have you been unable to remember some important part of what happened? (tel… | Notes |
| l118_a | L_Trauma_And_Stress_Or_Related_Disorders | <div class="rich-text-field-label"><p><em><span style="font-weight: normal;">if… | Notes |
| l127_b | L_Trauma_And_Stress_Or_Related_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| l136 | L_Trauma_And_Stress_Or_Related_Disorders | Criteria e5 (past month): problems with concentration. | Dropdown |
| l142_f | L_Trauma_And_Stress_Or_Related_Disorders | <div class="rich-text-field-label"><p><em><span style="font-weight: normal;">if… | Notes |
| l7 | L_Trauma_And_Stress_Or_Related_Disorders | <div class="rich-text-field-label"><p><em><span style="font-weight: normal;">if… | Notes |
| l88 | L_Trauma_And_Stress_Or_Related_Disorders | Criteria a1: directly experiencing the traumatic event(s). | Dropdown |
| trauma_hx | L_Trauma_And_Stress_Or_Related_Disorders | <div class="rich-text-field-label"><p>did any of these happen in the past month… | yesno |
| trauma_hx_display2 | L_Trauma_And_Stress_Or_Related_Disorders | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| leosr_15 | Life_Events_Occurrence_Survey | Miscarriage or still birth. | Checkbox |
| leosr_4 | Life_Events_Occurrence_Survey | Laid off, fired, quit, or extended leave. | Checkbox |
| lfq_11 | Life_Functioning_Questionnaire | Time: amount of time spent at work, school, etc | Radio |
| lfq_17 | Life_Functioning_Questionnaire | Did any of the following factors cause you difficulties at work this month, or … | Checkbox |
| lfq_17_other | Life_Functioning_Questionnaire | Other, please specify | Text |
| lfq_d | Life_Functioning_Questionnaire | N/A | Checkbox |
| md_21_1_spec | Major_Depression | If yes: (<h6 style="background-color:#da70d6">interviewer</h6>: list the drugs … | Text |
| md_30 | Major_Depression | Rdc minor role dysfunction if no change in question 29: was your functioning in… | Radio |
| md_54_1 | Major_Depression | 1. If yes: were you using any street drugs at the time that you experienced the… | Radio |
| md_54_c | Major_Depression | 54c. If yes: how long did they last after your mood returned to normal? | Text |
| md_57_spec | Major_Depression | If yes: specify | Text |
| md_66 | Major_Depression | Did this episode begin shortly after you started taking any prescribed medicati… | Radio |
| md_68_a | Major_Depression | 68a. Did this episode follow decreased use of alcohol? | Radio |
| md_68a_spec | Major_Depression | If yes: specify: | Text |
| were_these_voices_definite | Major_Depression | 2.d. Were these voices definitely different from your own thoughts? | Radio |
| did_most_of_your_manic_epi | Maniahypomania | [if not clear]: 70. Did most of your manic episodes begin with a period of slee… | Radio |
| mh_32_specify | Maniahypomania | Another episode of mania should be rated if there is a current episode that was… | Notes |
| mh_3b_days | Maniahypomania | 3b. How long did that period last? | Text |
| mh_40_spec | Maniahypomania | If yes: specify: | Text |
| mh_47 | Maniahypomania | Did you seek or receive help from a doctor or other professionals? | Radio |
| mh_61c | Maniahypomania | 61c. Age at first "clean" manic periods | Text |
| mh_67a | Maniahypomania | 67a. How many nights? | Text |
| mh_8 | Maniahypomania | Did your thoughts race or did you talk so fast that it was difficult for people… | Radio |
| details_if_yes_for_th2_0f7 | Medical_History_Digs | Additional details: if yes for the above condition | Text |
| medical_historycsv_notes | Medical_History_Digs | Notes | Notes |
| mh_birth_dev | Medical_History_Digs | Was your own birth or early development abnormal in any way if no, skip to q8. | Radio |
| mh_can_age | Medical_History_Digs | Age of onset | Text |
| mh_epi_details | Medical_History_Digs | Additional details: if yes for the above condition | Text |
| mh_goi_details | Medical_History_Digs | Additional details: if yes for the above condition | Text |
| mh_emp_details | Medical_History_Scid | Additional details: if yes for the above condition | Notes |
| mh_epi_details | Medical_History_Scid | Additional details: | Notes |
| mh_head | Medical_History_Scid | Head injury | Radio |
| mh_meno | Medical_History_Scid | Have you gone through menopause? | Radio |
| mh_mig_age | Medical_History_Scid | Age of onset | Text |
| mh_preg_emo_spec | Medical_History_Scid | Specify | Notes |
| mh_section_1_end | Medical_History_Scid | Additional details for medical conditions: | Notes |
| mctq_12 | Munich_Chronotype_Questionnaire | If i get back to sleep, i sleep for another ______ minutes <font size="1"> ente… | Text |
| mctq_23b_hours | Munich_Chronotype_Questionnaire | Hours | Dropdown |
| op15_d | Overview | <div class="rich-text-field-label"><p>5. <em><span style="font-weight: normal;"… | Notes |
| op16_b1 | Overview | <div class="rich-text-field-label"><p>3 a. <em><span style="font-weight: normal… | Notes |
| op21_lifetime | Overview | Lifetime: | Dropdown |
| op22_d1 | Overview | <div class="rich-text-field-label"><p>5 a. <em><span style="font-weight: normal… | Notes |
| op_alcohol_2 | Overview | Over your lifetime, when were you drinking the most? (during that time, how mu… | Notes |
| op_military_n | Overview | 15 a. If no: were you ever rejected for military service? why? | Dropdown |
| opd_3 | Overview_Of_Psychiatric_Disturbance | Has there ever been a period of time when you were unable to work, go to school… | Radio |
| seconal_secobarbital | Overview_Of_Psychiatric_Disturbance | Seconal (secobarbital) | Checkbox |
| pf_10 | Participant_Feedback | Do you like it? | yesno |
| pg_4 | Pathological_Gambling | Did/do you become restless or irritable if you are unable to gamble? | Radio |
| phq9_1b | Patient_Health_Questionnaire_9 | B. Feeling down, depressed, or hopeless | Radio |
| phq9_4 | Patient_Health_Questionnaire_9 | Are you having any side effects from your psychiatric medication? | Radio |
| phq9_notes | Patient_Health_Questionnaire_9 | Notes | Notes |
| phq_date | Patient_Health_Questionnaire_9 | Survey date | Text |
| psqi_4 | Pittsburgh_Sleep_Quality_Index | During the past month, how many hours of <u>actual sleep</u> did you get at nig… | Text |
| psy_11 | Psychosis | Have you ever believed that another person was in love with you when there was … | Radio |
| psy_12 | Psychosis | Have you ever seen things in magazines or on tv that seem to refer specifically… | Radio |
| psy_15 | Psychosis | Have you ever felt that thoughts that were not your own were being put into you… | Radio |
| psy_26 | Psychosis | Have you ever had unusual sensation or other strange feelings in your body whem… | Radio |
| psy_47d1 | Psychosis | <h6 style="background-color:#ff7733">prodromal period</h6> - neglect grooming, … | Radio |
| psy_47g1 | Psychosis | <h6 style="background-color:#ff7733">prodromal period</h6> - have unusual belie… | Radio |
| psy_47g2 | Psychosis | <h6 style="background-color:#c1ff33">residual period</h6>: have unusual beliefs… | Radio |
| psy_59 | Psychosis | Did the (delusions or hallucinations) correspond to either of the depressive ep… | Radio |
| spaq_10_fall | Seasonal_Pattern_Assessment_Questionnaire | Fall | Text |
| spaq_8b | Seasonal_Pattern_Assessment_Questionnaire | B. Gain most weight | Checkbox |
| sighd_a6 | Sighd | <u>hypersomnia</u> <font size=2 color="#871f78">have you been sleeping more th… | Radio |
| sb_1 | Suicidal_Behavior | Have you ever tried to kill yourself? if no, skip to question 13 | Radio |
| sb_14_5 | Suicidal_Behavior | Psychosis | Radio |
| comments_tomm | Test_Of_Memory_Malingering | Tomm comments | Notes |
| have_you_often_been_under | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Have you often been under the effects of (drugs) in a situation where it increa… | Checkbox |
| oth_3 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Others | Radio |
| sed_14 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Sedatives | Radio |
| sed_3 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Sedatives | Radio |
| tmd_114 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | How old were you | Text |
| tmd_164 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | 53e. Other drugs? | Text |
| tmd_33d | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | 33d. How old were you at time? | Text |
| tmd_97 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | How many times have you use (drug) in your life? | Text |
| med_current | Touch_Point_Medications | Medication current (consolidated from multiple medication entries) | yesno |
| waic_2 | Working_Alliance_Inventory | What i am doing in treatment gives me new ways of looking at my problem. | Radio |