Request Data
Important Information
Request Process
-
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.
-
Regulatory Requirements
If approved, you will need to complete appropriate documentation (Data Use Agreement, Memorandum of Understanding, or IRB application/amendment) before receiving data.
-
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.
-
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
-
Researcher Information
Please provide complete details about your position, institution, and contact information, including the name of the Principal Investigator.
-
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.
-
Timeline
Specify when you need the data and the expected duration of your project. This helps us prioritize requests and plan our resources accordingly.
-
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 277 variables for your request.
Review your selected variables below before submitting your request.
| Variable Name | Form | Description | Type |
|---|---|---|---|
| a137 | A_Mood_Episodes_W_Specifiers | F. The symptoms cause clinically significant distress or impairment in social, … | Dropdown |
| a137_b | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p>how have mood swings affected your relati… | Notes |
| a17_a | A_Mood_Episodes_W_Specifiers | ...have things been so bad that you thought a lot about death or that you would… | Notes |
| a1_b | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| a2 | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p><span style="font-weight: normal;">2. Mar… | Dropdown |
| a46 | A_Mood_Episodes_W_Specifiers | Specific plan | Radio |
| a49 | A_Mood_Episodes_W_Specifiers | B. The symptoms cause clinically significant distress or impairment in social, … | Dropdown |
| a49_f | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p><em><span style="font-weight: normal;">if… | Notes |
| a50_gmc | A_Mood_Episodes_W_Specifiers | If there is any indication that the depression may be secondary (i.e., a direct… | Radio |
| a50_h | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| a50_logic2 | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| a53_a | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p>how many separate times in your life have… | Notes |
| a67_sum | A_Mood_Episodes_W_Specifiers | <div class="rich-text-field-label"><p>number of items a.58-a.66 coded "3".</p><… | Calculation |
| a69_gmc | A_Mood_Episodes_W_Specifiers | If there is any indication that mania may be secondary (i.e., a direct physiolo… | Radio |
| a78 | A_Mood_Episodes_W_Specifiers | Flight of ideas or subjective experience that thoughts are racing. | Dropdown |
| a79_a | A_Mood_Episodes_W_Specifiers | ...were you so easily distracted by things around you that you had trouble conc… | Notes |
| a90_f | A_Mood_Episodes_W_Specifiers | Just before this began, were you drinking or using any drugs? | Notes |
| as39 | A_Mood_Episodes_W_Specifiers | Marked psychomotor agitation or retardation. | Dropdown |
| as45_notes | A_Mood_Episodes_W_Specifiers | On most of the days that you have been feeling depressed... | descriptive |
| as62 | A_Mood_Episodes_W_Specifiers | Prominent dysphoria or depressed mood as indicated by either subjective report … | Dropdown |
| aa_or_self_help | Alcohol_Abuse_And_Dependence | Aa or self help | Radio |
| alcohol_abuse_and_dependencecsv_notes | Alcohol_Abuse_And_Dependence | Notes | Notes |
| other | Alcohol_Abuse_And_Dependence | Other | Radio |
| audit_1_marijuana | Alcohol_Use_Disorders_Identification_Test | Marijuana | Radio |
| audit_other_note | Alcohol_Use_Disorders_Identification_Test | Specify which other drugs you have used | Notes |
| audit_timestamp | Alcohol_Use_Disorders_Identification_Test | Audit timestamp | Text |
| asrm_2 | Altman_Selfrating_Mania_Scale | N/A | Radio |
| ap_1g | Antisocial_Personality | 1g. Did you physically hurt another person on purpose (other than in a fight) | Radio |
| ad_18a | Anxiety_Disorder | 18a. After having an attack, have you been afraid of having another one? | Radio |
| ad_18b | Anxiety_Disorder | 18b. Have you been worried about the implications or consequences of the attack? | Radio |
| ad_1b | Anxiety_Disorder | 1b. What did you do about them? | Text |
| ad_23 | Anxiety_Disorder | How old were you when you last time had a panic attack? | Text |
| ad_30b1 | Anxiety_Disorder | 30b1. <h6 style="background-color:#da70d6">interviewer</h6>: did the avoidant b… | Radio |
| ad_32 | Anxiety_Disorder | Were you more anxious than you should have been? | descriptive |
| ad_33a | Anxiety_Disorder | 33a. Were you greatly upset about having the fear? | descriptive |
| ad_diag_1 | Anxiety_Disorder | Diagnostic criteria for obsessive compulsive disorder | Checkbox |
| ad_diag_po | Anxiety_Disorder | Diagnostic criteria for panic disorder | Checkbox |
| ad_13_desc | Anxiety_Disorders | Diagnostic criteria for social phobia | Checkbox |
| audit_f8 | Audit_Full | How often during the last year have you been unable to remember what happened t… | Radio |
| b40_b | B_And_C_Psychotic_And_Associated_Symptoms | <div class="rich-text-field-label"><p><i><span style="font-weight: normal;">if … | Notes |
| b40_c | B_And_C_Psychotic_And_Associated_Symptoms | <div class="rich-text-field-label"><p style="padding-left: 40px;"><span style="… | Notes |
| b48_catatonic_month | B_And_C_Psychotic_And_Associated_Symptoms | Offset (months) | Dropdown |
| b48_disorgspeech_year | B_And_C_Psychotic_And_Associated_Symptoms | Offset (year) | Text |
| c2_logic2 | B_And_C_Psychotic_And_Associated_Symptoms | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| c3_hallucinations | B_And_C_Psychotic_And_Associated_Symptoms | Number of hallucination sxs endorsed: | Text |
| c56_a | B_And_C_Psychotic_And_Associated_Symptoms | <div class="rich-text-field-label"><p><strong>how old were you when you first h… | Notes |
| bis_19 | Barratt_Impulsiveness_Scale | I act on the spur of the moment. | Radio |
| bc22 | Bc_Psychotic_Screening | <div class="rich-text-field-label"><p><span style="font-weight: normal;"><em>ex… | Notes |
| bc3 | Bc_Psychotic_Screening | Grandiose delusion, i.e., content involves inflated worth, power, knowledge ide… | Dropdown |
| aggression_3 | Brown_Goodwin_Aggression_History | Adult (age 18 and above) | Radio |
| aggression_32 | Brown_Goodwin_Aggression_History | Adolescent | Radio |
| aggression_4 | Brown_Goodwin_Aggression_History | Child | Radio |
| ca_1b1_weeks | Commorbidity_Assessment | 1b1. If yes: for how long were you using (alcohol/drugs) heavily right before y… | Text |
| ctq_10 | Ctq | There was nothing i wanted to change about my family | Radio |
| d12 | D_Mood_Disorders | At least two major depressive episodes in the past two years (including current… | Dropdown |
| d12_a | D_Mood_Disorders | <div class="rich-text-field-label"><p><em><span style="font-weight: normal;">if… | Notes |
| d15 | D_Mood_Disorders | A. There has been a regular temporal relationship between the onset of manic, h… | Dropdown |
| d19 | D_Mood_Disorders | C. In the last 2 years, the individual's manic, hypomanic, or major depressive … | Dropdown |
| d19_b | D_Mood_Disorders | <div class="rich-text-field-label"><p><i></i><span style="font-weight: normal;"… | Notes |
| d20_a | D_Mood_Disorders | <div class="rich-text-field-label"><p><i></i><span style="font-weight: normal;"… | Notes |
| d21 | D_Mood_Disorders | Symptoms characteristic of a bipolar and related disorder...predominate...but d… | Dropdown |
| d22_c | D_Mood_Disorders | <div class="rich-text-field-label"><p><strong>how have </strong>(<span style="f… | Notes |
| d22_e | D_Mood_Disorders | <div class="rich-text-field-label"><p><strong>have </strong>(<span style="font-… | Notes |
| d23 | D_Mood_Disorders | [primary other specified bipolar disorder: not attributable to the physiologica… | Dropdown |
| d32 | D_Mood_Disorders | Indicate month of regular onset of episode | Dropdown |
| d36_logic | D_Mood_Disorders | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| d4 | D_Mood_Disorders | Indicate type of current (or most recent) episode: | Dropdown |
| demo_child_6_sex | Demographics | Sex of child 6 | Dropdown |
| demo_health_insurance | Demographics | What kind of health insurance do you currently have? | Checkbox |
| dudit_c_drug_list | Dudit_C | For a list of substances download this link: | descriptive |
| e109_b | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| e110 | E_Substance_Use_Disorders | Criteria 8: recurrent substance use in situations in which it is physically haz… | Dropdown |
| e119_a | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>has your use of <span style="font-weight:… | Notes |
| e122 | E_Substance_Use_Disorders | Criteria 9: substance use is continued despite knowledge of having a persistent… | Dropdown |
| e134 | E_Substance_Use_Disorders | Criteria 11: withdrawal, as manifested by either of the following: a. The cha… | Dropdown |
| e145 | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p><span style="color: #e03e2d;">indicate se… | Text |
| e146 | E_Substance_Use_Disorders | Pcp: at least two substance use disorder items coded "3" for the past 12 months | Text |
| e155 | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>opioids:</p> <p><em><span style="font-wei… | Notes |
| e162_opiod | E_Substance_Use_Disorders | Opioid: in a controlled environment: if the individual is [currently] in an env… | Radio |
| e184 | E_Substance_Use_Disorders | Pcp: age at onset | Text |
| e211_year | E_Substance_Use_Disorders | Pcp: year | Text |
| e212_month | E_Substance_Use_Disorders | Hallucinogens: month | Dropdown |
| e224 | E_Substance_Use_Disorders | Criteria 2: there is a persistent desire or unsuccessful efforts to cut down or… | Dropdown |
| e227_b | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| e22_b | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;">if no: what a… | Notes |
| e237 | E_Substance_Use_Disorders | Criteria 3: a great deal of time is spent in activities necessary to obtain the… | Dropdown |
| e248_a | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>during<span style="font-weight: normal;">… | Notes |
| e26_e | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| e282 | E_Substance_Use_Disorders | Criteria 9: substance use is continued despite knowledge of having a persistent… | Dropdown |
| e282_b | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>did your use of <span style="font-weight:… | Notes |
| e283_b | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>did your use of <span style="font-weight:… | Notes |
| e285_a | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>during<span style="font-weight: normal;">… | Notes |
| e285_b | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>did your use of <span style="font-weight:… | Notes |
| e286_a | E_Substance_Use_Disorders | During (12-month period), did you need to use much more (drug) in order to get … | Notes |
| e289 | E_Substance_Use_Disorders | Criteria 10: tolerance, as defined by either of the following: a. A need for… | Dropdown |
| e290_c | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| e291_b | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| e297_a | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>during (<span style="font-weight: normal;… | Notes |
| e33 | E_Substance_Use_Disorders | At least two alcohol use disorder items coded "3" during the same 12-month-per… | Text |
| e336 | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>inhalants:<br /><br /><em><span style="fo… | Notes |
| e37_a | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>how old were you when you first had<span … | Notes |
| e39 | E_Substance_Use_Disorders | Sedative/hypnotic/anx | Text |
| e40 | E_Substance_Use_Disorders | Cannabis | Text |
| e41 | E_Substance_Use_Disorders | Stimulants | Text |
| e46 | E_Substance_Use_Disorders | Other/unknown | Text |
| e57 | E_Substance_Use_Disorders | Criteria 1: the substance is often taken in larger amounts or over a longer per… | Dropdown |
| e57_b | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| e6 | E_Substance_Use_Disorders | Criteria 5: recurrent alcohol use resulting in a failure to fulfill major role … | Dropdown |
| e61_a | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p>during the past year, have you wanted to … | Notes |
| e64_c | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p style="padding-left: 40px;"><em><span sty… | Notes |
| e77 | E_Substance_Use_Disorders | Criteria 4: craving, or a strong desire or urge to use the substance. | Dropdown |
| e89 | E_Substance_Use_Disorders | Criteria 5: recurrent substance use resulting in a failure to fulfill major ro… | Dropdown |
| e90_c | E_Substance_Use_Disorders | <div class="rich-text-field-label"><p style="padding-left: 80px;"><em><span sty… | Notes |
| e96 | E_Substance_Use_Disorders | Criteria 6: continued substance use despite having persistent or recurrent soci… | Dropdown |
| ed_19_spec | Eating_Disorder | If yes: specify | Text |
| ed_2 | Eating_Disorder | At that time, had you lost a lot of weight on purpose or was it while you were … | Radio |
| ed_23 | Eating_Disorder | How old were you when you first binged and compensatory behavior/s regularly? | Text |
| ed_weight_chart | Eating_Disorder | N/A | descriptive |
| fasting | Eating_Disorder | Fasting | Radio |
| ept3 | Ept_Test | Ept 3 fear | Radio |
| relationships_father_1 | Experiences_In_Close_Relationships_Questionnairefa | I often worry that my father doesn't really love me. | Radio |
| relationships_father_10 | Experiences_In_Close_Relationships_Questionnairefa | It's not difficult for me to get close to my father. | Radio |
| relationships_father_17 | Experiences_In_Close_Relationships_Questionnairefa | I prefer not to be too close to my father. | Radio |
| relationships_father_5 | Experiences_In_Close_Relationships_Questionnairefa | When my father is out of sight, i worry that he might forget about what i need. | Radio |
| relationships_mother_23 | Experiences_In_Close_Relationships_Questionnairemo | I am very comfortable being close to my mother. | Radio |
| relationships_mother_27 | Experiences_In_Close_Relationships_Questionnairemo | I worry a lot about my relationship with my mother. | Radio |
| relationships_mother_36 | Experiences_In_Close_Relationships_Questionnairemo | My mother really understands me and my needs. | Radio |
| ecrp_notes | Experiences_In_Close_Relationships_Questionnairepa | Notes | Notes |
| f101 | F_Anxiety_Disorders | Age at onset of specific phobia (code -999 if unknown) | Text |
| f101_a | F_Anxiety_Disorders | <div class="rich-text-field-label"><p><em><span style="font-weight: normal;">if… | Notes |
| f112_logic | F_Anxiety_Disorders | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| f118 | F_Anxiety_Disorders | Muscle tension | Dropdown |
| f121_e | F_Anxiety_Disorders | <div class="rich-text-field-label"><p>has your anxiety or worry affected any ot… | Notes |
| f122_gmc | F_Anxiety_Disorders | If there is any indication that the anxiety may be secondary (i.e., a direct ph… | Radio |
| f132_a | F_Anxiety_Disorders | <div class="rich-text-field-label"><p>...did you often have trouble concentrati… | Notes |
| f16_logic2 | F_Anxiety_Disorders | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| f20_logic | F_Anxiety_Disorders | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| f70_a | F_Anxiety_Disorders | <div class="rich-text-field-label"><p>have you almost always felt frightened wh… | Notes |
| f75_d | F_Anxiety_Disorders | <div class="rich-text-field-label"><p>just before (<span style="font-weight: no… | Notes |
| f82_logic | F_Anxiety_Disorders | <div class="rich-text-field-label"><table style="border-collapse: collapse; wid… | descriptive |
| f88_d | F_Anxiety_Disorders | <div class="rich-text-field-label"><p>tell me about that.</p></div> | Notes |
| f97_a | F_Anxiety_Disorders | <div class="rich-text-field-label"><p>during the past 6 months, since (<span st… | Notes |
| faces_15 | Family_Adaptability_And_Cohesion_Evaluation_Scale | We have difficulty thinking of things to do as a family. | Radio |
| sldi_gen_impact_of_ill | Feature_Of_Illness_Since_The_Last_Diagnostic_Inter | General impact of illness on life functioning | Radio |
| sldi_ind_of_psych_episode | Feature_Of_Illness_Since_The_Last_Diagnostic_Inter | Independence of psychosis episode | Radio |
| sldi_mixed_episode | Feature_Of_Illness_Since_The_Last_Diagnostic_Inter | Mixed episodes | Radio |
| ftnd_st_4 | Ftndst | How many cans/pouches per week do you use? | Radio |
| g10 | G_Obsessive_Compulsive_And_Related_Disorders | Criteria b:the obsessions or compulsions are time consuming (e.g., take more th… | Dropdown |
| g22 | G_Obsessive_Compulsive_And_Related_Disorders | Age at onset of obsessive compulsive disorder (code 999 if unknown) | Text |
| gad_7 | Generalized_Anxiety_Disorder_Scale | Feeling afraid as if something awful might happen | Radio |
| f157_d | Gmcsubstance_For_Anxiety_Symptoms | <div class="rich-text-field-label"><p style="padding-left: 80px;"><em><span sty… | Notes |
| a213 | Gmcsubstance_For_Bipolar_And_Depressive_Symptoms | Depressive disorder due to amc criteria a, b/c, and e are coded "3." | Text |
| a219_d | Gmcsubstance_For_Bipolar_And_Depressive_Symptoms | <div class="rich-text-field-label"><p style="padding-left: 80px;"><em><span sty… | Notes |
| i16 | I_Eating_Disorders | Criteria a.2: a sense of lack of control over eating during the episode (e.g., … | Dropdown |
| i17_a | I_Eating_Disorders | During those times, how much did you eat? over what period of time? what's th… | Notes |
| i19 | I_Eating_Disorders | Past 3 months: | Dropdown |
| k12_notes | K_Adult_Attention_Deficit_Hyperactivity_Disorder | In the past 6 months... | descriptive |
| k14 | K_Adult_Attention_Deficit_Hyperactivity_Disorder | Criteria 2 - a: often fidgets with or taps hands or feet or squirms in seat. | Dropdown |
| k15_a | K_Adult_Attention_Deficit_Hyperactivity_Disorder | <div class="rich-text-field-label"><p style="padding-left: 40px;">...have you o… | Notes |
| k20 | K_Adult_Attention_Deficit_Hyperactivity_Disorder | Criteria2 - g.often blurts out an answer before a question has been completed (… | Dropdown |
| k21_a | K_Adult_Attention_Deficit_Hyperactivity_Disorder | <div class="rich-text-field-label"><p style="padding-left: 40px;">...have you o… | Notes |
| k29 | K_Adult_Attention_Deficit_Hyperactivity_Disorder | Criteria a, b, c, d, and e are coded "3" | Text |
| k7 | K_Adult_Attention_Deficit_Hyperactivity_Disorder | Criteria 1 - d: often does not follow through on instructions and fails to fini… | Dropdown |
| k9_a | K_Adult_Attention_Deficit_Hyperactivity_Disorder | <div class="rich-text-field-label"><p style="padding-left: 40px;">...have you t… | Notes |
| l125 | L_Trauma_And_Stress_Or_Related_Disorders | Lifetime: at least three "d" sxs are coded "3." | Text |
| l127_a | L_Trauma_And_Stress_Or_Related_Disorders | ...have you lost control of your anger, so that you threatened or hurt someone … | Notes |
| l128_a | L_Trauma_And_Stress_Or_Related_Disorders | <div class="rich-text-field-label"><p><em><span style="font-weight: normal;">if… | Notes |
| l129 | L_Trauma_And_Stress_Or_Related_Disorders | Criteria e2 (lifetime) : reckless or self-destructive behavior. | Dropdown |
| l147 | L_Trauma_And_Stress_Or_Related_Disorders | Age at onset of posttraumatic stress disorder | Text |
| l149 | L_Trauma_And_Stress_Or_Related_Disorders | Indicate type: (select he appropriate number) 1 - with dissociative symptoms:… | Dropdown |
| leosr_1 | Life_Events_Occurrence_Survey | Started a new job, or change in job. | Checkbox |
| leosr_14_disruption | Life_Events_Occurrence_Survey | Level of disruption 14. Abortion | Radio |
| lfq_1 | Life_Functioning_Questionnaire | Time: amount of time spent with friends | Radio |
| lfq_32_specify | Life_Functioning_Questionnaire | Other, please specify: | Text |
| lfq_7 | Life_Functioning_Questionnaire | Time: amount of time spent performing | Radio |
| lfq_c | Life_Functioning_Questionnaire | N/A | Checkbox |
| lfq_c_difficulty | Life_Functioning_Questionnaire | If you are having any difficulty, what do you think is the cause? | Text |
| lfq_stopwork_5creason | Life_Functioning_Questionnaire | 6c explanation: | Text |
| major_depressioncsv_notes | Major_Depression | Notes: | Notes |
| md_37a9_weeks | Major_Depression | 37a9. How long were these symptoms present | Text |
| md_70a5 | Major_Depression | 72a5. Needing less sleep - energetic after little or no sleep | Radio |
| md_70a6 | Major_Depression | 72a6. Attention distracted by unimportant things | Radio |
| md_77 | Major_Depression | Did you ever feel high or were you overactive following medical treatment for d… | Radio |
| md_desc3 | Major_Depression | <h6 style="background-color:#da70d6">interviewer</h6>: the following illnesses,… | descriptive |
| being_unable_to_think_or_r | Maniahypomania | 31a7. Being unable to think or retain written information | Radio |
| mf_25_spec | Maniahypomania | Improvement in function. Specify: | Notes |
| mh_16c | Maniahypomania | 16c. If yes: how long did they last after your mood returned to normal? | Text |
| mh_19 | Maniahypomania | Did you seek or receive help from a doctor or other professionals? | Radio |
| mh_2 | Maniahypomania | Have you been feeling that way recently (i.e. During the past 30 days)? | Radio |
| mh_20_specify | Maniahypomania | If yes: specify: | Text |
| mh_23_a | Maniahypomania | If other: specify | Text |
| mh_24 | Maniahypomania | Was your functioning (in this role) affected? | Radio |
| mh_24_spec | Maniahypomania | If yes: specify: | Text |
| mh_31_10_days | Maniahypomania | 31a.10. How long were these symptoms present? | Text |
| mh_32_a | Maniahypomania | 32a. Is the selected episode also a current episode (in the past 30 days) | Radio |
| mh_32d_weeks | Maniahypomania | 32d. How long did that period last? | Text |
| mh_3_month | Maniahypomania | Think about the most extreme period in your life when you were feeling unusuall… | Text |
| mh_3a | Maniahypomania | 3a. <h6 style="background-color:#da70d6">interviewer</h6>: compute age | Calculation |
| mh_49_b | Maniahypomania | 49b. If yes: for how long (day hospital)? | Text |
| mh_52 | Maniahypomania | Was your functioning (in this role) affected? | Radio |
| mh_52_spec | Maniahypomania | If yes: specify: | Text |
| mh_62c | Maniahypomania | 62c. Age at first "clean" hypomanic period | Text |
| mh_65 | Maniahypomania | How many times were you hospitalized for an episode of mania (inpatient)? | Text |
| mh_cat | Medical_History_Digs | 5b. Head cat scan | Radio |
| mh_abdev | Medical_History_Scid | 5 b. Was your development abnormal in any way, for example did you walk or talk… | Radio |
| mh_allergies | Medical_History_Scid | Allergies | Radio |
| mh_ove_details | Medical_History_Scid | Additional details: | Notes |
| mctq_10_hr | Munich_Chronotype_Questionnaire | Hour: | Text |
| mctq_23a_hr | Munich_Chronotype_Questionnaire | Hours on work days | Text |
| mctq_23b_hours | Munich_Chronotype_Questionnaire | Hours | Dropdown |
| mctq_23b_min | Munich_Chronotype_Questionnaire | Minutes on free days | Text |
| mctq_26 | Munich_Chronotype_Questionnaire | As a teenager, i was | Dropdown |
| mctq_27 | Munich_Chronotype_Questionnaire | In case you are older than 65: in the middle of my life, i was | Dropdown |
| mctq_28 | Munich_Chronotype_Questionnaire | Mother | Dropdown |
| mctq_29 | Munich_Chronotype_Questionnaire | Father | Dropdown |
| mctq_31 | Munich_Chronotype_Questionnaire | My partner is/was... (skip if you do not have a partner) | Dropdown |
| op17_b1 | Overview | <div class="rich-text-field-label"><p>3 a. <em><span style="font-weight: normal… | Notes |
| op17_d | Overview | <div class="rich-text-field-label"><p>5. <em><span style="font-weight: normal;"… | Notes |
| op19_e1 | Overview | <div class="rich-text-field-label"><p>6. A. <em><span style="font-weight: norma… | Notes |
| op21_a | Overview | Over your lifetime, when were you taking (substance) the most? how long did th… | Notes |
| op22_e | Overview | <div class="rich-text-field-label"><p>6.<em><span style="font-weight: normal;">… | Notes |
| op_military_y | Overview | What kind of discharge did you receive? | Dropdown |
| pg_1 | Pathological_Gambling | Have you ever gambled or bet too often or too much? if no, skip to antisocial … | Radio |
| phq9_1e | Patient_Health_Questionnaire_9 | E. Poor appetite or overeating | Radio |
| phq9_4 | Patient_Health_Questionnaire_9 | Are you having any side effects from your psychiatric medication? | Radio |
| psqi_3_min | Pittsburgh_Sleep_Quality_Index | Minutes: | Text |
| psqi_5e | Pittsburgh_Sleep_Quality_Index | 5e) cough or snore loudly | Radio |
| psqi_5i | Pittsburgh_Sleep_Quality_Index | 5i) have pain | Radio |
| post_traumatic_stress_disordercsv_notes | Post_Traumatic_Stress_Disorder | Notes | Notes |
| psy_22 | Psychosis | Have you ver heard sounds or voices other people could not hear? | Radio |
| psy_2a_weeks | Psychosis | 2a. If yes: how long ago did this begin? | Text |
| psy_3a_days | Psychosis | 3a. How long did these symptoms last? | Text |
| psy_42_yes | Psychosis | If yes: specify: | Text |
| psy_47h1 | Psychosis | <h6 style="background-color:#ff7733">prodromal period</h6> - have unsual visual… | Radio |
| psy_47l1 | Psychosis | <h6 style="background-color:#ff7733">prodromal period</h6> - worry that people … | Radio |
| psy_47n | Psychosis | 47n. Was this year typical of your usual self(that is, as subject was prior to … | Radio |
| psy_47o | Psychosis | 47o. How long did you have these experiences after your (active psychotic featu… | Text |
| psy_47p | Psychosis | 47p. Did you return to your usual self(as subject was prior to age of onset of … | Radio |
| psy_48 | Psychosis | Did (delusions or hallucinations) ever occur when you were feeling extremely go… | Radio |
| psy_50 | Psychosis | <h6 style="background-color:#da70d6">interviewer</h6>: specify and code whether… | Radio |
| psy_63a | Psychosis | 63a. If yes: did subject ever meet criterion a for scizophrenia during an episo… | Radio |
| psy_69 | Psychosis | <h6 style="background-color:#da70d6">interviewer</h6>: circle appropriate patte… | Radio |
| pf_hw_1 | Psychosocial_Functioning | What best characterizes your level of impairment in household activities (due t… | Radio |
| rand36_17 | Rand_36_Item_Sf_Health_Survey | 5a. Cut down the amount of time you spent on work or other activities | Radio |
| rand36_33 | Rand_36_Item_Sf_Health_Survey | 11a. I seem to get sick a little easier than other people | Radio |
| rends_3 | Roswell_Ends_Nicotine_Dependence_Scale | Of all the times that you vape, which time would you hate most to give up? | Radio |
| spaq_8d | Seasonal_Pattern_Assessment_Questionnaire | D. Sleep least | Checkbox |
| comments_stroop | Stroop | Stroop comments | Notes |
| as_a_cry_for_help | Suicidal_Behavior | Ever | Radio |
| sb_18_other | Suicidal_Behavior | Other | Radio |
| sb_5 | Suicidal_Behavior | Were you admitted to the hospital after this attempt? | Radio |
| sb_6 | Suicidal_Behavior | Did you want to die? | Radio |
| coc_12 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Cocaine | Radio |
| coc_14 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Cocaine | Radio |
| 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 |
| op_11 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Opiates | Radio |
| op_15 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Opiates | Radio |
| oth_11 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Others | Radio |
| oth_3 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Others | Radio |
| oth_4 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Others | Radio |
| sed_1 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Sedatives | Text |
| sed_3 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Sedatives | Radio |
| sed_7 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Sedatives | Radio |
| tmd_13 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Did you ever have times when you stopped or cut down on smoking and had withdra… | Radio |
| tmd_137 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Tolerance | descriptive |
| tmd_151 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Have you ever been treated for a drug problem? | yesno |
| tmd_17 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Have you ever used marijuana? | Radio |
| tmd_22 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | How old were you the first time any of these things happened? | Text |
| tmd_25 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Have you often wanted to or tried to cut down on marijuana? | Radio |
| tmd_26 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Did you ever try to stop or cut down on marijuana and find you could not? | Radio |
| tmd_2a1_perday | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | # of packs per day | Text |
| tmd_34 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Have you ever used any of these drugs to feel good or high, or to feel more act… | Radio |
| tmd_96 | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | How old were you | Text |
| tmd_now_id_like | Tobacco_Marijuana_And_Other_Drug_Abuse_And_Dependence | Now i'd like you to think about your cigarette smoking throughout your life as … | descriptive |
| med_date | Touch_Point_Medications | Date: | Text |
| waic_12 | Working_Alliance_Inventory | I believe the way that we are working with my problem is correct. | Radio |
| waic_9 | Working_Alliance_Inventory | My treatment provider and i trust one another. | Radio |