English

Problem Recognition Questionnaire (PRQ)

1 forms  
Administrative data
Description

Administrative data

Alias
UMLS CUI-1
C1320722
ID:
Description

ID:

Data type

text

Date:
Description

Date:

Data type

date

Alias
UMLS CUI [1]
C0011008
Please answer whether you disagree or agree with these statements about you by choosing the appropriate answer. Your answers are kept confidential.
Description

Please answer whether you disagree or agree with these statements about you by choosing the appropriate answer. Your answers are kept confidential.

Alias
UMLS CUI-1
C0033213
UMLS CUI-2
C0524637
UMLS CUI-3
C0034394
1. My use of alcohol or drugs has caused many problems in my life
Description

My use of alcohol or drugs has caused many problems in my life

Data type

text

Alias
UMLS CUI [1,1]
C0013146
UMLS CUI [1,2]
C0033213
UMLS CUI [2,1]
C0085762
UMLS CUI [2,2]
C0033213
2. I can quit using alcohol or drugs on my own
Description

I can quit using alcohol or drugs on my own

Data type

text

Alias
UMLS CUI [1,1]
C0013146
UMLS CUI [1,2]
C1947925
UMLS CUI [2,1]
C0085762
UMLS CUI [2,2]
C1947925
3. I am glad to be in the study
Description

I am glad to be in the study

Data type

text

Alias
UMLS CUI [1,1]
C0242428
UMLS CUI [1,2]
C0008972
4. My problems are caused by alcohol or drugs
Description

My problems are caused by alcohol or drugs

Data type

text

Alias
UMLS CUI [1,1]
C0013146
UMLS CUI [1,2]
C0033213
UMLS CUI [2,1]
C0085762
UMLS CUI [2,2]
C0033213
5. I believe I am addicted
Description

I believe I am addicted

Data type

text

Alias
UMLS CUI [1]
C0038586
6. My use of alcohol or drugs has hurt others
Description

My use of alcohol or drugs has hurt others

Data type

text

Alias
UMLS CUI [1,1]
C0013146
UMLS CUI [1,2]
C2707017
UMLS CUI [2,1]
C0085762
UMLS CUI [2,2]
C2707017
7. I want to change my life and get away from alcohol and drugs
Description

I want to change my life and get away from alcohol and drugs

Data type

text

Alias
UMLS CUI [1,1]
C0013146
UMLS CUI [1,2]
C1947925
UMLS CUI [2,1]
C0085762
UMLS CUI [2,2]
C1947925
8. I came to the study on my own
Description

I came to the study on my own

Data type

text

Alias
UMLS CUI [1,1]
C0008972
UMLS CUI [1,2]
C0424093
9. There are many good reasons for me to stop using alcohol or drugs
Description

There are many good reasons for me to stop using alcohol or drugs

Data type

text

Alias
UMLS CUI [1,1]
C0013146
UMLS CUI [1,2]
C1947925
UMLS CUI [2,1]
C0085762
UMLS CUI [2,2]
C1947925
10. I am in the study because of bad luck
Description

I am in the study because of bad luck

Data type

text

Alias
UMLS CUI [1]
C0008972
11. I know why people are so upset about my alcohol or drug use
Description

I know why people are so upset about my alcohol or drug use

Data type

text

Alias
UMLS CUI [1,1]
C0013146
UMLS CUI [1,2]
C2707017
UMLS CUI [2,1]
C0085762
UMLS CUI [2,2]
C2707017
12.I need help for my chemical problems
Description

I need help for my chemical problems

Data type

text

Alias
UMLS CUI [1,1]
C3840284
UMLS CUI [1,2]
C0038586
13.Using alcohol or drugs is a real problem in my life
Description

Using alcohol or drugs is a real problem in my life

Data type

text

Alias
UMLS CUI [1,1]
C0013146
UMLS CUI [1,2]
C0033213
UMLS CUI [2,1]
C0085762
UMLS CUI [2,2]
C0033213
14. I can control my alcohol or drug use
Description

I can control my alcohol or drug use

Data type

text

Alias
UMLS CUI [1,1]
C0013146
UMLS CUI [1,2]
C2587213
UMLS CUI [2,1]
C0085762
UMLS CUI [2,2]
C2587213
15. I have a bad alcohol or drug problem
Description

I have a bad alcohol or drug problem

Data type

text

Alias
UMLS CUI [1,1]
C0013146
UMLS CUI [1,2]
C0033213
UMLS CUI [2,1]
C0085762
UMLS CUI [2,2]
C0033213
16. I came to the study because of school or legal problems
Description

I came to the study because of school or legal problems

Data type

text

Alias
UMLS CUI [1,1]
C0008972
UMLS CUI [1,2]
C0000873
UMLS CUI [2,1]
C0008972
UMLS CUI [2,2]
C0362060
17. It will be a struggle for me to stop using alcohol or drugs
Description

It will be a struggle for me to stop using alcohol or drugs

Data type

text

Alias
UMLS CUI [1,1]
C0013146
UMLS CUI [1,2]
C1947925
UMLS CUI [2,1]
C0085762
UMLS CUI [2,2]
C1947925
18. People sent me to the study to get me out of the way
Description

People sent me to the study to get me out of the way

Data type

text

Alias
UMLS CUI [1,1]
C0008972
UMLS CUI [1,2]
C0557914
19. It’s okay for me to use alcohol or drugs now and then
Description

It’s okay for me to use alcohol or drugs now and then

Data type

text

Alias
UMLS CUI [1,1]
C1879533
UMLS CUI [1,2]
C0013146
UMLS CUI [2,1]
C1879533
UMLS CUI [2,2]
C0085762
20. I need to stop using alcohol or drugs completely
Description

I need to stop using alcohol or drugs completely

Data type

text

Alias
UMLS CUI [1,1]
C0013146
UMLS CUI [1,2]
C1947925
UMLS CUI [2,1]
C0085762
UMLS CUI [2,2]
C1947925
21. I have more important things to do than to go to a study
Description

I have more important things to do than to go to a study

Data type

text

Alias
UMLS CUI [1,1]
C0008972
UMLS CUI [1,2]
C0233496
22. I need help to stop using alcohol or drugs
Description

I need help to stop using alcohol or drugs

Data type

text

Alias
UMLS CUI [1,1]
C0013146
UMLS CUI [1,2]
C1947925
UMLS CUI [1,3]
C3840284
UMLS CUI [2,1]
C0085762
UMLS CUI [2,2]
C1947925
UMLS CUI [2,3]
C3840284
23. I am willing to give up my old friends so I can stop using drugs or drinking
Description

I am willing to give up my old friends so I can stop using drugs or drinking

Data type

text

Alias
UMLS CUI [1,1]
C0013146
UMLS CUI [1,2]
C1947925
UMLS CUI [2,1]
C0085762
UMLS CUI [2,2]
C1947925
24. I was forced into coming to the study
Description

I was forced into coming to the study

Data type

text

Alias
UMLS CUI [1,1]
C0443221
UMLS CUI [1,2]
C0008972
25. I think the study is the best thing for me
Description

I think the study is the best thing for me

Data type

text

Alias
UMLS CUI [1,1]
C0008972
UMLS CUI [1,2]
C0242428
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Similar models

Problem Recognition Questionnaire (PRQ)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
ID:
Item
ID:
text
Date:
Item
Date:
date
C0011008 (UMLS CUI [1])
Item Group
Please answer whether you disagree or agree with these statements about you by choosing the appropriate answer. Your answers are kept confidential.
C0033213 (UMLS CUI-1)
C0524637 (UMLS CUI-2)
C0034394 (UMLS CUI-3)
Item
1. My use of alcohol or drugs has caused many problems in my life
text
C0013146 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2,1])
C0033213 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
1. My use of alcohol or drugs has caused many problems in my life
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
2. I can quit using alcohol or drugs on my own
text
C0013146 (UMLS CUI [1,1])
C1947925 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2,1])
C1947925 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
2. I can quit using alcohol or drugs on my own
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
3. I am glad to be in the study
text
C0242428 (UMLS CUI [1,1])
C0008972 (UMLS CUI [1,2])
My use of alcohol or drugs has caused many problems in my life
Code List
3. I am glad to be in the study
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
4. My problems are caused by alcohol or drugs
text
C0013146 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2,1])
C0033213 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
4. My problems are caused by alcohol or drugs
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
5. I believe I am addicted
text
C0038586 (UMLS CUI [1])
My use of alcohol or drugs has caused many problems in my life
Code List
5. I believe I am addicted
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
6. My use of alcohol or drugs has hurt others
text
C0013146 (UMLS CUI [1,1])
C2707017 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2,1])
C2707017 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
6. My use of alcohol or drugs has hurt others
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
7. I want to change my life and get away from alcohol and drugs
text
C0013146 (UMLS CUI [1,1])
C1947925 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2,1])
C1947925 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
7. I want to change my life and get away from alcohol and drugs
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
8. I came to the study on my own
text
C0008972 (UMLS CUI [1,1])
C0424093 (UMLS CUI [1,2])
My use of alcohol or drugs has caused many problems in my life
Code List
8. I came to the study on my own
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
9. There are many good reasons for me to stop using alcohol or drugs
text
C0013146 (UMLS CUI [1,1])
C1947925 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2,1])
C1947925 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
9. There are many good reasons for me to stop using alcohol or drugs
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
10. I am in the study because of bad luck
text
C0008972 (UMLS CUI [1])
My use of alcohol or drugs has caused many problems in my life
Code List
10. I am in the study because of bad luck
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
11. I know why people are so upset about my alcohol or drug use
text
C0013146 (UMLS CUI [1,1])
C2707017 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2,1])
C2707017 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
11. I know why people are so upset about my alcohol or drug use
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
12.I need help for my chemical problems
text
C3840284 (UMLS CUI [1,1])
C0038586 (UMLS CUI [1,2])
My use of alcohol or drugs has caused many problems in my life
Code List
12.I need help for my chemical problems
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
13.Using alcohol or drugs is a real problem in my life
text
C0013146 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2,1])
C0033213 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
13.Using alcohol or drugs is a real problem in my life
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
14. I can control my alcohol or drug use
text
C0013146 (UMLS CUI [1,1])
C2587213 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2,1])
C2587213 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
14. I can control my alcohol or drug use
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
15. I have a bad alcohol or drug problem
text
C0013146 (UMLS CUI [1,1])
C0033213 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2,1])
C0033213 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
15. I have a bad alcohol or drug problem
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
16. I came to the study because of school or legal problems
text
C0008972 (UMLS CUI [1,1])
C0000873 (UMLS CUI [1,2])
C0008972 (UMLS CUI [2,1])
C0362060 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
16. I came to the study because of school or legal problems
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
17. It will be a struggle for me to stop using alcohol or drugs
text
C0013146 (UMLS CUI [1,1])
C1947925 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2,1])
C1947925 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
17. It will be a struggle for me to stop using alcohol or drugs
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
18. People sent me to the study to get me out of the way
text
C0008972 (UMLS CUI [1,1])
C0557914 (UMLS CUI [1,2])
My use of alcohol or drugs has caused many problems in my life
Code List
18. People sent me to the study to get me out of the way
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
19. It’s okay for me to use alcohol or drugs now and then
text
C1879533 (UMLS CUI [1,1])
C0013146 (UMLS CUI [1,2])
C1879533 (UMLS CUI [2,1])
C0085762 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
19. It’s okay for me to use alcohol or drugs now and then
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
20. I need to stop using alcohol or drugs completely
text
C0013146 (UMLS CUI [1,1])
C1947925 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2,1])
C1947925 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
20. I need to stop using alcohol or drugs completely
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
21. I have more important things to do than to go to a study
text
C0008972 (UMLS CUI [1,1])
C0233496 (UMLS CUI [1,2])
My use of alcohol or drugs has caused many problems in my life
Code List
21. I have more important things to do than to go to a study
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
22. I need help to stop using alcohol or drugs
text
C0013146 (UMLS CUI [1,1])
C1947925 (UMLS CUI [1,2])
C3840284 (UMLS CUI [1,3])
C0085762 (UMLS CUI [2,1])
C1947925 (UMLS CUI [2,2])
C3840284 (UMLS CUI [2,3])
My use of alcohol or drugs has caused many problems in my life
Code List
22. I need help to stop using alcohol or drugs
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
23. I am willing to give up my old friends so I can stop using drugs or drinking
text
C0013146 (UMLS CUI [1,1])
C1947925 (UMLS CUI [1,2])
C0085762 (UMLS CUI [2,1])
C1947925 (UMLS CUI [2,2])
My use of alcohol or drugs has caused many problems in my life
Code List
23. I am willing to give up my old friends so I can stop using drugs or drinking
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
24. I was forced into coming to the study
text
C0443221 (UMLS CUI [1,1])
C0008972 (UMLS CUI [1,2])
My use of alcohol or drugs has caused many problems in my life
Code List
24. I was forced into coming to the study
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
Item
25. I think the study is the best thing for me
text
C0008972 (UMLS CUI [1,1])
C0242428 (UMLS CUI [1,2])
My use of alcohol or drugs has caused many problems in my life
Code List
25. I think the study is the best thing for me
CL Item
Strongly Disagree (Strongly Disagree)
CL Item
Disagree (Disagree)
CL Item
Agree (Agree)
CL Item
Strongly Agree (Strongly Agree)
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