Survey 177 en gid sid group_name group_order description language randomization_group grelevance
Program staff, please answer the following questions before beginning the interview with the client:

]]> qid parent_qid sid gid type title question preg help other mandatory question_order language scale_id same_default relevance <![CDATA[thankyou]]> Please click on the "Submit" button to record your answers]]> <![CDATA[ProvName]]> ]]> <![CDATA[SiteNum]]> ]]> <![CDATA[DOB]]> ]]> <![CDATA[DateIntake]]> <![CDATA[DateCalc]]> <![CDATA[DateIntakeFormat]]> <![CDATA[DateIntakeVerify]]> Please verify: 


You entered {DateIntakeFormat} as the date this intake interview was completed.

There is a {DateCalc} day difference between when you completed the intake interview and and submission of the information date.  Generally the intake interview should be submitted within 7 days of doing the interview.


If {DateIntakeFormat} is not correct, please go back and correct it.


Thank you!


 

 


]]> <![CDATA[DateIntAdvance]]> Please verify: 


You entered {DateIntakeFormat} as the date this intake interview was completed, which is in the future.
 

Since {DateIntakeFormat} is not correct, please go back and correct it.


Thank you!


 

 


]]> <![CDATA[DateAdmitted]]> <![CDATA[DateAdmittedFormat]]> <![CDATA[DateAdmitVerify]]> Please verify: 


You entered {DateAdmittedFormat} as the date this client was admitted to this treatment program/episode.


If this is not correct, please go back and correct it.


Thank you!
]]> <![CDATA[ClientID]]> qid parent_qid sid gid type title question preg help other mandatory question_order language scale_id same_default relevance <![CDATA[1]]> <![CDATA[1]]> <![CDATA[3]]> qid attribute value language sid admin expires startdate adminemail anonymized faxto format savetimings template language additional_languages datestamp usecookie allowregister allowsave autonumber_start autoredirect allowprev printanswers ipaddr refurl publicstatistics publicgraphs listpublic htmlemail tokenanswerspersistence assessments usecaptcha usetokens bounce_email attributedescriptions emailresponseto emailnotificationto tokenlength showxquestions showgroupinfo shownoanswer showqnumcode bouncetime bounceprocessing bounceaccounttype bounceaccounthost bounceaccountpass bounceaccountencryption bounceaccountuser showwelcome showprogress navigationdelay nokeyboard alloweditaftercompletion googleanalyticsstyle googleanalyticsapikey sendconfirmation questionindex surveyls_survey_id surveyls_language surveyls_title surveyls_description surveyls_welcometext surveyls_endtext surveyls_url surveyls_urldescription surveyls_email_invite_subj surveyls_email_invite surveyls_email_remind_subj surveyls_email_remind surveyls_email_register_subj surveyls_email_register surveyls_email_confirm_subj surveyls_email_confirm surveyls_dateformat surveyls_numberformat email_admin_notification_subj email_admin_notification email_admin_responses_subj email_admin_responses surveyls_attributecaptions attachments LS 2 V 1.1.1

Updated 11/3/2014 JM

 

]]>
Thank you for answering these questions.  Your information helps improve Recovery Center programs in Kentucky.


 

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