{"id":5919,"date":"2025-10-22T20:21:43","date_gmt":"2025-10-22T20:21:43","guid":{"rendered":"https:\/\/mysoulspace.net\/?page_id=5919"},"modified":"2025-10-22T20:21:44","modified_gmt":"2025-10-22T20:21:44","slug":"bdi","status":"publish","type":"page","link":"https:\/\/mysoulspace.net\/en\/bdi\/","title":{"rendered":"BDI"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_3_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_ajax_submit  frm_pro_form \" id=\"form_bdi\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">BDI<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"3\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_3\" id=\"frm_hide_fields_3\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"bdi\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_3\" name=\"frm_submit_entry_3\" value=\"e667075ada\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/5919\" \/><div id=\"frm_field_322_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h2 style=\"text-align: center;\"><strong>Beck Depression Scale<\/strong><\/h2>\n<p><strong>Definition of Depression:<\/strong><br \/>A state of low mood that disrupts the course of an individual&#8217;s daily life. It affects the individual&#8217;s overall functioning, and in its most severe cases, depression may lead an individual to contemplate ending their life.<\/p>\n<p><strong>About the Scale:<\/strong><br \/>This scale was translated into Arabic by Dr. Eid Al-Ibrahim. It provides clinicians with a reliable and quick tool to screen for the severity of depressive symptoms. The scale consists of 12 items, each with four graded responses. It measures the depth of symptoms associated with depression and uses a scoring system from 0 to 3 to indicate the severity of each symptom.<\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ff0000;\">In this scale there are twenty-one groups of statements. Please read each group separately. You will find that every four statements deal with a specific topic. Choose the one statement that you feel best describes your condition and feelings during this week, then select the number of that statement (0, 1, 2, or 3).<\/span><br \/><span style=\"color: #ff0000;\">Make sure you read all the statements in each group carefully before choosing one, and make sure you have answered every group.<\/span><\/p>\n<\/div>\n<div id=\"frm_field_667_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm_first\">\n\t<label for=\"field_ws7me\" id=\"field_ws7me_label\" class=\"frm_primary_label\">Code\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input  type=\"text\" id=\"field_ws7me\" name=\"item_meta[667]\" value=\"2\"  readonly=\"readonly\"  data-frmval=\"2\" data-reqmsg=\"Code cannot be blank.\" aria-required=\"true\" data-invmsg=\"Code is invalid\" aria-invalid=\"false\"   \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_669_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\n\t<label for=\"field_dzpae\" id=\"field_dzpae_label\" class=\"frm_primary_label\">Gender\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t\t\t<select name=\"item_meta[669]\" id=\"field_dzpae\"  data-frmval=\"Male\" data-reqmsg=\"Gender cannot be blank.\" aria-required=\"true\" data-invmsg=\"Gender is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Male\" selected='selected'>Male<\/option><option  value=\"Female\">Female<\/option>\t<\/select>\n\t\n\t\n\t\n<\/div>\n<div id=\"frm_field_668_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\n\t<label for=\"field_jvcqp\" id=\"field_jvcqp_label\" class=\"frm_primary_label\">Email\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input type=\"email\" id=\"field_jvcqp\" name=\"item_meta[668]\" value=\"\"  autocomplete=\"email\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_36_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm_first\">\r\n\t<label for=\"field_gxzi2\" id=\"field_gxzi2_label\" class=\"frm_primary_label\">Date of Birth\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_gxzi2\" name=\"item_meta[36]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"Date of Birth cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date of Birth is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_39_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n\t<label for=\"field_lrg9b\" id=\"field_lrg9b_label\" class=\"frm_primary_label\">Marital Status\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[39]\" id=\"field_lrg9b\"  data-frmval=\"Married\" data-reqmsg=\"Marital Status cannot be blank.\" aria-required=\"true\" data-invmsg=\"Marital Status is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Married\" selected='selected'>Married<\/option><option  value=\"Single\">Single<\/option><option  value=\"Widowed\">Widowed<\/option><option  value=\"Divorced\">Divorced<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_670_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\n\t<label for=\"field_z1jxe\" id=\"field_z1jxe_label\" class=\"frm_primary_label\">Educational level\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t\t\t<select name=\"item_meta[670]\" id=\"field_z1jxe\"  data-frmval=\"Primary\" data-reqmsg=\"Educational level cannot be blank.\" aria-required=\"true\" data-invmsg=\"Educational level is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Primary\" selected='selected'>Primary<\/option><option  value=\"Secondary\">Secondary<\/option><option  value=\"University\">University<\/option><option  value=\"Postgraduate\">Postgraduate<\/option>\t<\/select>\n\t\n\t\n\t\n<\/div>\n\t\t<input  type=\"hidden\" name=\"item_meta[38]\" id=\"field_phev0\" value=\"09\/21\/2026\"  data-frmval=\"09\/21\/2026\"   \/>\n\t\t<div id=\"frm_field_44_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_3uvmf_label\" class=\"frm_primary_label\">Q1:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_3uvmf_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_44-0\">\t\t\t<label  for=\"field_3uvmf-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[44]\" id=\"field_3uvmf-0\" value=\"0\"\n\t\t data-reqmsg=\"Q1: cannot be blank.\" data-invmsg=\"Q1: is invalid\"   \/> I do not feel sad.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_44-1\">\t\t\t<label  for=\"field_3uvmf-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[44]\" id=\"field_3uvmf-1\" value=\"1\"\n\t\t data-reqmsg=\"Q1: cannot be blank.\" data-invmsg=\"Q1: is invalid\"   \/> I feel sad much of the time.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_44-2\">\t\t\t<label  for=\"field_3uvmf-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[44]\" id=\"field_3uvmf-2\" value=\"2\"\n\t\t data-reqmsg=\"Q1: cannot be blank.\" data-invmsg=\"Q1: is invalid\"   \/> I am sad all the time and can\u2019t snap out of it.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_44-3\">\t\t\t<label  for=\"field_3uvmf-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[44]\" id=\"field_3uvmf-3\" value=\"3\"\n\t\t data-reqmsg=\"Q1: cannot be blank.\" data-invmsg=\"Q1: is invalid\"   \/> I am so sad or unhappy that I can\u2019t stand it.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_45_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_23s1t_label\" class=\"frm_primary_label\">Q2:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_23s1t_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_45-0\">\t\t\t<label  for=\"field_23s1t-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[45]\" id=\"field_23s1t-0\" value=\"0\"\n\t\t data-reqmsg=\"Q2: cannot be blank.\" data-invmsg=\"Q2: is invalid\"   \/> I am not particularly discouraged about the future.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_45-1\">\t\t\t<label  for=\"field_23s1t-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[45]\" id=\"field_23s1t-1\" value=\"1\"\n\t\t data-reqmsg=\"Q2: cannot be blank.\" data-invmsg=\"Q2: is invalid\"   \/> I feel discouraged about the future.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_45-2\">\t\t\t<label  for=\"field_23s1t-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[45]\" id=\"field_23s1t-2\" value=\"2\"\n\t\t data-reqmsg=\"Q2: cannot be blank.\" data-invmsg=\"Q2: is invalid\"   \/> I feel there is nothing to look forward to.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_45-3\">\t\t\t<label  for=\"field_23s1t-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[45]\" id=\"field_23s1t-3\" value=\"3\"\n\t\t data-reqmsg=\"Q2: cannot be blank.\" data-invmsg=\"Q2: is invalid\"   \/> I feel that the future is hopeless and that things cannot improve.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_46_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_h6h7p_label\" class=\"frm_primary_label\">Q3:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_h6h7p_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_46-0\">\t\t\t<label  for=\"field_h6h7p-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[46]\" id=\"field_h6h7p-0\" value=\"0\"\n\t\t data-reqmsg=\"Q3: cannot be blank.\" data-invmsg=\"Q3: is invalid\"   \/> I do not feel like a failure.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_46-1\">\t\t\t<label  for=\"field_h6h7p-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[46]\" id=\"field_h6h7p-1\" value=\"1\"\n\t\t data-reqmsg=\"Q3: cannot be blank.\" data-invmsg=\"Q3: is invalid\"   \/> I feel I have failed more than the average person.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_46-2\">\t\t\t<label  for=\"field_h6h7p-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[46]\" id=\"field_h6h7p-2\" value=\"2\"\n\t\t data-reqmsg=\"Q3: cannot be blank.\" data-invmsg=\"Q3: is invalid\"   \/> As I look back on my life, all I can see is a lot of failures.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_46-3\">\t\t\t<label  for=\"field_h6h7p-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[46]\" id=\"field_h6h7p-3\" value=\"3\"\n\t\t data-reqmsg=\"Q3: cannot be blank.\" data-invmsg=\"Q3: is invalid\"   \/> I feel I am a complete failure as a person.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_47_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_3ws7_label\" class=\"frm_primary_label\">Q4:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_3ws7_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_47-0\">\t\t\t<label  for=\"field_3ws7-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[47]\" id=\"field_3ws7-0\" value=\"0\"\n\t\t data-reqmsg=\"Q4: cannot be blank.\" data-invmsg=\"Q4: is invalid\"   \/> I get as much satisfaction out of things as I used to.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_47-1\">\t\t\t<label  for=\"field_3ws7-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[47]\" id=\"field_3ws7-1\" value=\"1\"\n\t\t data-reqmsg=\"Q4: cannot be blank.\" data-invmsg=\"Q4: is invalid\"   \/> I don\u2019t enjoy things the way I used to.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_47-2\">\t\t\t<label  for=\"field_3ws7-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[47]\" id=\"field_3ws7-2\" value=\"2\"\n\t\t data-reqmsg=\"Q4: cannot be blank.\" data-invmsg=\"Q4: is invalid\"   \/> I get very little pleasure from the things I used to enjoy.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_47-3\">\t\t\t<label  for=\"field_3ws7-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[47]\" id=\"field_3ws7-3\" value=\"3\"\n\t\t data-reqmsg=\"Q4: cannot be blank.\" data-invmsg=\"Q4: is invalid\"   \/> I can\u2019t get any pleasure from the things I used to enjoy.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_48_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_gw2cj_label\" class=\"frm_primary_label\">Q5:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_gw2cj_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_48-0\">\t\t\t<label  for=\"field_gw2cj-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[48]\" id=\"field_gw2cj-0\" value=\"0\"\n\t\t data-reqmsg=\"Q5: cannot be blank.\" data-invmsg=\"Q5: is invalid\"   \/> I don\u2019t feel particularly guilty.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_48-1\">\t\t\t<label  for=\"field_gw2cj-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[48]\" id=\"field_gw2cj-1\" value=\"1\"\n\t\t data-reqmsg=\"Q5: cannot be blank.\" data-invmsg=\"Q5: is invalid\"   \/> I feel guilty a good part of the time.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_48-2\">\t\t\t<label  for=\"field_gw2cj-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[48]\" id=\"field_gw2cj-2\" value=\"2\"\n\t\t data-reqmsg=\"Q5: cannot be blank.\" data-invmsg=\"Q5: is invalid\"   \/> I feel quite guilty most of the time.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_48-3\">\t\t\t<label  for=\"field_gw2cj-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[48]\" id=\"field_gw2cj-3\" value=\"3\"\n\t\t data-reqmsg=\"Q5: cannot be blank.\" data-invmsg=\"Q5: is invalid\"   \/> I feel guilty all of the time.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_49_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_njumr_label\" class=\"frm_primary_label\">Q6:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_njumr_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_49-0\">\t\t\t<label  for=\"field_njumr-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[49]\" id=\"field_njumr-0\" value=\"0\"\n\t\t data-reqmsg=\"Q6: cannot be blank.\" data-invmsg=\"Q6: is invalid\"   \/> I don\u2019t feel I am being punished.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_49-1\">\t\t\t<label  for=\"field_njumr-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[49]\" id=\"field_njumr-1\" value=\"1\"\n\t\t data-reqmsg=\"Q6: cannot be blank.\" data-invmsg=\"Q6: is invalid\"   \/> I feel I may be punished.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_49-2\">\t\t\t<label  for=\"field_njumr-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[49]\" id=\"field_njumr-2\" value=\"2\"\n\t\t data-reqmsg=\"Q6: cannot be blank.\" data-invmsg=\"Q6: is invalid\"   \/> I expect to be punished.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_49-3\">\t\t\t<label  for=\"field_njumr-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[49]\" id=\"field_njumr-3\" value=\"3\"\n\t\t data-reqmsg=\"Q6: cannot be blank.\" data-invmsg=\"Q6: is invalid\"   \/> I feel I am being punished.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_50_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_p4xcu_label\" class=\"frm_primary_label\">Q7:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_p4xcu_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_50-0\">\t\t\t<label  for=\"field_p4xcu-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[50]\" id=\"field_p4xcu-0\" value=\"0\"\n\t\t data-reqmsg=\"Q7: cannot be blank.\" data-invmsg=\"Q7: is invalid\"   \/> I don\u2019t feel disappointed in myself.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_50-1\">\t\t\t<label  for=\"field_p4xcu-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[50]\" id=\"field_p4xcu-1\" value=\"1\"\n\t\t data-reqmsg=\"Q7: cannot be blank.\" data-invmsg=\"Q7: is invalid\"   \/> I am disappointed in myself.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_50-2\">\t\t\t<label  for=\"field_p4xcu-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[50]\" id=\"field_p4xcu-2\" value=\"2\"\n\t\t data-reqmsg=\"Q7: cannot be blank.\" data-invmsg=\"Q7: is invalid\"   \/> I am disgusted with myself.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_50-3\">\t\t\t<label  for=\"field_p4xcu-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[50]\" id=\"field_p4xcu-3\" value=\"3\"\n\t\t data-reqmsg=\"Q7: cannot be blank.\" data-invmsg=\"Q7: is invalid\"   \/> I hate myself.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_51_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_tebe1_label\" class=\"frm_primary_label\">Q8:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_tebe1_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_51-0\">\t\t\t<label  for=\"field_tebe1-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[51]\" id=\"field_tebe1-0\" value=\"0\"\n\t\t data-reqmsg=\"Q8: cannot be blank.\" data-invmsg=\"Q8: is invalid\"   \/> I don\u2019t feel I am any worse than anybody else.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_51-1\">\t\t\t<label  for=\"field_tebe1-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[51]\" id=\"field_tebe1-1\" value=\"1\"\n\t\t data-reqmsg=\"Q8: cannot be blank.\" data-invmsg=\"Q8: is invalid\"   \/> I am critical of myself for my weaknesses or mistakes.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_51-2\">\t\t\t<label  for=\"field_tebe1-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[51]\" id=\"field_tebe1-2\" value=\"2\"\n\t\t data-reqmsg=\"Q8: cannot be blank.\" data-invmsg=\"Q8: is invalid\"   \/> I blame myself all the time for my faults.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_51-3\">\t\t\t<label  for=\"field_tebe1-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[51]\" id=\"field_tebe1-3\" value=\"3\"\n\t\t data-reqmsg=\"Q8: cannot be blank.\" data-invmsg=\"Q8: is invalid\"   \/> I blame myself for everything bad that happens.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_52_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_use9h_label\" class=\"frm_primary_label\">Q9:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_use9h_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_52-0\">\t\t\t<label  for=\"field_use9h-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[52]\" id=\"field_use9h-0\" value=\"0\"\n\t\t data-reqmsg=\"Q9: cannot be blank.\" data-invmsg=\"Q9: is invalid\"   \/> I don\u2019t have any thoughts of killing myself.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_52-1\">\t\t\t<label  for=\"field_use9h-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[52]\" id=\"field_use9h-1\" value=\"1\"\n\t\t data-reqmsg=\"Q9: cannot be blank.\" data-invmsg=\"Q9: is invalid\"   \/> I have thoughts of killing myself, but I would not carry them out.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_52-2\">\t\t\t<label  for=\"field_use9h-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[52]\" id=\"field_use9h-2\" value=\"2\"\n\t\t data-reqmsg=\"Q9: cannot be blank.\" data-invmsg=\"Q9: is invalid\"   \/> I would like to kill myself.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_52-3\">\t\t\t<label  for=\"field_use9h-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[52]\" id=\"field_use9h-3\" value=\"3\"\n\t\t data-reqmsg=\"Q9: cannot be blank.\" data-invmsg=\"Q9: is invalid\"   \/> I would kill myself if I had the chance.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_53_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_h570w_label\" class=\"frm_primary_label\">Q10:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_h570w_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_53-0\">\t\t\t<label  for=\"field_h570w-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[53]\" id=\"field_h570w-0\" value=\"0\"\n\t\t data-reqmsg=\"Q10: cannot be blank.\" data-invmsg=\"Q10: is invalid\"   \/> I don\u2019t cry any more than usual.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_53-1\">\t\t\t<label  for=\"field_h570w-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[53]\" id=\"field_h570w-1\" value=\"1\"\n\t\t data-reqmsg=\"Q10: cannot be blank.\" data-invmsg=\"Q10: is invalid\"   \/> I cry more now than I used to.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_53-2\">\t\t\t<label  for=\"field_h570w-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[53]\" id=\"field_h570w-2\" value=\"2\"\n\t\t data-reqmsg=\"Q10: cannot be blank.\" data-invmsg=\"Q10: is invalid\"   \/> I cry all the time now.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_53-3\">\t\t\t<label  for=\"field_h570w-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[53]\" id=\"field_h570w-3\" value=\"3\"\n\t\t data-reqmsg=\"Q10: cannot be blank.\" data-invmsg=\"Q10: is invalid\"   \/> I used to be able to cry, but now I can\u2019t even if I want to.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_54_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_az0bd_label\" class=\"frm_primary_label\">Q11:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_az0bd_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_54-0\">\t\t\t<label  for=\"field_az0bd-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[54]\" id=\"field_az0bd-0\" value=\"0\"\n\t\t data-reqmsg=\"Q11: cannot be blank.\" data-invmsg=\"Q11: is invalid\"   \/> I am no more irritated now than I ever am.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_54-1\">\t\t\t<label  for=\"field_az0bd-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[54]\" id=\"field_az0bd-1\" value=\"1\"\n\t\t data-reqmsg=\"Q11: cannot be blank.\" data-invmsg=\"Q11: is invalid\"   \/> I get annoyed or irritated more easily than I used to.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_54-2\">\t\t\t<label  for=\"field_az0bd-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[54]\" id=\"field_az0bd-2\" value=\"2\"\n\t\t data-reqmsg=\"Q11: cannot be blank.\" data-invmsg=\"Q11: is invalid\"   \/> I feel irritated all the time now.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_54-3\">\t\t\t<label  for=\"field_az0bd-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[54]\" id=\"field_az0bd-3\" value=\"3\"\n\t\t data-reqmsg=\"Q11: cannot be blank.\" data-invmsg=\"Q11: is invalid\"   \/> I don\u2019t get irritated at all by things that used to bother me.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_55_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_n0kif_label\" class=\"frm_primary_label\">Q12:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_n0kif_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_55-0\">\t\t\t<label  for=\"field_n0kif-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[55]\" id=\"field_n0kif-0\" value=\"0\"\n\t\t data-reqmsg=\"Q12: cannot be blank.\" data-invmsg=\"Q12: is invalid\"   \/> I have not lost interest in other people.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_55-1\">\t\t\t<label  for=\"field_n0kif-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[55]\" id=\"field_n0kif-1\" value=\"1\"\n\t\t data-reqmsg=\"Q12: cannot be blank.\" data-invmsg=\"Q12: is invalid\"   \/> I am less interested in other people than I used to be.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_55-2\">\t\t\t<label  for=\"field_n0kif-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[55]\" id=\"field_n0kif-2\" value=\"2\"\n\t\t data-reqmsg=\"Q12: cannot be blank.\" data-invmsg=\"Q12: is invalid\"   \/> I have lost most of my interest in other people.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_55-3\">\t\t\t<label  for=\"field_n0kif-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[55]\" id=\"field_n0kif-3\" value=\"3\"\n\t\t data-reqmsg=\"Q12: cannot be blank.\" data-invmsg=\"Q12: is invalid\"   \/> I have lost all of my interest in other people.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_56_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_udhfk_label\" class=\"frm_primary_label\">Q13:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_udhfk_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_56-0\">\t\t\t<label  for=\"field_udhfk-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[56]\" id=\"field_udhfk-0\" value=\"0\"\n\t\t data-reqmsg=\"Q13: cannot be blank.\" data-invmsg=\"Q13: is invalid\"   \/> I make decisions about as well as I ever could.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_56-1\">\t\t\t<label  for=\"field_udhfk-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[56]\" id=\"field_udhfk-1\" value=\"1\"\n\t\t data-reqmsg=\"Q13: cannot be blank.\" data-invmsg=\"Q13: is invalid\"   \/> I put off making decisions more than I used to.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_56-2\">\t\t\t<label  for=\"field_udhfk-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[56]\" id=\"field_udhfk-2\" value=\"2\"\n\t\t data-reqmsg=\"Q13: cannot be blank.\" data-invmsg=\"Q13: is invalid\"   \/> I have greater difficulty in making decisions than before.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_56-3\">\t\t\t<label  for=\"field_udhfk-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[56]\" id=\"field_udhfk-3\" value=\"3\"\n\t\t data-reqmsg=\"Q13: cannot be blank.\" data-invmsg=\"Q13: is invalid\"   \/> I can\u2019t make decisions at all anymore.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_57_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_1zvfk_label\" class=\"frm_primary_label\">Q14:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_1zvfk_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_57-0\">\t\t\t<label  for=\"field_1zvfk-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[57]\" id=\"field_1zvfk-0\" value=\"0\"\n\t\t data-reqmsg=\"Q14: cannot be blank.\" data-invmsg=\"Q14: is invalid\"   \/> I don\u2019t feel that I look any worse than I used to.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_57-1\">\t\t\t<label  for=\"field_1zvfk-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[57]\" id=\"field_1zvfk-1\" value=\"1\"\n\t\t data-reqmsg=\"Q14: cannot be blank.\" data-invmsg=\"Q14: is invalid\"   \/> I am worried that I am looking old or unattractive.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_57-2\">\t\t\t<label  for=\"field_1zvfk-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[57]\" id=\"field_1zvfk-2\" value=\"2\"\n\t\t data-reqmsg=\"Q14: cannot be blank.\" data-invmsg=\"Q14: is invalid\"   \/> I feel there are permanent changes in my appearance that make me look unattractive.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_57-3\">\t\t\t<label  for=\"field_1zvfk-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[57]\" id=\"field_1zvfk-3\" value=\"3\"\n\t\t data-reqmsg=\"Q14: cannot be blank.\" data-invmsg=\"Q14: is invalid\"   \/> I believe that I look ugly.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_58_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_kxpmu_label\" class=\"frm_primary_label\">Q15:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_kxpmu_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_58-0\">\t\t\t<label  for=\"field_kxpmu-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[58]\" id=\"field_kxpmu-0\" value=\"0\"\n\t\t data-reqmsg=\"Q15: cannot be blank.\" data-invmsg=\"Q15: is invalid\"   \/> I can work about as well as before.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_58-1\">\t\t\t<label  for=\"field_kxpmu-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[58]\" id=\"field_kxpmu-1\" value=\"1\"\n\t\t data-reqmsg=\"Q15: cannot be blank.\" data-invmsg=\"Q15: is invalid\"   \/> It takes an extra effort to get started doing something.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_58-2\">\t\t\t<label  for=\"field_kxpmu-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[58]\" id=\"field_kxpmu-2\" value=\"2\"\n\t\t data-reqmsg=\"Q15: cannot be blank.\" data-invmsg=\"Q15: is invalid\"   \/> I have to push myself very hard to do anything.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_58-3\">\t\t\t<label  for=\"field_kxpmu-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[58]\" id=\"field_kxpmu-3\" value=\"3\"\n\t\t data-reqmsg=\"Q15: cannot be blank.\" data-invmsg=\"Q15: is invalid\"   \/> I can\u2019t do any work at all.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_59_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_fvreo_label\" class=\"frm_primary_label\">Q16:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_fvreo_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_59-0\">\t\t\t<label  for=\"field_fvreo-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[59]\" id=\"field_fvreo-0\" value=\"0\"\n\t\t data-reqmsg=\"Q16: cannot be blank.\" data-invmsg=\"Q16: is invalid\"   \/> I can sleep as well as usual.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_59-1\">\t\t\t<label  for=\"field_fvreo-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[59]\" id=\"field_fvreo-1\" value=\"1\"\n\t\t data-reqmsg=\"Q16: cannot be blank.\" data-invmsg=\"Q16: is invalid\"   \/> I don\u2019t sleep as well as I used to.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_59-2\">\t\t\t<label  for=\"field_fvreo-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[59]\" id=\"field_fvreo-2\" value=\"2\"\n\t\t data-reqmsg=\"Q16: cannot be blank.\" data-invmsg=\"Q16: is invalid\"   \/> I wake up 1\u20132 hours earlier than usual and have difficulty getting back to sleep.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_59-3\">\t\t\t<label  for=\"field_fvreo-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[59]\" id=\"field_fvreo-3\" value=\"3\"\n\t\t data-reqmsg=\"Q16: cannot be blank.\" data-invmsg=\"Q16: is invalid\"   \/> I wake up several hours earlier than I used to and can\u2019t get back to sleep.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_60_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_oc011_label\" class=\"frm_primary_label\">Q17:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_oc011_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_60-0\">\t\t\t<label  for=\"field_oc011-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[60]\" id=\"field_oc011-0\" value=\"0\"\n\t\t data-reqmsg=\"Q17: cannot be blank.\" data-invmsg=\"Q17: is invalid\"   \/> I don\u2019t get more tired than usual.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_60-1\">\t\t\t<label  for=\"field_oc011-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[60]\" id=\"field_oc011-1\" value=\"1\"\n\t\t data-reqmsg=\"Q17: cannot be blank.\" data-invmsg=\"Q17: is invalid\"   \/> I get tired more easily than I used to.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_60-2\">\t\t\t<label  for=\"field_oc011-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[60]\" id=\"field_oc011-2\" value=\"2\"\n\t\t data-reqmsg=\"Q17: cannot be blank.\" data-invmsg=\"Q17: is invalid\"   \/> I get tired from doing almost anything.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_60-3\">\t\t\t<label  for=\"field_oc011-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[60]\" id=\"field_oc011-3\" value=\"3\"\n\t\t data-reqmsg=\"Q17: cannot be blank.\" data-invmsg=\"Q17: is invalid\"   \/> I am too tired to do anything.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_61_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_c7zn6_label\" class=\"frm_primary_label\">Q18:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_c7zn6_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_61-0\">\t\t\t<label  for=\"field_c7zn6-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[61]\" id=\"field_c7zn6-0\" value=\"0\"\n\t\t data-reqmsg=\"Q18: cannot be blank.\" data-invmsg=\"Q18: is invalid\"   \/> My appetite is no worse than usual.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_61-1\">\t\t\t<label  for=\"field_c7zn6-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[61]\" id=\"field_c7zn6-1\" value=\"1\"\n\t\t data-reqmsg=\"Q18: cannot be blank.\" data-invmsg=\"Q18: is invalid\"   \/> My appetite is not as good as it used to be.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_61-2\">\t\t\t<label  for=\"field_c7zn6-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[61]\" id=\"field_c7zn6-2\" value=\"2\"\n\t\t data-reqmsg=\"Q18: cannot be blank.\" data-invmsg=\"Q18: is invalid\"   \/> My appetite is much worse now.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_61-3\">\t\t\t<label  for=\"field_c7zn6-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[61]\" id=\"field_c7zn6-3\" value=\"3\"\n\t\t data-reqmsg=\"Q18: cannot be blank.\" data-invmsg=\"Q18: is invalid\"   \/> I have no appetite at all anymore.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_62_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_nuqyh_label\" class=\"frm_primary_label\">Q19:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_nuqyh_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_62-0\">\t\t\t<label  for=\"field_nuqyh-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[62]\" id=\"field_nuqyh-0\" value=\"0\"\n\t\t data-reqmsg=\"Q19: cannot be blank.\" data-invmsg=\"Q19: is invalid\"   \/> I haven\u2019t lost much weight, if any, lately.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_62-1\">\t\t\t<label  for=\"field_nuqyh-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[62]\" id=\"field_nuqyh-1\" value=\"1\"\n\t\t data-reqmsg=\"Q19: cannot be blank.\" data-invmsg=\"Q19: is invalid\"   \/> I have lost more than five pounds.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_62-2\">\t\t\t<label  for=\"field_nuqyh-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[62]\" id=\"field_nuqyh-2\" value=\"2\"\n\t\t data-reqmsg=\"Q19: cannot be blank.\" data-invmsg=\"Q19: is invalid\"   \/> I have lost more than ten pounds.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_62-3\">\t\t\t<label  for=\"field_nuqyh-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[62]\" id=\"field_nuqyh-3\" value=\"3\"\n\t\t data-reqmsg=\"Q19: cannot be blank.\" data-invmsg=\"Q19: is invalid\"   \/> I have lost more than fifteen pounds.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_63_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_f2gjr_label\" class=\"frm_primary_label\">Q20:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_f2gjr_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_63-0\">\t\t\t<label  for=\"field_f2gjr-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[63]\" id=\"field_f2gjr-0\" value=\"0\"\n\t\t data-reqmsg=\"Q20: cannot be blank.\" data-invmsg=\"Q20: is invalid\"   \/> I am no more worried about my health than usual.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_63-1\">\t\t\t<label  for=\"field_f2gjr-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[63]\" id=\"field_f2gjr-1\" value=\"1\"\n\t\t data-reqmsg=\"Q20: cannot be blank.\" data-invmsg=\"Q20: is invalid\"   \/> I am worried about physical problems like aches, pains, or stomach upsets.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_63-2\">\t\t\t<label  for=\"field_f2gjr-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[63]\" id=\"field_f2gjr-2\" value=\"2\"\n\t\t data-reqmsg=\"Q20: cannot be blank.\" data-invmsg=\"Q20: is invalid\"   \/> I am very worried about physical problems and find it hard to think of anything else.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_63-3\">\t\t\t<label  for=\"field_f2gjr-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[63]\" id=\"field_f2gjr-3\" value=\"3\"\n\t\t data-reqmsg=\"Q20: cannot be blank.\" data-invmsg=\"Q20: is invalid\"   \/> I am so worried about my physical problems that I can\u2019t think about anything else.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_64_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_l6d61_label\" class=\"frm_primary_label\">Q21:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_l6d61_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_64-0\">\t\t\t<label  for=\"field_l6d61-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[64]\" id=\"field_l6d61-0\" value=\"0\"\n\t\t data-reqmsg=\"Q21: cannot be blank.\" data-invmsg=\"Q21: is invalid\"   \/> I have not noticed any recent change in my interest in sex.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_64-1\">\t\t\t<label  for=\"field_l6d61-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[64]\" id=\"field_l6d61-1\" value=\"1\"\n\t\t data-reqmsg=\"Q21: cannot be blank.\" data-invmsg=\"Q21: is invalid\"   \/> I am less interested in sex than I used to be.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_64-2\">\t\t\t<label  for=\"field_l6d61-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[64]\" id=\"field_l6d61-2\" value=\"2\"\n\t\t data-reqmsg=\"Q21: cannot be blank.\" data-invmsg=\"Q21: is invalid\"   \/> I have almost no interest in sex now.<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_64-3\">\t\t\t<label  for=\"field_l6d61-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[64]\" id=\"field_l6d61-3\" value=\"3\"\n\t\t data-reqmsg=\"Q21: cannot be blank.\" data-invmsg=\"Q21: is invalid\"   \/> I have lost interest in sex completely.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_65_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n\t<label for=\"field_d0eev\" id=\"field_d0eev_label\" class=\"frm_primary_label\">Total Score\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_d0eev\" name=\"item_meta[65]\" value=\"\" readonly=\"readonly\"  data-invmsg=\"Total Score is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999999999999999999999999999999999999999999\" step=\"1\" \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_34_container\" class=\"frm_form_field form-field  frm12 frm_first\">\r\n\t<div class=\"frm_submit frm_flex\">\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Submit<\/button>\r\n\r\n\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_735_container\">\n\t\t\t<label for=\"field_sx271\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_sx271\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[735]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"G1zW67fsZ32xVh1r9ioDksYRCUClfC7pMajzN3TI9i6Z8jIHn+76wY59VENT14p\/\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5919","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>BDI - My Soul Space<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/mysoulspace.net\/en\/bdi\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"BDI - My Soul Space\" \/>\n<meta property=\"og:url\" content=\"https:\/\/mysoulspace.net\/en\/bdi\/\" \/>\n<meta property=\"og:site_name\" content=\"My Soul Space\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-22T20:21:44+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/mysoulspace.net\\\/en\\\/bdi\\\/\",\"url\":\"https:\\\/\\\/mysoulspace.net\\\/en\\\/bdi\\\/\",\"name\":\"BDI - My Soul 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