Full English CORE-10
before
Welcome to this limesurvey data entry form for CORE-10 data. (Created by Chris Evans for CORE System Trust © https://www.coresystemtrust.org.uk/copyright.pdf.)
self
after
THANK YOU FOR YOUR TIME IN COMPLETING THIS QUESTIONNAIRE
<p>The CORE-10 is copyright to CORE System Trust: https://www.coresystemtrust.org.uk/copyright.pdf.</p>
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title
Data entry admin
self
before
Questions to help with data entry and information governance
self
Please put your name or ID here (and use the same one every time you are entering data!)
during
You must put something here. Please be consistent!
self
longtext
40
Please put your Email address here so I can contact you if I or the survey administrator (which might be you) needs to.
longtext
40
title
Demographic questions from CORE-10
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before
These are the questions in the box at the top of page one of the CORE-10
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ID of the person who completed the CORE-10
during
You <em>must </em>have a value for this. The format should have been defined by the survey boss/administrator.
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longtext
40
This is the name or ID of the service, location or the survey for which the CORE-10 was completed.
during
If you don't know what to put here, you need to get your survey boss to tell you!
self
longtext
40
ID of practitioner/interviewer
during
This might be the ID of the therapist or other practitioner if this is a clinical survey or it might be the ID of the interviewer if this is a research survey. Your survey boss should have told you what to use! It's a mandatory question but if you really don't know, put "-999".
self
longtext
40
Date questionnaire (CORE-10) completed.
date
10
Age of person completing the CORE-10
during
If you really don't know, leave blank.
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longtext
40
Gender of the person completing the CORE-10.
during
If you really don't know, leave blank.
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F
M
X
longtext
40
Stage at which the CORE-10 was completed.
during
Only applies in clinical usage. Leave blank if not known or doesn't apply.
self
S
R
A
F
P
D
L
X
Y
The number of the therapy/clinical episode.
during
So if this is first ever episode, enter 1. Only applies to clinical use/surveys.
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longtext
40
title
CORE-10 items
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before
OVER THE LAST WEEK.
Please read each question carefully.
Think how often you have felt like that in the last week and then select the option which is closest to this.
self
Over the last week ... I have felt tense, anxious or nervous
Not
Only
Some
Often
Most
Over the last week ... I have felt I have someone to turn to for support when needed
Not
Only
Some
Often
Most
Over the last week ... I have felt able to cope when things go wrong
Not
Only
Some
Often
Most
Over the last week ... Talking to people has felt too much for me
Not
Only
Some
Often
Most
Over the last week ... I have felt panic or terror
Not
Only
Some
Often
Most
Over the last week ... I made plans to end my life
Not
Only
Some
Often
Most
Over the last week ... I have had difficulty getting to sleep or staying asleep
Not
Only
Some
Often
Most
Over the last week ... I have felt despairing or hopeless
Not
Only
Some
Often
Most
Over the last week ... I have felt unhappy
Not
Only
Some
Often
Most
Over the last week ... Unwanted images or memories have been distressing me
Not
Only
Some
Often
Most