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phq9.html
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<ion-view view-title="PHQ9 Tool">
<ion-content padding="true">
<div >
<center>
<h2>Personal History</h2>
</center>
<hr>
<form class="quiz">
<!-- RADIO BUTTONS -->
<label>Did You had Little interest or pleasure in doing things?</label>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="pleasure0" value="0" ng-model="formData.pleausre">
Not At All
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="pleasure1" value="1" ng-model="formData.pleausre">
Several Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="pleasure2" value="2" ng-model="formData.pleausre">
More Than Half Of The Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="pleasure3" value="3" ng-model="formData.pleausre">
Nearly Every Day
</label>
</div>
</div>
<label>Are you having feeling down or depressed?</label>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="depressed0" value="0" ng-model="formData.depressed">
Not At All
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="depressed1" value="1" ng-model="formData.depressed">
Several Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="depressed2" value="2" ng-model="formData.depressed">
More Than Half Of The Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="depressed3" value="3" ng-model="formData.depressed">
Nearly Every Day
</label>
</div>
</div>
<label>Are you having Trouble falling asleep, staying asleep, or sleeping too much ?</label>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="sleep0" value="0" ng-model="formData.sleep">
Not At All
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="sleep1" value="1" ng-model="formData.sleep">
Several Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="sleep2" value="2" ng-model="formData.sleep">
More Than Half Of The Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="sleep3" value="3" ng-model="formData.sleep">
Nearly Every Day
</label>
</div>
</div>
<label>Are you having Feeling tired or having little energy ?</label>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="tired0" value="0" ng-model="formData.tired">
Not At All
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="tired0" value="1" ng-model="formData.tired">
Several Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="tired0" value="2" ng-model="formData.tired">
More Than Half Of The Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="tired0" value="3" ng-model="formData.tired">
Nearly Every Day
</label>
</div>
</div>
<label>Are you having Poor appetite or overeating ?</label>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="appetite0" value="0" ng-model="formData.appetite">
Not At All
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="appetite1" value="1" ng-model="formData.appetite">
Several Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="appetite2" value="2" ng-model="formData.appetite">
More Than Half Of The Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="appetite3" value="3" ng-model="formData.appetite">
Nearly Every Day
</label>
</div>
</div>
<label>Are you Feeling bad about yourself ?</label>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="feeling0" value="0" ng-model="formData.feeling">
Not At All
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="feeling1" value="1" ng-model="formData.feeling">
Several Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="feeling2" value="2" ng-model="formData.feeling">
More Than Half Of The Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="feeling3" value="3" ng-model="formData.feeling">
Nearly Every Day
</label>
</div>
</div>
<label>Are you having trouble concentrating on things, such as TV & Newspapers ?</label>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="conc0" value="0" ng-model="formData.conc">
Not At All
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="conc1" value="1" ng-model="formData.conc">
Several Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="conc2" value="2" ng-model="formData.conc">
More Than Half Of The Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="conc3" value="3" ng-model="formData.conc">
Nearly Every Day
</label>
</div>
</div>
<label>Are you having problem in moving or speaking so that other people are observing ?</label>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="moving0" value="0" ng-model="formData.moving">
Not At All
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="moving" value="1" ng-model="formData.moving">
Several Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="moving" value="2" ng-model="formData.moving">
More Than Half Of The Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="moving" value="3" ng-model="formData.moving">
Several Days
</label>
</div>
</div>
<label>Are you having thoughts to die..... ?</label>
<div class="form-group">
<div class="radio">
<label>
<input type="radio" name="thoughts0" value="0" ng-model="formData.thoughts">
Not At All
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="thoughts1" value="1" ng-model="formData.thoughts">
Several Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="thoughts2" value="2" ng-model="formData.thoughts">
More Than Half Of The Days
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="thoughts3" value="3" ng-model="formData.thoughts">
Nearly Every Day
</label>
</div>
</div>
<button type="submit" class="button button-block button-assertive" ng-click="addMessage()">Send</button>
</form>
<div >
<a href="#/app/phq9chart" class="button button-full button-positive">Go To Chart</a>
</div>
</ion-content>
</ion-view>