2919 lines
168 KiB
HTML
2919 lines
168 KiB
HTML
<br><br><br><br><br>
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<style type="text/css">
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.STYLE2 {
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font-size: 15px
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}
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.style123w {
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height: 100%;
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border: 1px #CCC solid;
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color: #FFF;
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padding: 8px;
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margin: 0 auto;
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font-size: 16px;
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line-height: 1.8;
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font-family: "lucida grande", "lucida sans unicode", lucida, helvetica, "Hiragino Sans GB", "PingFang SC", "Heiti SC", "Microsoft YaHei", "WenQuanYi Micro Hei", sans-serif
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}
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</style>
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<div class="section">
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<div class="container">
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<table style="margin : 5px 0px 15px 5px;margin-left:auto;margin-right:auto" align="center">
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<tr>
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<td>
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<div class="style123w" style="text-align: center;">
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<img alt="心理健康教育与咨询中心" style="margin:0 auto;" src="/assets/hlogos/new.jpg" width="30%">
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</div>
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<div class="style123w" style=" border-top:0px; ">
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<br />
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<h2 align="center">SCL-90 症状自评量表</h2>
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<br />
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<div style="padding:10px;">
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<br><br>
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SCL-90量表共有90个项目，协助我们从10个方面来了解自己的心理健康程度。
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<br />
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<br />
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<table style="line-height:1.8;font-size:11pt;font-family:'lucida grande', 'lucida sans unicode', lucida, helvetica, 'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif;" align="center">
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<tr>
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<td>
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<br>
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<FORM name=see>
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<b>说明：</b>下面列出了可能存在的症状或困扰，请仔细地阅读每一条，然后根据最近一星期或现在你的实际感觉，选择与你的情况最符合的选项。<br>不用花费太多的时间去思考，顺其自然，根据你的第一印象作出选择。注意不要漏选。<br><br>如果你现在正在忍受痛苦，请记住，你并不孤单，仍然有许多人爱着你，如果你感觉生活没有希望，我们愿意帮助你走出痛苦，祝你我越来越好❤
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<hr>
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<TABLE cellSpacing=0 cellPadding=0 border=0 width="100%">
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<TBODY>
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<TR>
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<TD class=p16 colSpan=5><br />
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1. 头痛
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</TD>
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</TR>
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<TR>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R1>没有<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R1>很轻<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R1>中等<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=4 name=R1>偏重<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=5 name=R1>严重<span class="form-check-sign"></span></label></div>
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</TD>
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</TR>
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<TR>
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<TD colSpan=5 height=17>
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</TD>
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</TR>
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<TR>
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<TD class=p16 colSpan=5 height=15>
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2. 神经过敏，心中不踏实</TD>
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</TR>
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<TR>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R2>没有<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R2>很轻<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R2>中等<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R2>偏重<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R2>严重<span class="form-check-sign"></span></label></div>
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</TD>
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</TR>
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<TR>
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<TD colSpan=5 height=17>
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</TD>
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</TR>
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<TR>
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<TD class=p16 colSpan=5 height=15>
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3. 头脑中有不必要的想法或字句盘旋</TD>
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</TR>
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<TR>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R3>没有<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R3>很轻<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R3>中等<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R3>偏重<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R3>严重<span class="form-check-sign"></span></label></div>
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</TD>
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</TR>
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<TR>
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<TD colSpan=5 height=17>
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</TD>
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</TR>
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<TR>
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<TD class=p16 colSpan=5 height=15>
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4. 头昏或昏倒</TD>
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</TR>
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<TR>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R4>没有<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R4>很轻<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R4>中等<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R4>偏重<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R4>严重<span class="form-check-sign"></span></label></div>
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</TD>
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</TR>
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<TR>
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<TD colSpan=5 height=17>
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</TD>
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</TR>
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<TR>
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<TD class=p16 colSpan=5 height=15>
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5. 对异性的兴趣减退</TD>
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</TR>
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<TR>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R5>没有<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R5>很轻<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R5>中等<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R5>偏重<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R5>严重<span class="form-check-sign"></span></label></div>
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</TD>
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</TR>
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<TR>
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<TD colSpan=5 height=17>
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</TD>
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</TR>
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<TR>
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<TD class=p16 colSpan=5 height=15>
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6. 对旁人责备求全</TD>
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</TR>
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<TR>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R6>没有<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R6>很轻<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R6>中等<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R6>偏重<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R6>严重<span class="form-check-sign"></span></label></div>
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</TD>
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</TR>
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<TR>
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<TD colSpan=5 height=17>
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</TD>
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</TR>
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<TR>
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<TD class=p16 colSpan=5 height=15>
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7. 感到别人能控制你的思想</TD>
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</TR>
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<TR>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R7>没有<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R7>很轻<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R7>中等<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R7>偏重<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R7>严重<span class="form-check-sign"></span></label></div>
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</TD>
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</TR>
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<TR>
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<TD w colSpan=5 height=17>
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</TD>
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</TR>
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<TR>
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<TD class=p16 colSpan=5 height=15>
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8. 责怪别人制造麻烦</TD>
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</TR>
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<TR>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R8>没有<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R8>很轻<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R8>中等<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R8>偏重<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R8>严重<span class="form-check-sign"></span></label></div>
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</TD>
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</TR>
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<TR>
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<TD colSpan=5 height=17>
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</TD>
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</TR>
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<TR>
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<TD class=p16 colSpan=5 height=15>
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9. 忘记性大</TD>
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</TR>
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<TR>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R9>没有<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R9>很轻<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R9>中等<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R9>偏重<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R9>严重<span class="form-check-sign"></span></label></div>
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</TD>
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</TR>
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</TBODY>
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</TABLE>
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<TABLE cellSpacing=0 cellPadding=0 border=0 width="100%">
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<TBODY>
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<TR>
|
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<TD colSpan=5 height=17>
|
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</TD>
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</TR>
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<TR>
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<TD class=p16 colSpan=5 height=15>
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10. 担心自己的衣饰整齐及仪态的端正</TD>
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</TR>
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<TR>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R10>没有<span class="form-check-sign"></span></label></div>
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</TD>
|
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R10>很轻<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R10>中等<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R10>偏重<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R10>严重<span class="form-check-sign"></span></label></div>
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</TD>
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</TR>
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<TR>
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<TD colSpan=5 height=17>
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</TD>
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</TR>
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<TR>
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<TD class=p16 colSpan=5 height=15>
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11. 容易烦恼和激动</TD>
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</TR>
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<TR>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R11>没有<span class="form-check-sign"></span></label></div>
|
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</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R11>很轻<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R11>中等<span class="form-check-sign"></span></label></div>
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</TD>
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<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R11>偏重<span class="form-check-sign"></span></label></div>
|
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</TD>
|
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<TD height=17>
|
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R11>严重<span class="form-check-sign"></span></label></div>
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</TD>
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</TR>
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<TR>
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<TD colSpan=5 height=17>
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</TD>
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</TR>
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<TR>
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<TD class=p16 colSpan=5 height=15>
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12. 胸痛</TD>
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</TR>
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<TR>
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<TD height=17>
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R12>没有<span class="form-check-sign"></span></label></div>
|
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</TD>
|
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<TD height=17>
|
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<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R12>很轻<span class="form-check-sign"></span></label></div>
|
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</TD>
|
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<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R12>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R12>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R12>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
13. 害怕空旷的场所或街道</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R13>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R13>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R13>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R13>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R13>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
14. 感到自己的精力下降，活动减慢</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R14>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R14>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R14>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R14>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R14>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
15. 想结束自己的生命</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R15>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R15>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R15>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R15>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R15>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
16. 听到旁人听不到的声音</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R16>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R16>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R16>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R16>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R16>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
17. 发抖</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R17>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R17>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R17>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R17>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R17>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
18. 感到大多数人都不可信任</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R18>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R18>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R18>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R18>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R18>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
19. 胃口不好</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R19>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R19>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R19>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R19>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R19>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
</TBODY>
|
|
</TABLE>
|
|
|
|
<TABLE cellSpacing=0 cellPadding=0 border=0 width="100%">
|
|
|
|
<TBODY>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
20. 容易哭泣</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R20>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R20>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R20>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R20>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R20>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
21. 同异性相处时感到害羞不自在</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R21>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R21>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R21>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R21>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R21>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
22. 感到受骗，中了圈套或有人想抓您</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R22>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R22>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R22>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R22>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R22>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
23. 无缘无故地突然感到害怕</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R23>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R23>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R23>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R23>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R23>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
24. 自己不能控制地大发脾气</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R24>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R24>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R24>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R24>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R24>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
25. 怕单独出门</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R25>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R25>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R25>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R25>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R25>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
26. 经常责怪自己</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R26>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R26>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R26>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R26>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R26>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
27. 腰痛</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R27>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R27>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R27>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R27>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R27>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
28. 感到难以完成任务</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R28>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R28>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R28>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R28>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R28>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
29. 感到孤独</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R29>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R29>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R29>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R29>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R29>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
30. 感到苦闷</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R30>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R30>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R30>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R30>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R30>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
31. 过分担忧</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R31>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R31>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R31>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R31>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R31>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
32. 对事物不感兴趣</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R32>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R32>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R32>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R32>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R32>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
33. 感到害怕</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R33>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R33>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R33>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R33>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R33>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
34. 我的感情容易受到伤害</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R34>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R34>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R34>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R34>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R34>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
35. 旁人能知道您的私下想法</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R35>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R35>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R35>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R35>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R35>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
36. 感到别人不理解您不同情你</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R36>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R36>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R36>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R36>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R36>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
37. 感到人们对你不友好，不喜欢您</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R37>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R37>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R37>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R37>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R37>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
38. 做事必须做得很慢以保证做得正确</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R38>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R38>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R38>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R38>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R38>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
39. 心跳得很厉害</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R39>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R39>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R39>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R39>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R39>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
40. 恶心或胃部不舒服</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R40>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R40>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R40>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R40>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R40>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
</TBODY>
|
|
</TABLE>
|
|
|
|
|
|
|
|
<TABLE cellSpacing=0 cellPadding=0 border=0 width="100%">
|
|
|
|
<TBODY>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
41. 感到比不上他人</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R41>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R41>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R41>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R41>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R41>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
42. 肌肉酸痛</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R42>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R42>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R42>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R42>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R42>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
43. 感到有人在监视您谈论您</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R43>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R43>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R43>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R43>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R43>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
44. 难以入睡</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R44>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R44>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R44>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R44>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R44>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
45. 做事必须反复检查</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R45>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R45>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R45>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R45>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R45>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
46. 难以作出决定</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R46>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R46>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R46>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R46>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R46>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
47. 怕乘电车、公共汽车、地铁或火车</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R47>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R47>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R47>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R47>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R47>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
48. 呼吸有困难</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R48>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R48>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R48>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R48>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R48>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
49. 一阵阵发冷或发热</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R49>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R49>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R49>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R49>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R49>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
50. 因为感到害怕而避开某些东西，场合或活动</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R50>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R50>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R50>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R50>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R50>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
51. 脑子变空了</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R51>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R51>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R51>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R51>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R51>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
52. 身体发麻或刺痛</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R52>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R52>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R52>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R52>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R52>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
53. 喉咙有梗塞感</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R53>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R53>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R53>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R53>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R53>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
54. 感到对前途没有希望</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R54>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R54>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R54>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R54>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R54>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
55. 不能集中注意力</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R55>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R55>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R55>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R55>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R55>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
56. 感到身体的某一部分较弱无力</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R56>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R56>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R56>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R56>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R56>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
57. 感到紧张或容易紧张</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R57>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R57>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R57>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R57>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R57>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
58. 感到手或脚发沉</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R58>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R58>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R58>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R58>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R58>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
59. 想到有关死亡的事</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R59>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R59>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R59>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R59>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R59>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
60. 吃得太多</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R60>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R60>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R60>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R60>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R60>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
61. 当别人看着您或谈论您时感到不自在</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R61>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R61>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R61>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R61>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R61>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
62. 有一些不属于您自己的想法</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R62>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R62>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R62>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R62>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R62>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
63. 有想打人或伤害他人的冲动</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R63>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R63>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R63>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R63>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R63>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
64. 醒得太早</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R64>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R64>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R64>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R64>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R64>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
65. 必须反复洗手、点数目或触摸某些东西</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R65>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R65>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R65>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R65>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R65>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
66. 睡得不稳不深</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R66>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R66>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R66>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R66>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R66>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
67. 有想摔坏或破坏东西的冲动</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R67>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R67>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R67>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R67>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R67>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
</TBODY>
|
|
</TABLE>
|
|
|
|
|
|
|
|
<TABLE cellSpacing=0 cellPadding=0 border=0 width="100%">
|
|
|
|
<TBODY>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
68. 有一些别人没有的想法或念头</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R68>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R68>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R68>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R68>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R68>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
69. 感到对别人神经过敏</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R69>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R69>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R69>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R69>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R69>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
70. 在商店或电影院等人多的地方感到不自在</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R70>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R70>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R70>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R70>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R70>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
71. 感到任何事情都很难做</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R71>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R71>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R71>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R71>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R71>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
72. 一阵阵恐惧或惊恐</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R72>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R72>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R72>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R72>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R72>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
73. 感到在公共场合吃东西很不舒服</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R73>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R73>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R73>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R73>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R73>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
74. 经常与人争论</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R74>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R74>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R74>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R74>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R74>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
75. 单独一人时神经很紧张</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R75>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R75>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R75>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R75>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R75>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
76. 别人对您的成绩没有作出恰当的评价</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R76>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R76>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R76>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R76>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R76>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
77. 即使和别人在一起也感到孤单</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R77>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R77>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R77>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R77>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R77>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
78. 感到坐立不安心神不宁</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R78>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R78>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R78>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R78>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R78>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
79. 感到自己没有什么价值</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R79>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R79>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R79>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R79>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R79>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
80. 感到熟悉的东西变成陌生或不象是真的</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R80>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R80>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R80>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R80>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R80>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
81. 大叫或摔东西</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R81>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R81>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R81>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R81>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R81>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
82. 害怕会在公共场合昏倒</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R82>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R82>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R82>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R82>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R82>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
83. 感到别人想占您的便宜</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R83>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R83>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R83>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R83>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R83>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
84. 为一些有关“性”的想法而很苦恼</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R84>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R84>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R84>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R84>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R84>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
85. 认为应该因为自己的过错而受到惩罚</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R85>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R85>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R85>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R85>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R85>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
86. 感到要赶快把事情做完</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R86>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R86>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R86>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R86>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R86>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
87. 感到自己的身体有严重问题</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R87>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R87>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R87>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R87>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R87>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
88. 从未感到和其他人很亲近</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R88>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R88>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R88>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R88>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R88>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
89. 感到自己有罪</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R89>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R89>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R89>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R89>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R89>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD colSpan=5 height=17>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD class=p16 colSpan=5 height=15>
|
|
90. 感到自己的脑子有毛病</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=1 name=R90>没有<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=2 name=R90>很轻<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=3 name=R90>中等<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=41 name=R90>偏重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
<TD height=17>
|
|
<div class="form-check form-check-radio"><label class="form-check-label"><input class="form-check-input" type=radio value=42 name=R90>严重<span class="form-check-sign"></span></label></div>
|
|
</TD>
|
|
</TR>
|
|
</TBODY>
|
|
</TABLE>
|
|
|
|
<TABLE>
|
|
<TBODY>
|
|
<TR>
|
|
<TD align=middle colSpan=5 style="line-height:1.8;font-family:'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif; font-size:11pt;">
|
|
<br />
|
|
<br />
|
|
<br />
|
|
|
|
<P style="MARGIN: 2px 24px; WORD-SPACING: 2px; LINE-HEIGHT: 150%" align=left>
|
|
<FONT size=3><BR><SPAN style="FONT-SIZE: 11pt; LINE-HEIGHT: 15px; FONT-FAMILY: 'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif;">
|
|
<input class="form-check-input" style="FONT-SIZE: 11pt; FONT-FAMILY: 'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif;" onclick=processForm(this.form) type=button value=查看结果><br /><br />
|
|
|
|
<input class="form-check-input" style="FONT-SIZE: 11pt; COLOR: #ff0000; FONT-FAMILY: 'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif;" size=55 name=answer> <BR>
|
|
<input class="form-check-input" style="FONT-SIZE: 11pt; FONT-FAMILY: 'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif;" size="25" name=answer2>
|
|
<input class="form-check-input" style="FONT-SIZE: 11pt; FONT-FAMILY: 'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif;" size="25" name=answer3>
|
|
<br />
|
|
<input class="form-check-input" style="FONT-SIZE: 11pt; FONT-FAMILY: 'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif;" size="25" name=answer4>
|
|
<input class="form-check-input" style="FONT-SIZE: 11pt; FONT-FAMILY: 'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif;" size="25" name=answer5>
|
|
<br />
|
|
<input class="form-check-input" style="FONT-SIZE: 11pt; FONT-FAMILY: 'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif;" size="25" name=answer6>
|
|
<input class="form-check-input" style="FONT-SIZE: 11pt; FONT-FAMILY: 'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif;" size="25" name=answer7>
|
|
<br />
|
|
<input class="form-check-input" style="FONT-SIZE: 11pt; FONT-FAMILY: 'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif;" size="25" name=answer8>
|
|
<input class="form-check-input" style="FONT-SIZE: 11pt; FONT-FAMILY: 'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif;" size="25" name=answer9>
|
|
<br />
|
|
<input class="form-check-input" style="FONT-SIZE: 11pt; FONT-FAMILY: 'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif;" size="25" name=answer10>
|
|
<input class="form-check-input" style="FONT-SIZE: 11pt; FONT-FAMILY: 'Hiragino Sans GB', 'PingFang SC', 'Heiti SC', 'Microsoft YaHei', 'WenQuanYi Micro Hei', sans-serif;" size="25" name=answer11>
|
|
<BR><br />
|
|
|
|
|
|
<BR>
|
|
</SPAN>
|
|
</TD>
|
|
</TR>
|
|
<TR>
|
|
<TD>
|
|
说明：本测试结果仅供参考，不用作诊断依据。若总粗分大于等于152分或有单项均分超过2分，可能需要对目前的状况进行关注。若标准分大于220分，可能需要诸如心理咨询这样的干预措施。若标准分大于250分，可能需要接受心理医生的帮助。</a>
|
|
</TD>
|
|
</TR>
|
|
</TBODY>
|
|
</TABLE>
|
|
</FORM>
|
|
|
|
|
|
<SCRIPT language=JavaScript>
|
|
function processForm(form) {
|
|
var xf = xf1 = 0;
|
|
var qth = 0;
|
|
var qpz = 0;
|
|
var rjmg = 0;
|
|
var yiyu = 0;
|
|
var jiaolv = 0;
|
|
var didui = 0;
|
|
var kongbu = 0;
|
|
var pz = 0;
|
|
var jsb = 0;
|
|
var qita = 0;
|
|
hc = new Array(90);
|
|
|
|
var roll_call = hc.length;
|
|
for (i = roll_call; i > 0; i--) {
|
|
hc[i - 1] = 1
|
|
};
|
|
//loops through the radio buttons finding out which one is selected
|
|
if (form.R1[1].checked == 1) hc[0] = 2;
|
|
if (form.R1[2].checked == 1) hc[0] = 3;
|
|
if (form.R1[3].checked == 1) hc[0] = 4;
|
|
if (form.R1[4].checked == 1) hc[0] = 5;
|
|
|
|
if (form.R2[1].checked == 1) hc[1] = 2;
|
|
if (form.R2[2].checked == 1) hc[1] = 3;
|
|
if (form.R2[3].checked == 1) hc[1] = 4;
|
|
if (form.R2[4].checked == 1) hc[1] = 5;
|
|
|
|
if (form.R3[1].checked == 1) hc[2] = 2;
|
|
if (form.R3[2].checked == 1) hc[2] = 3;
|
|
if (form.R3[3].checked == 1) hc[2] = 4;
|
|
if (form.R3[4].checked == 1) hc[2] = 5;
|
|
|
|
if (form.R4[1].checked == 1) hc[3] = 2;
|
|
if (form.R4[2].checked == 1) hc[3] = 3;
|
|
if (form.R4[3].checked == 1) hc[3] = 4;
|
|
if (form.R4[4].checked == 1) hc[3] = 5;
|
|
|
|
if (form.R5[1].checked == 1) hc[4] = 2;
|
|
if (form.R5[2].checked == 1) hc[4] = 3;
|
|
if (form.R5[3].checked == 1) hc[4] = 4;
|
|
if (form.R5[4].checked == 1) hc[4] = 5;
|
|
|
|
if (form.R6[1].checked == 1) hc[5] = 2;
|
|
if (form.R6[2].checked == 1) hc[5] = 3;
|
|
if (form.R6[3].checked == 1) hc[5] = 4;
|
|
if (form.R6[4].checked == 1) hc[5] = 5;
|
|
|
|
if (form.R7[1].checked == 1) hc[6] = 2;
|
|
if (form.R7[2].checked == 1) hc[6] = 3;
|
|
if (form.R7[3].checked == 1) hc[6] = 4;
|
|
if (form.R7[4].checked == 1) hc[6] = 5;
|
|
|
|
if (form.R8[1].checked == 1) hc[7] = 2;
|
|
if (form.R8[2].checked == 1) hc[7] = 3;
|
|
if (form.R8[3].checked == 1) hc[7] = 4;
|
|
if (form.R8[4].checked == 1) hc[7] = 5;
|
|
|
|
if (form.R9[1].checked == 1) hc[8] = 2;
|
|
if (form.R9[2].checked == 1) hc[8] = 3;
|
|
if (form.R9[3].checked == 1) hc[8] = 4;
|
|
if (form.R9[4].checked == 1) hc[8] = 5;
|
|
|
|
if (form.R10[1].checked == 1) hc[9] = 2;
|
|
if (form.R10[2].checked == 1) hc[9] = 3;
|
|
if (form.R10[3].checked == 1) hc[9] = 4;
|
|
if (form.R10[4].checked == 1) hc[9] = 5;
|
|
|
|
if (form.R11[1].checked == 1) hc[10] = 2;
|
|
if (form.R11[2].checked == 1) hc[10] = 3;
|
|
if (form.R11[3].checked == 1) hc[10] = 4;
|
|
if (form.R11[4].checked == 1) hc[10] = 5;
|
|
|
|
if (form.R12[1].checked == 1) hc[11] = 2;
|
|
if (form.R12[2].checked == 1) hc[11] = 3;
|
|
if (form.R12[3].checked == 1) hc[11] = 4;
|
|
if (form.R12[4].checked == 1) hc[11] = 5;
|
|
|
|
if (form.R13[1].checked == 1) hc[12] = 2;
|
|
if (form.R13[2].checked == 1) hc[12] = 3;
|
|
if (form.R13[3].checked == 1) hc[12] = 4;
|
|
if (form.R13[4].checked == 1) hc[12] = 5;
|
|
|
|
if (form.R14[1].checked == 1) hc[13] = 2;
|
|
if (form.R14[2].checked == 1) hc[13] = 3;
|
|
if (form.R14[3].checked == 1) hc[13] = 4;
|
|
if (form.R14[4].checked == 1) hc[13] = 5;
|
|
|
|
if (form.R15[1].checked == 1) hc[14] = 2;
|
|
if (form.R15[2].checked == 1) hc[14] = 3;
|
|
if (form.R15[3].checked == 1) hc[14] = 4;
|
|
if (form.R15[4].checked == 1) hc[14] = 5;
|
|
|
|
if (form.R16[1].checked == 1) hc[15] = 2;
|
|
if (form.R16[2].checked == 1) hc[15] = 3;
|
|
if (form.R16[3].checked == 1) hc[15] = 4;
|
|
if (form.R16[4].checked == 1) hc[15] = 5;
|
|
|
|
if (form.R17[1].checked == 1) hc[16] = 2;
|
|
if (form.R17[2].checked == 1) hc[16] = 3;
|
|
if (form.R17[3].checked == 1) hc[16] = 4;
|
|
if (form.R17[4].checked == 1) hc[16] = 5;
|
|
|
|
if (form.R18[1].checked == 1) hc[17] = 2;
|
|
if (form.R18[2].checked == 1) hc[17] = 3;
|
|
if (form.R18[3].checked == 1) hc[17] = 4;
|
|
if (form.R18[4].checked == 1) hc[17] = 5;
|
|
|
|
if (form.R19[1].checked == 1) hc[18] = 2;
|
|
if (form.R19[2].checked == 1) hc[18] = 3;
|
|
if (form.R19[3].checked == 1) hc[18] = 4;
|
|
if (form.R19[4].checked == 1) hc[18] = 5;
|
|
|
|
if (form.R20[1].checked == 1) hc[19] = 2;
|
|
if (form.R20[2].checked == 1) hc[19] = 3;
|
|
if (form.R20[3].checked == 1) hc[19] = 4;
|
|
if (form.R20[4].checked == 1) hc[19] = 5;
|
|
|
|
if (form.R21[1].checked == 1) hc[20] = 2;
|
|
if (form.R21[2].checked == 1) hc[20] = 3;
|
|
if (form.R21[3].checked == 1) hc[20] = 4;
|
|
if (form.R21[4].checked == 1) hc[20] = 5;
|
|
|
|
if (form.R22[1].checked == 1) hc[21] = 2;
|
|
if (form.R22[2].checked == 1) hc[21] = 3;
|
|
if (form.R22[3].checked == 1) hc[21] = 4;
|
|
if (form.R22[4].checked == 1) hc[21] = 5;
|
|
|
|
if (form.R23[1].checked == 1) hc[22] = 2;
|
|
if (form.R23[2].checked == 1) hc[22] = 3;
|
|
if (form.R23[3].checked == 1) hc[22] = 4;
|
|
if (form.R23[4].checked == 1) hc[22] = 5;
|
|
|
|
if (form.R24[1].checked == 1) hc[23] = 2;
|
|
if (form.R24[2].checked == 1) hc[23] = 3;
|
|
if (form.R24[3].checked == 1) hc[23] = 4;
|
|
if (form.R24[4].checked == 1) hc[23] = 5;
|
|
|
|
|
|
|
|
if (form.R25[1].checked == 1) hc[24] = 2;
|
|
|
|
if (form.R25[2].checked == 1) hc[24] = 3;
|
|
if (form.R25[3].checked == 1) hc[24] = 4;
|
|
if (form.R25[4].checked == 1) hc[24] = 5;
|
|
|
|
if (form.R26[1].checked == 1) hc[25] = 2;
|
|
if (form.R26[2].checked == 1) hc[25] = 3;
|
|
if (form.R26[3].checked == 1) hc[25] = 4;
|
|
if (form.R26[4].checked == 1) hc[25] = 5;
|
|
|
|
if (form.R27[1].checked == 1) hc[26] = 2;
|
|
if (form.R27[2].checked == 1) hc[26] = 3;
|
|
if (form.R27[3].checked == 1) hc[26] = 4;
|
|
if (form.R27[4].checked == 1) hc[26] = 5;
|
|
|
|
if (form.R28[1].checked == 1) hc[27] = 2;
|
|
if (form.R28[2].checked == 1) hc[27] = 3;
|
|
if (form.R28[3].checked == 1) hc[27] = 4;
|
|
if (form.R28[4].checked == 1) hc[27] = 5;
|
|
|
|
if (form.R29[1].checked == 1) hc[28] = 2;
|
|
if (form.R29[2].checked == 1) hc[28] = 3;
|
|
if (form.R29[3].checked == 1) hc[28] = 4;
|
|
if (form.R29[4].checked == 1) hc[28] = 5;
|
|
|
|
if (form.R30[1].checked == 1) hc[29] = 2;
|
|
if (form.R30[2].checked == 1) hc[29] = 3;
|
|
if (form.R30[3].checked == 1) hc[29] = 4;
|
|
if (form.R30[4].checked == 1) hc[29] = 5;
|
|
|
|
if (form.R31[1].checked == 1) hc[30] = 2;
|
|
if (form.R31[2].checked == 1) hc[30] = 3;
|
|
if (form.R31[3].checked == 1) hc[30] = 4;
|
|
if (form.R31[4].checked == 1) hc[30] = 5;
|
|
|
|
if (form.R32[1].checked == 1) hc[31] = 2;
|
|
if (form.R32[2].checked == 1) hc[31] = 3;
|
|
if (form.R32[3].checked == 1) hc[31] = 4;
|
|
if (form.R32[4].checked == 1) hc[31] = 5;
|
|
|
|
if (form.R33[1].checked == 1) hc[32] = 2;
|
|
if (form.R33[2].checked == 1) hc[32] = 3;
|
|
if (form.R33[3].checked == 1) hc[32] = 4;
|
|
if (form.R33[4].checked == 1) hc[32] = 5;
|
|
|
|
if (form.R34[1].checked == 1) hc[33] = 2;
|
|
if (form.R34[2].checked == 1) hc[33] = 3;
|
|
if (form.R34[3].checked == 1) hc[33] = 4;
|
|
if (form.R34[4].checked == 1) hc[33] = 5;
|
|
|
|
if (form.R35[1].checked == 1) hc[34] = 2;
|
|
if (form.R35[2].checked == 1) hc[34] = 3;
|
|
if (form.R35[3].checked == 1) hc[34] = 4;
|
|
if (form.R35[4].checked == 1) hc[34] = 5;
|
|
|
|
if (form.R36[1].checked == 1) hc[35] = 2;
|
|
if (form.R36[2].checked == 1) hc[35] = 3;
|
|
if (form.R36[3].checked == 1) hc[35] = 4;
|
|
if (form.R36[4].checked == 1) hc[35] = 5;
|
|
|
|
if (form.R37[1].checked == 1) hc[36] = 2;
|
|
if (form.R37[2].checked == 1) hc[36] = 3;
|
|
if (form.R37[3].checked == 1) hc[36] = 4;
|
|
if (form.R37[4].checked == 1) hc[36] = 5;
|
|
|
|
if (form.R38[1].checked == 1) hc[37] = 2;
|
|
if (form.R38[2].checked == 1) hc[37] = 3;
|
|
if (form.R38[3].checked == 1) hc[37] = 4;
|
|
if (form.R38[4].checked == 1) hc[37] = 5;
|
|
|
|
if (form.R39[1].checked == 1) hc[38] = 2;
|
|
if (form.R39[2].checked == 1) hc[38] = 3;
|
|
if (form.R39[3].checked == 1) hc[38] = 4;
|
|
if (form.R39[4].checked == 1) hc[38] = 5;
|
|
|
|
if (form.R40[1].checked == 1) hc[39] = 2;
|
|
if (form.R40[2].checked == 1) hc[39] = 3;
|
|
if (form.R40[3].checked == 1) hc[39] = 4;
|
|
if (form.R40[4].checked == 1) hc[39] = 5;
|
|
|
|
if (form.R41[1].checked == 1) hc[40] = 2;
|
|
if (form.R41[2].checked == 1) hc[40] = 3;
|
|
if (form.R41[3].checked == 1) hc[40] = 4;
|
|
if (form.R41[4].checked == 1) hc[40] = 5;
|
|
|
|
if (form.R42[1].checked == 1) hc[41] = 2;
|
|
if (form.R42[2].checked == 1) hc[41] = 3;
|
|
if (form.R42[3].checked == 1) hc[41] = 4;
|
|
if (form.R42[4].checked == 1) hc[41] = 5;
|
|
|
|
if (form.R43[1].checked == 1) hc[42] = 2;
|
|
if (form.R43[2].checked == 1) hc[42] = 3;
|
|
if (form.R43[3].checked == 1) hc[42] = 4;
|
|
if (form.R43[4].checked == 1) hc[42] = 5;
|
|
|
|
if (form.R44[1].checked == 1) hc[43] = 2;
|
|
if (form.R44[2].checked == 1) hc[43] = 3;
|
|
if (form.R44[3].checked == 1) hc[43] = 4;
|
|
if (form.R44[4].checked == 1) hc[43] = 5;
|
|
|
|
if (form.R45[1].checked == 1) hc[44] = 2;
|
|
if (form.R45[2].checked == 1) hc[44] = 3;
|
|
if (form.R45[3].checked == 1) hc[44] = 4;
|
|
if (form.R45[4].checked == 1) hc[44] = 5;
|
|
|
|
if (form.R46[1].checked == 1) hc[45] = 2;
|
|
if (form.R46[2].checked == 1) hc[45] = 3;
|
|
if (form.R46[3].checked == 1) hc[45] = 4;
|
|
if (form.R46[4].checked == 1) hc[45] = 5;
|
|
|
|
if (form.R47[1].checked == 1) hc[46] = 2;
|
|
if (form.R47[2].checked == 1) hc[46] = 3;
|
|
if (form.R47[3].checked == 1) hc[46] = 4;
|
|
if (form.R47[4].checked == 1) hc[46] = 5;
|
|
|
|
if (form.R48[1].checked == 1) hc[47] = 2;
|
|
if (form.R48[2].checked == 1) hc[47] = 3;
|
|
if (form.R48[3].checked == 1) hc[47] = 4;
|
|
if (form.R48[4].checked == 1) hc[47] = 5;
|
|
|
|
if (form.R49[1].checked == 1) hc[48] = 2;
|
|
if (form.R49[2].checked == 1) hc[48] = 3;
|
|
if (form.R49[3].checked == 1) hc[48] = 4;
|
|
if (form.R49[4].checked == 1) hc[48] = 5;
|
|
|
|
if (form.R50[1].checked == 1) hc[49] = 2;
|
|
if (form.R50[2].checked == 1) hc[49] = 3;
|
|
if (form.R50[3].checked == 1) hc[49] = 4;
|
|
if (form.R50[4].checked == 1) hc[49] = 5;
|
|
|
|
if (form.R51[1].checked == 1) hc[50] = 2;
|
|
if (form.R51[2].checked == 1) hc[50] = 3;
|
|
if (form.R51[3].checked == 1) hc[50] = 4;
|
|
if (form.R51[4].checked == 1) hc[50] = 5;
|
|
|
|
if (form.R52[1].checked == 1) hc[51] = 2;
|
|
if (form.R52[2].checked == 1) hc[51] = 3;
|
|
if (form.R52[3].checked == 1) hc[51] = 4;
|
|
if (form.R52[4].checked == 1) hc[51] = 5;
|
|
|
|
if (form.R53[1].checked == 1) hc[52] = 2;
|
|
if (form.R53[2].checked == 1) hc[52] = 3;
|
|
if (form.R53[3].checked == 1) hc[52] = 4;
|
|
if (form.R53[4].checked == 1) hc[52] = 5;
|
|
|
|
if (form.R54[1].checked == 1) hc[53] = 2;
|
|
if (form.R54[2].checked == 1) hc[53] = 3;
|
|
if (form.R54[3].checked == 1) hc[53] = 4;
|
|
if (form.R54[4].checked == 1) hc[53] = 5;
|
|
|
|
if (form.R55[1].checked == 1) hc[54] = 2;
|
|
if (form.R55[2].checked == 1) hc[54] = 3;
|
|
if (form.R55[3].checked == 1) hc[54] = 4;
|
|
if (form.R55[4].checked == 1) hc[54] = 5;
|
|
|
|
if (form.R56[1].checked == 1) hc[55] = 2;
|
|
if (form.R56[2].checked == 1) hc[55] = 3;
|
|
if (form.R56[3].checked == 1) hc[55] = 4;
|
|
if (form.R56[4].checked == 1) hc[55] = 5;
|
|
|
|
if (form.R57[1].checked == 1) hc[56] = 2;
|
|
if (form.R57[2].checked == 1) hc[56] = 3;
|
|
if (form.R57[3].checked == 1) hc[56] = 4;
|
|
if (form.R57[4].checked == 1) hc[56] = 5;
|
|
|
|
if (form.R58[1].checked == 1) hc[57] = 2;
|
|
if (form.R58[2].checked == 1) hc[57] = 3;
|
|
if (form.R58[3].checked == 1) hc[57] = 4;
|
|
if (form.R58[4].checked == 1) hc[57] = 5;
|
|
|
|
if (form.R59[1].checked == 1) hc[58] = 2;
|
|
if (form.R59[2].checked == 1) hc[58] = 3;
|
|
if (form.R59[3].checked == 1) hc[58] = 4;
|
|
if (form.R59[4].checked == 1) hc[58] = 5;
|
|
|
|
if (form.R60[1].checked == 1) hc[59] = 2;
|
|
if (form.R60[2].checked == 1) hc[59] = 3;
|
|
if (form.R60[3].checked == 1) hc[59] = 4;
|
|
if (form.R60[4].checked == 1) hc[59] = 5;
|
|
|
|
if (form.R61[1].checked == 1) hc[60] = 2;
|
|
if (form.R61[2].checked == 1) hc[60] = 3;
|
|
if (form.R61[3].checked == 1) hc[60] = 4;
|
|
if (form.R61[4].checked == 1) hc[60] = 5;
|
|
|
|
if (form.R62[1].checked == 1) hc[61] = 2;
|
|
if (form.R62[2].checked == 1) hc[61] = 3;
|
|
if (form.R62[3].checked == 1) hc[61] = 4;
|
|
if (form.R62[4].checked == 1) hc[61] = 5;
|
|
|
|
if (form.R63[1].checked == 1) hc[62] = 2;
|
|
if (form.R63[2].checked == 1) hc[62] = 3;
|
|
if (form.R63[3].checked == 1) hc[62] = 4;
|
|
if (form.R63[4].checked == 1) hc[62] = 5;
|
|
|
|
if (form.R64[1].checked == 1) hc[63] = 2;
|
|
if (form.R64[2].checked == 1) hc[63] = 3;
|
|
if (form.R64[3].checked == 1) hc[63] = 4;
|
|
if (form.R64[4].checked == 1) hc[63] = 5;
|
|
|
|
if (form.R65[1].checked == 1) hc[64] = 2;
|
|
if (form.R65[2].checked == 1) hc[64] = 3;
|
|
if (form.R65[3].checked == 1) hc[64] = 4;
|
|
if (form.R65[4].checked == 1) hc[64] = 5;
|
|
|
|
if (form.R66[1].checked == 1) hc[65] = 2;
|
|
if (form.R66[2].checked == 1) hc[65] = 3;
|
|
if (form.R66[3].checked == 1) hc[65] = 4;
|
|
if (form.R66[4].checked == 1) hc[65] = 5;
|
|
|
|
if (form.R67[1].checked == 1) hc[66] = 2;
|
|
if (form.R67[2].checked == 1) hc[66] = 3;
|
|
if (form.R67[3].checked == 1) hc[66] = 4;
|
|
if (form.R67[4].checked == 1) hc[66] = 5;
|
|
|
|
if (form.R68[1].checked == 1) hc[67] = 2;
|
|
if (form.R68[2].checked == 1) hc[67] = 3;
|
|
if (form.R68[3].checked == 1) hc[67] = 4;
|
|
if (form.R68[4].checked == 1) hc[67] = 5;
|
|
|
|
if (form.R69[1].checked == 1) hc[68] = 2;
|
|
if (form.R69[2].checked == 1) hc[68] = 3;
|
|
if (form.R69[3].checked == 1) hc[68] = 4;
|
|
if (form.R69[4].checked == 1) hc[68] = 5;
|
|
|
|
if (form.R70[1].checked == 1) hc[69] = 2;
|
|
if (form.R70[2].checked == 1) hc[69] = 3;
|
|
if (form.R70[3].checked == 1) hc[69] = 4;
|
|
if (form.R70[4].checked == 1) hc[69] = 5;
|
|
|
|
if (form.R71[1].checked == 1) hc[70] = 2;
|
|
if (form.R71[2].checked == 1) hc[70] = 3;
|
|
if (form.R71[3].checked == 1) hc[70] = 4;
|
|
if (form.R71[4].checked == 1) hc[70] = 5;
|
|
|
|
if (form.R72[1].checked == 1) hc[71] = 2;
|
|
if (form.R72[2].checked == 1) hc[71] = 3;
|
|
if (form.R72[3].checked == 1) hc[71] = 4;
|
|
if (form.R72[4].checked == 1) hc[71] = 5;
|
|
|
|
if (form.R73[1].checked == 1) hc[72] = 2;
|
|
if (form.R73[2].checked == 1) hc[72] = 3;
|
|
if (form.R73[3].checked == 1) hc[72] = 4;
|
|
if (form.R73[4].checked == 1) hc[72] = 5;
|
|
|
|
if (form.R74[1].checked == 1) hc[73] = 2;
|
|
if (form.R74[2].checked == 1) hc[73] = 3;
|
|
if (form.R74[3].checked == 1) hc[73] = 4;
|
|
if (form.R74[4].checked == 1) hc[73] = 5;
|
|
|
|
if (form.R75[1].checked == 1) hc[74] = 2;
|
|
if (form.R75[2].checked == 1) hc[74] = 3;
|
|
if (form.R75[3].checked == 1) hc[74] = 4;
|
|
if (form.R75[4].checked == 1) hc[74] = 5;
|
|
|
|
if (form.R76[1].checked == 1) hc[75] = 2;
|
|
if (form.R76[2].checked == 1) hc[75] = 3;
|
|
if (form.R76[3].checked == 1) hc[75] = 4;
|
|
if (form.R76[4].checked == 1) hc[75] = 5;
|
|
|
|
if (form.R77[1].checked == 1) hc[76] = 2;
|
|
if (form.R77[2].checked == 1) hc[76] = 3;
|
|
if (form.R77[3].checked == 1) hc[76] = 4;
|
|
if (form.R77[4].checked == 1) hc[76] = 5;
|
|
|
|
if (form.R78[1].checked == 1) hc[77] = 2;
|
|
if (form.R78[2].checked == 1) hc[77] = 3;
|
|
if (form.R78[3].checked == 1) hc[77] = 4;
|
|
if (form.R78[4].checked == 1) hc[77] = 5;
|
|
|
|
if (form.R79[1].checked == 1) hc[78] = 2;
|
|
if (form.R79[2].checked == 1) hc[78] = 3;
|
|
if (form.R79[3].checked == 1) hc[78] = 4;
|
|
if (form.R79[4].checked == 1) hc[78] = 5;
|
|
|
|
if (form.R80[1].checked == 1) hc[79] = 2;
|
|
if (form.R80[2].checked == 1) hc[79] = 3;
|
|
if (form.R80[3].checked == 1) hc[79] = 4;
|
|
if (form.R80[4].checked == 1) hc[79] = 5;
|
|
|
|
if (form.R81[1].checked == 1) hc[80] = 2;
|
|
if (form.R81[2].checked == 1) hc[80] = 3;
|
|
if (form.R81[3].checked == 1) hc[80] = 4;
|
|
if (form.R81[4].checked == 1) hc[80] = 5;
|
|
|
|
if (form.R82[1].checked == 1) hc[81] = 2;
|
|
if (form.R82[2].checked == 1) hc[81] = 3;
|
|
if (form.R82[3].checked == 1) hc[81] = 4;
|
|
if (form.R82[4].checked == 1) hc[81] = 5;
|
|
|
|
if (form.R83[1].checked == 1) hc[82] = 2;
|
|
if (form.R83[2].checked == 1) hc[82] = 3;
|
|
if (form.R83[3].checked == 1) hc[82] = 4;
|
|
if (form.R83[4].checked == 1) hc[82] = 5;
|
|
|
|
if (form.R84[1].checked == 1) hc[83] = 2;
|
|
if (form.R84[2].checked == 1) hc[83] = 3;
|
|
if (form.R84[3].checked == 1) hc[83] = 4;
|
|
if (form.R84[4].checked == 1) hc[83] = 5;
|
|
|
|
if (form.R85[1].checked == 1) hc[84] = 2;
|
|
if (form.R85[2].checked == 1) hc[84] = 3;
|
|
if (form.R85[3].checked == 1) hc[84] = 4;
|
|
if (form.R85[4].checked == 1) hc[84] = 5;
|
|
|
|
if (form.R86[1].checked == 1) hc[85] = 2;
|
|
if (form.R86[2].checked == 1) hc[85] = 3;
|
|
if (form.R86[3].checked == 1) hc[85] = 4;
|
|
if (form.R86[4].checked == 1) hc[85] = 5;
|
|
|
|
if (form.R87[1].checked == 1) hc[86] = 2;
|
|
if (form.R87[2].checked == 1) hc[86] = 3;
|
|
if (form.R87[3].checked == 1) hc[86] = 4;
|
|
if (form.R87[4].checked == 1) hc[86] = 5;
|
|
|
|
if (form.R88[1].checked == 1) hc[87] = 2;
|
|
if (form.R88[2].checked == 1) hc[87] = 3;
|
|
if (form.R88[3].checked == 1) hc[87] = 4;
|
|
if (form.R88[4].checked == 1) hc[87] = 5;
|
|
|
|
if (form.R89[1].checked == 1) hc[88] = 2;
|
|
if (form.R89[2].checked == 1) hc[88] = 3;
|
|
if (form.R89[3].checked == 1) hc[88] = 4;
|
|
if (form.R89[4].checked == 1) hc[88] = 5;
|
|
|
|
if (form.R90[1].checked == 1) hc[89] = 2;
|
|
if (form.R90[2].checked == 1) hc[89] = 3;
|
|
if (form.R90[3].checked == 1) hc[89] = 4;
|
|
if (form.R90[4].checked == 1) hc[89] = 5;
|
|
|
|
qth += hc[0] + hc[3] + hc[11] + hc[26] + hc[39] + hc[41] + hc[47] + hc[48] + hc[51] + hc[52] + hc[55] + hc[57];
|
|
qpz += hc[2] + hc[8] + hc[9] + hc[27] + hc[37] + hc[44] + hc[45] + hc[50] + hc[54] + hc[64];
|
|
rjmg += hc[5] + hc[20] + hc[33] + hc[35] + hc[36] + hc[40] + hc[60] + hc[68] + hc[72];
|
|
yiyu += hc[4] + hc[13] + hc[14] + hc[19] + hc[21] + hc[25] + hc[28] + hc[29] + hc[30] + hc[31] + hc[53] + hc[70] + hc[78];
|
|
jiaolv += hc[1] + hc[16] + hc[22] + hc[32] + hc[38] + hc[56] + hc[71] + hc[78] + hc[79] + hc[85];
|
|
didui += hc[10] + hc[23] + hc[62] + hc[66] + hc[73] + hc[80];
|
|
kongbu += hc[12] + hc[24] + hc[46] + hc[49] + hc[69] + hc[74] + hc[81];
|
|
pz += hc[7] + hc[17] + hc[42] + hc[67] + hc[75] + hc[82];
|
|
jsb += hc[6] + hc[15] + hc[34] + hc[61] + hc[77] + hc[83] + hc[84] + hc[86] + hc[87] + hc[89];
|
|
qita += hc[18] + hc[43] + hc[58] + hc[59] + hc[63] + hc[65] + hc[88];
|
|
|
|
qth1 = (qth / 12);
|
|
qpz1 = (qpz / 10);
|
|
rjmg1 = (rjmg / 9);
|
|
yiyu1 = (yiyu / 13);
|
|
jiaolv1 = (jiaolv / 10);
|
|
didui1 = (didui / 6);
|
|
kongbu1 = (kongbu / 7);
|
|
pz1 = (pz / 6);
|
|
jsb1 = (jsb / 10);
|
|
qita1 = (qita / 7);
|
|
|
|
|
|
qth1 = Math.round(qth1);
|
|
qpz1 = Math.round(qpz1);
|
|
rjmg1 = Math.round(rjmg1);
|
|
yiyu1 = Math.round(yiyu1);
|
|
jiaolv1 = Math.round(jiaolv1);
|
|
didui1 = Math.round(didui1);
|
|
kongbu1 = Math.round(kongbu1);
|
|
pz1 = Math.round(pz1);
|
|
jsb1 = Math.round(jsb1);
|
|
qita1 = Math.round(qita1);
|
|
|
|
|
|
for (i = roll_call; i > 0; i--) {
|
|
xf += hc[i - 1]
|
|
};
|
|
xf1 = Math.ceil(xf * 1.25);
|
|
xf2 = Math.ceil(xf);
|
|
xf3 = (xf / 90);
|
|
xf3 = Math.round(xf3);
|
|
|
|
form.answer.value = "你的总粗分为" + xf2 + "分，" + "总均分为" + xf3 + "分，" + "标准分为" + xf1 + "分。";
|
|
form.answer2.value = "躯体化分" + qth + "分，" + "均分" + qth1;
|
|
form.answer3.value = "强迫症状" + qpz + "分，" + "均分" + qpz1;
|
|
form.answer4.value = "人际敏感" + rjmg + "分，" + "均分" + rjmg1;
|
|
form.answer5.value = "抑郁症状" + yiyu + "分，" + "均分" + yiyu1;
|
|
form.answer6.value = "焦虑症状" + jiaolv + "分，" + "均分" + jiaolv1;
|
|
form.answer7.value = "敌对症状" + didui + "分，" + "均分" + didui1;
|
|
form.answer8.value = "恐怖症状" + kongbu + "分，" + "均分" + kongbu1;
|
|
form.answer9.value = "偏执症状" + pz + "分，" + "均分" + pz1;
|
|
form.answer10.value = "饮食睡眠" + qita + "分，" + "均分" + qita1;
|
|
form.answer11.value = "精神症状" + jsb + "分，" + "均分" + jsb1;
|
|
}
|
|
</SCRIPT>
|
|
|
|
</td>
|
|
</tr>
|
|
</table>
|
|
<br />
|
|
<br />
|
|
<p align="center">
|
|
<link href="" rel="stylesheet" type="text/css">
|
|
Copyright © 2024 WYT
|
|
|
|
</p>
|
|
</div>
|
|
</div>
|
|
<br />
|
|
<br />
|
|
<br />
|
|
<br />
|
|
</td>
|
|
</tr>
|
|
</table>
|
|
</div>
|
|
</div> |