HITS: The Hurt, Insult, Threaten, and Scream Inventory

HITS: The Hurt, Insult, Threaten, and Scream Inventory
How often does your partner...
... physically hurt you?  [select name="variable_1" value="Never (1 point)=1|Rarely (2 points)=2|Sometimes (3 points)=3|Fairly often (4 points)=4|Frequently (5 points)=5"]
... insult or talk down to you? [select name="variable_2" value="Never (1 point)=1|Rarely (2 points)=2|Sometimes (3 points)=3|Fairly often (4 points)=4|Frequently (5 points)=5"]
... threaten you with harm? [select name="variable_3" value="Never (1 point)=1|Rarely (2 points)=2|Sometimes (3 points)=3|Fairly often (4 points)=4|Frequently (5 points)=5"]
... scream or curse at you? [select name="variable_4" value="Never (1 point)=1|Rarely (2 points)=2|Sometimes (3 points)=3|Fairly often (4 points)=4|Frequently (5 points)=5"]
Score --> [calc memo="number" value="score=(variable_1)+(variable_2)+(variable_3)+(variable_4)"] out of 20 points
Interpretation --> [calc memo="number" value="score=(variable_1)+(variable_2)+(variable_3)+(variable_4);score>10?'Intimate partner violence is likely and further assessment is warranted':'Negative screen'"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
reference:
[link url="//www.ncbi.nlm.nih.gov/pubmed/9669164" memo="#1"] Sherin KM, Sinacore JM, Li XQ, Zitter RE, Shakil A. HITS: a short domestic violence screening tool for use in a family practice setting. Fam Med. 1998 Jul-Aug;30(7):508-12.
[/conditional]
HITS: The Hurt, Insult, Threaten, and Scream Inventory
How often does your partner...
... physically hurt you?
... insult or talk down to you?
... threaten you with harm?
... scream or curse at you?
Score --> numberscore=(variable_1)+(variable_2)+(variable_3)+(variable_4) out of 20 points
Interpretation --> numberscore=(variable_1)+(variable_2)+(variable_3)+(variable_4);score>10?'Intimate partner violence is likely and further assessment is warranted':'Negative screen'
display/hide references

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 1, 9 form elements, 40 boilerplate words, 1 checkboxes, 4 drop downs, 1 links, 2 calculations, 1 conditionals, 5 total clicks
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