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questionnaire.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>Bootstrap demo</title>
<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.3.3/dist/css/bootstrap.min.css" rel="stylesheet" integrity="sha384-QWTKZyjpPEjISv5WaRU9OFeRpok6YctnYmDr5pNlyT2bRjXh0JMhjY6hW+ALEwIH" crossorigin="anonymous">
<link rel="stylesheet" href="styles.css">
<link
rel="stylesheet"
href="https://cdnjs.cloudflare.com/ajax/libs/animate.css/4.1.1/animate.min.css"/>
<script>
var wow = new WOW({
boxClass: 'wow',
animateClass: 'animate__animated'
})
wow.init();
</script>
</head>
<nav class="navbar navbar-expand-lg bg-body-tertiary">
<div class="container-fluid">
<a class="navbar-brand" href="#">safe lo</a>
<button class="navbar-toggler" type="button" data-bs-toggle="collapse" data-bs-target="#navbarNav" aria-controls="navbarNav" aria-expanded="false" aria-label="Toggle navigation">
<span class="navbar-toggler-icon"></span>
</button>
<div class="collapse navbar-collapse" id="navbarNav">
<ul class="navbar-nav">
<li class="nav-item">
<a class="nav-link" href="#">home</a>
</li>
<li class="nav-item">
<a class="nav-link" aria-current="page" href="aboutus.html">about us</a>
</li>
<li class="nav-item">
<a class="nav-link active" href="questionnaire.html">questionnaire</a>
</li>
</ul>
</div>
</div>
</nav>
<body id="quest">
<p>
1. How are you feeling?
</p>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox1" value="option1">
<label class="form-check-label" for="inlineCheckbox1">good</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">bad</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox3" value="option3">
<label class="form-check-label" for="inlineCheckbox3">in betwwen</label>
</div>
<p>
2. How have your sleeping habits been? Have you noticed any changes? Any difficulty sleeping?
</p>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox1" value="option1">
<label class="form-check-label" for="inlineCheckbox1">my sleeping habits have been the same and I'm fine sleeping soundly.
</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">my sleeping habits have changed and I’ve been going through a rough time of getting any sleep.
</label>
</div>
<p>
3. How would you describe your eating habits lately?
</p>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox1" value="option1">
<label class="form-check-label" for="inlineCheckbox1">my eating habits have been good, I’ve been eating a sufficient amount of food.
</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">my eating habits have been bad, I currently don’t eat enough or I don’t eat at all.
</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">prefer not to say
</label>
</div>
<p>
4. Do you still have any interest or pleasure in the activities you normally do?
</p>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox1" value="option1">
<label class="form-check-label" for="inlineCheckbox1">yes, I feel fine I feel like myself.
</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">no, I don’t even feel like myself anymore.
</label>
</div>
<p>
5. Do you feel guilty about yourself or feel worthless?
</p>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox1" value="option1">
<label class="form-check-label" for="inlineCheckbox1">yes
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">no
</label>
</div>
<p>
6. Have you been anxious, restless, or having multiple worries and doubts in your mind more than usual?
</p>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox1" value="option1">
<label class="form-check-label" for="inlineCheckbox1">I have been feeling anxious and restless.
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">I’ve been having multiple worries and doubts in my mind.
</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">I’ve been experiencing both of these symptoms.
</label>
</div>
<p>7. Do you feel happier or angrier than your usual self?
</p>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox1" value="option1">
<label class="form-check-label" for="inlineCheckbox1">i feel happier than my usual self.
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">i feel angrier than my usual self.
</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">i feel both of these emotions.
</label>
</div>
<p>
8. Have you been less confident in yourself than before?
</p>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox1" value="option1">
<label class="form-check-label" for="inlineCheckbox1">yes, I feel less confident and very insecure in my own body.
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">no, I feel confident but I still have some problems that I am still going through.
</label>
</div>
<p>
9.Have you been having thoughts that you will be better off dead or of hurting yourself in some way or thoughts of suicide?
</p>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox1" value="option1">
<label class="form-check-label" for="inlineCheckbox1">I’ve been having these thoughts a lot lately.
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">I have been harming myself.
</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">I’ve been doing both of these things and require immediate help.
</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">prefer not to say
</label>
</div>
<p>
10. Do you use any substances(alcohol, weed, drugs) to cope with what you’re going through?
</p>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox1" value="option1">
<label class="form-check-label" for="inlineCheckbox1">I do use these substances all the time to help cope with my problems.
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">I don’t partake in these substances but I still don’t cope well.
</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">I use these substances once in a while to help cope with my problems.
</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" id="inlineCheckbox2" value="option2">
<label class="form-check-label" for="inlineCheckbox2">prefer not to say
</div>
<div class="text center">
<button id="submit" type= "submit">
submit
</button>
</div>
</body>
</html>