{"id":5005,"date":"2025-07-10T00:41:21","date_gmt":"2025-07-09T23:41:21","guid":{"rendered":"https:\/\/mitellus.fr\/?p=5005"},"modified":"2025-07-10T01:36:19","modified_gmt":"2025-07-10T00:36:19","slug":"burn-depression-checklist","status":"publish","type":"post","link":"https:\/\/mitellus.fr\/?p=5005","title":{"rendered":"Burn Depression Checklist"},"content":{"rendered":"<style>\n    .burntest-container { max-width: 800px; margin: 0 auto; padding: 20px; font-family: Arial, sans-serif; }\n    .burntest-radio { \n        padding: 10px 15px; \n        background-color: #f0f0f0; \n        border: 2px solid #ccc; \n        border-radius: 5px; \n        cursor: pointer; \n        text-align: center; \n        min-width: 100px; \n        margin: 5px; \n        display: inline-block; \n        font-size: 16px; \n        touch-action: manipulation; \n        transition: all 0.2s ease; \n    }\n    .burntest-radio input[type=\"radio\"] { display: none; }\n    .burntest-radio input[type=\"radio\"]:checked + span { \n        background-color: #007bff; \n        color: white; \n        border-color: #0056b3; \n        display: block; \n        padding: 10px 15px; \n        border-radius: 5px; \n    }\n    .consent-box { margin: 15px 0; }\n    .error-message { color: red; display: none; margin-top: 5px; }\n    .success-message { color: green; font-weight: bold; margin-bottom: 20px; }\n    .alert-message { color: red; font-weight: bold; margin-bottom: 20px; }\n    #burntest-admin-console { background: #f9f9f9; padding: 20px; margin-bottom: 20px; border: 1px solid #ddd; }\n    #burntest-admin-console label { display: block; margin: 10px 0; }\n    #burntest-admin-console button { \n        padding: 10px 15px; \n        margin-right: 10px; \n        font-size: 16px; \n        cursor: pointer; \n        border-radius: 5px; \n    }\n    #language-toggle { \n        padding: 10px 20px; \n        background-color: #007bff; \n        color: white; \n        border: none; \n        border-radius: 5px; \n        cursor: pointer; \n        margin-bottom: 20px; \n    }\n    .progress-container { width: 100%; background-color: #f3f3f3; border-radius: 5px; margin: 10px 0; }\n    .progress-bar { height: 20px; background-color: #007bff; width: 0%; transition: width 0.3s ease; border-radius: 5px; }\n    .category-section { margin: 20px 0; border-bottom: 2px solid #ddd; padding-bottom: 10px; }\n    .category-title { font-size: 1.2em; font-weight: bold; margin-bottom: 10px; }\n    .question { margin-bottom: 20px; }\n    @media (max-width: 600px) {\n        .burntest-radio { min-width: 80px; font-size: 14px; }\n        .burntest-container { padding: 10px; }\n    }\n<\/style>\n<script>\n    function calculateResults(event) {\n        event.preventDefault();\n        event.stopPropagation();\n\n        let results = {};\n        let totalScore = 0;\n        let questions = document.getElementsByClassName('question');\n        let name = document.getElementById('name').value.trim();\n        let email = document.getElementById('email').value.trim();\n        let comment = document.getElementById('comment').value.trim();\n        let gdprConsent = document.getElementById('gdpr-consent').checked;\n        let mentalHealthConsent = document.getElementById('mental-health-consent').checked;\n        let honeypot = document.getElementById('website').value.trim();\n        let uniqueId = document.getElementById('unique_id').value.trim();\n\n        if (!name) { document.getElementById('name-error').style.display = 'block'; return; }\n        else { document.getElementById('name-error').style.display = 'none'; }\n        if (!email || !\/\\S+@\\S+\\.\\S+\/.test(email)) { document.getElementById('email-error').style.display = 'block'; return; }\n        else { document.getElementById('email-error').style.display = 'none'; }\n        if (!gdprConsent) { document.getElementById('gdpr-error').style.display = 'block'; return; }\n        else { document.getElementById('gdpr-error').style.display = 'none'; }\n        if (!mentalHealthConsent) { document.getElementById('health-error').style.display = 'block'; return; }\n        else { document.getElementById('health-error').style.display = 'none'; }\n        if (honeypot) { console.log(\"Spam detected\"); return; }\n\n        let allAnswered = true;\n        for (let i = 0; i < questions.length; i++) {\n            let question = questions[i];\n            let options = question.getElementsByTagName('input');\n            let answered = false;\n            for (let j = 0; j < options.length; j++) {\n                if (options[j].checked) {\n                    let value = parseInt(options[j].value);\n                    results['Q' + (i + 1)] = value;\n                    totalScore += value;\n                    answered = true;\n                    break;\n                }\n            }\n            if (!answered) { allAnswered = false; }\n        }\n        if (!allAnswered) { document.getElementById('question-error').style.display = 'block'; return; }\n        else { document.getElementById('question-error').style.display = 'none'; }\n\n        document.getElementById('resultsInput').value = JSON.stringify(results);\n        document.getElementById('totalScoreInput').value = totalScore;\n        document.getElementById('nameInput').value = name;\n        document.getElementById('emailInput').value = email;\n        document.getElementById('commentInput').value = comment;\n        document.getElementById('gdprConsentInput').value = gdprConsent;\n        document.getElementById('mentalHealthConsentInput').value = mentalHealthConsent;\n        document.getElementById('langInput').value = 'en';\n        document.getElementById('uniqueIdInput').value = uniqueId;\n\n        document.getElementById('burntestForm').submit();\n    }\n\n    function updateProgress() {\n        let questions = document.getElementsByClassName('question');\n        let answered = 0;\n        for (let i = 0; i < questions.length; i++) {\n            let options = questions[i].getElementsByTagName('input');\n            for (let j = 0; j < options.length; j++) {\n                if (options[j].checked) {\n                    answered++;\n                    break;\n                }\n            }\n        }\n        let progress = (answered \/ questions.length) * 100;\n        document.getElementById('progress-bar').style.width = progress + '%';\n    }\n\n    document.addEventListener('DOMContentLoaded', function() {\n        let questions = document.getElementsByClassName('question');\n        for (let i = 0; i < questions.length; i++) {\n            let options = questions[i].getElementsByTagName('input');\n            for (let j = 0; j < options.length; j++) {\n                options[j].addEventListener('change', function() {\n                    updateProgress();\n                    if (i < questions.length - 1) {\n                        questions[i + 1].scrollIntoView({ behavior: 'smooth', block: 'center' });\n                    }\n                });\n            }\n        }\n    });\n<\/script>\n\n\n<div class=\"burntest-container\">\n    <button id=\"language-toggle\" data-current-lang=\"en\" data-translate=\"lang_toggle\">\n        Fran\u00e7ais    <\/button>\n\n            <form id=\"burntestForm\" method=\"post\" action=\"https:\/\/mitellus.fr\/wp-admin\/admin-post.php\">\n            <input type=\"hidden\" name=\"action\" value=\"burntest_submit\">\n            <input type=\"hidden\" id=\"security\" name=\"security\" value=\"cec4fcb78b\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fposts%2F5005\" \/>            <h2 data-translate=\"title\">Burn&#039;s Depression Checklist<\/h2>\n            <p data-translate=\"instructions\">Please answer all questions based on how you have been feeling over the past 30 days. Select one option per question. All answers are required.<\/p>\n            <div class=\"progress-container\">\n                <div id=\"progress-bar\" class=\"progress-bar\"><\/div>\n            <\/div>\n            <label for=\"name\" data-translate=\"name_label\">Your Name:<\/label>\n            <input type=\"text\" id=\"name\" name=\"name\" value=\"\" required>\n            <span id=\"name-error\" class=\"error-message\" data-translate=\"name_error\">Please enter your name.<\/span>\n            <label for=\"email\" data-translate=\"email_label\">Your Email Address:<\/label>\n            <input type=\"email\" id=\"email\" name=\"email\" value=\"\" required>\n            <span id=\"email-error\" class=\"error-message\" data-translate=\"email_error\">Please enter a valid email address.<\/span>\n            <label for=\"comment\" data-translate=\"comment_label\">Any Comments:<\/label>\n            <textarea id=\"comment\" name=\"comment\" rows=\"4\" cols=\"50\"><\/textarea>\n            <input type=\"hidden\" id=\"unique_id\" name=\"unique_id\" value=\"\">\n\n            <div class=\"consent-box\">\n                <input type=\"checkbox\" id=\"gdpr-consent\" name=\"gdpr_consent\" required>\n                <label for=\"gdpr-consent\" data-translate=\"gdpr_label\">I consent to the processing of my personal data in accordance with GDPR for this survey.<\/label>\n                <span id=\"gdpr-error\" class=\"error-message\" data-translate=\"gdpr_error\">GDPR consent is required.<\/span>\n            <\/div>\n\n            <div class=\"consent-box\">\n                <input type=\"checkbox\" id=\"mental-health-consent\" name=\"mental_health_consent\" required>\n                <label for=\"mental-health-consent\" data-translate=\"health_label\">I consent to my data being used to evaluate my mental health for this survey.<\/label>\n                <span id=\"health-error\" class=\"error-message\" data-translate=\"health_error\">Mental health consent is required.<\/span>\n            <\/div>\n\n            <div style=\"display: none;\">\n                <label for=\"website\">Leave this blank:<\/label>\n                <input type=\"text\" id=\"website\" name=\"website\">\n            <\/div>\n\n            <div class=\"category-section\"><h3 class=\"category-title\">Thoughts and Feelings<\/h3>                        <div class=\"question\">\n                            <h4>1. Feeling sad or down in the dumps<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[1]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[1]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[1]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[1]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[1]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>2. Feeling unhappy or blue<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[2]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[2]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[2]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[2]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[2]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>3. Crying spells or tearfulness<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[3]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[3]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[3]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[3]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[3]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>4. Feeling discouraged<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[4]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[4]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[4]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[4]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[4]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>5. Feeling hopeless<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[5]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[5]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[5]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[5]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[5]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>6. Low Self-Esteem<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[6]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[6]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[6]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[6]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[6]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>7. Feeling worthless or inadequate<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[7]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[7]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[7]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[7]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[7]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>8. Guilt or shame<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[8]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[8]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[8]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[8]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[8]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>9. Criticising yourself or blaming others<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[9]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[9]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[9]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[9]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[9]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>10. Difficulty in making decisions<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[10]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[10]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[10]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[10]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[10]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                        <\/div><div class=\"category-section\"><h3 class=\"category-title\">Activities and Personal Relationships<\/h3>                        <div class=\"question\">\n                            <h4>11. Loss of interest in family, friends or colleagues<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[11]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[11]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[11]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[11]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[11]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>12. Loneliness<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[12]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[12]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[12]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[12]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[12]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>13. Spending less time with family or friends<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[13]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[13]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[13]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[13]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[13]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>14. Loss of motivation<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[14]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[14]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[14]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[14]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[14]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>15. Loss of interest in work or other activities<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[15]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[15]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[15]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[15]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[15]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>16. Avoiding work or other activities<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[16]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[16]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[16]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[16]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[16]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>17. Loss of pleasure or satisfaction in life<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[17]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[17]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[17]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[17]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[17]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                        <\/div><div class=\"category-section\"><h3 class=\"category-title\">Physical Symptoms<\/h3>                        <div class=\"question\">\n                            <h4>18. Feeling tired<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[18]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[18]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[18]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[18]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[18]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>19. Difficulty sleeping or sleeping too much<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[19]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[19]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[19]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[19]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[19]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>20. Decrease or increases appetite<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[20]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[20]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[20]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[20]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[20]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>21. Loss of interest in sex<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[21]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[21]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[21]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[21]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[21]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>22. Worrying about your health<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[22]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[22]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[22]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[22]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[22]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                        <\/div><div class=\"category-section\"><h3 class=\"category-title\">Suicidal Urges<\/h3>                        <div class=\"question\">\n                            <h4>23. Do you have any suicidal thoughts?<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[23]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[23]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[23]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[23]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[23]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>24. Would you like to end your life?<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[24]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[24]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[24]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[24]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[24]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                                                <div class=\"question\">\n                            <h4>25. Do you have a plan for harming yourself?<\/h4>\n                            <div class=\"question-buttons\">\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[25]\" value=\"0\" required><span>Not at All<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[25]\" value=\"1\" required><span>Somewhat<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[25]\" value=\"2\" required><span>Moderately<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[25]\" value=\"3\" required><span>A Lot<\/span><\/label>\n                                                                    <label class=\"burntest-radio\"><input type=\"radio\" name=\"responses[25]\" value=\"4\" required><span>Extremely<\/span><\/label>\n                                                            <\/div>\n                        <\/div>\n                        <\/div>            <span id=\"question-error\" class=\"error-message\" data-translate=\"question_error\">Please answer all questions.<\/span>\n\n            <input type=\"hidden\" id=\"resultsInput\" name=\"results\" value=\"\">\n            <input type=\"hidden\" id=\"totalScoreInput\" name=\"total_score\" value=\"\">\n            <input type=\"hidden\" id=\"nameInput\" name=\"submitted_name\" value=\"\">\n            <input type=\"hidden\" id=\"emailInput\" name=\"email\" value=\"\">\n            <input type=\"hidden\" id=\"commentInput\" name=\"comment\" value=\"\">\n            <input type=\"hidden\" id=\"gdprConsentInput\" name=\"gdpr_consent\" value=\"\">\n            <input type=\"hidden\" id=\"mentalHealthConsentInput\" name=\"mental_health_consent\" value=\"\">\n            <input type=\"hidden\" id=\"langInput\" name=\"lang\" value=\"\">\n            <input type=\"hidden\" id=\"uniqueIdInput\" name=\"unique_id\" value=\"\">\n\n            <button type=\"submit\" onclick=\"calculateResults(event)\" data-translate=\"submit\">Submit<\/button>\n        <\/form>\n\n            <\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1,29],"tags":[35,36,40],"class_list":["post-5005","post","type-post","status-publish","format-standard","hentry","category-experience","category-hypnotherapy","tag-english","tag-french","tag-hypnosis"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/mitellus.fr\/index.php?rest_route=\/wp\/v2\/posts\/5005","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mitellus.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mitellus.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mitellus.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mitellus.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5005"}],"version-history":[{"count":4,"href":"https:\/\/mitellus.fr\/index.php?rest_route=\/wp\/v2\/posts\/5005\/revisions"}],"predecessor-version":[{"id":5009,"href":"https:\/\/mitellus.fr\/index.php?rest_route=\/wp\/v2\/posts\/5005\/revisions\/5009"}],"wp:attachment":[{"href":"https:\/\/mitellus.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5005"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mitellus.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5005"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mitellus.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5005"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}