{"id":4157,"date":"2023-07-12T14:32:13","date_gmt":"2023-07-12T14:32:13","guid":{"rendered":"https:\/\/site.rlsregistry.eu\/?page_id=4157"},"modified":"2023-07-12T14:34:31","modified_gmt":"2023-07-12T14:34:31","slug":"rls-questionaire","status":"publish","type":"page","link":"https:\/\/site.rlsregistry.eu\/fr\/rls-questionaire\/","title":{"rendered":"RLS Questionaire"},"content":{"rendered":"<div class='fluentform fluentform_wrapper_3'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" action=\"\" ><fieldset style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Restless Legs Syndrome Severity Scale (Version xxx)<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='4157' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"d412c5229c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/4157\" \/><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_datetime' aria-label=\"Authorisation code\">Authorisation code<\/label><\/div><div class='ff-el-input--content'><input data-type-datepicker data-format='H:i' type=\"text\" name=\"datetime\" id=\"ff_3_datetime\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"hh:mm\" data-name=\"datetime\"  aria-invalid='false' aria-required=\"true\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_numeric-field' aria-label=\"Current age\">Current age<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field\" id=\"ff_3_numeric-field\" class=\"ff-el-form-control\" data-name=\"numeric-field\" inputmode=\"numeric\" step=\"any\" min=\"18\" aria-valuemin=\"18\" max=\"99\" aria-valuemax=\"99\"  aria-invalid=\"false\" aria-required=\"true\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text' aria-label=\"Comment\">Comment<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_3_input_text\"  aria-invalid=\"false\" aria-required=\"false\"><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Gender\">Gender<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2bf0eb405265ba5cade2d921dee7b9dc\"><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_2bf0eb405265ba5cade2d921dee7b9dc' aria-label='Male' aria-invalid='false' aria-required=\"true\"> <span>Male<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_49e03bf54ec201e758ea6c7b5b92e3bb\"><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\"  id='input_radio_49e03bf54ec201e758ea6c7b5b92e3bb' aria-label='Female' aria-invalid='false' aria-required=\"true\"> <span>Female<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"1. How would you rate the intensity of the unpleasant symptoms of restless legs syndrome in the legs or arms?\">1. How would you rate the intensity of the unpleasant symptoms of restless legs syndrome in the legs or arms?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_1_68b54052ad5c7a700ef347ff90ef93e0\"><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\"  id='input_radio_1_68b54052ad5c7a700ef347ff90ef93e0' aria-label='very strong' aria-invalid='false' aria-required=\"true\"> <span>very strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_1_ed6794edd45ac439f3e287e9bbc2909b\"><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_1_ed6794edd45ac439f3e287e9bbc2909b' aria-label='strong' aria-invalid='false' aria-required=\"true\"> <span>strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_1_052f6bf58b06f5ffa6eec90702d34bfe\"><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_1_052f6bf58b06f5ffa6eec90702d34bfe' aria-label='medium' aria-invalid='false' aria-required=\"true\"> <span>medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_1_4b21a3400973ea7b73f020d582b52d3c\"><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_1_4b21a3400973ea7b73f020d582b52d3c' aria-label='weak' aria-invalid='false' aria-required=\"true\"> <span>weak<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_1_3bf1180d2fc3bd4a24a1de4249aea43d\"><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\"  id='input_radio_1_3bf1180d2fc3bd4a24a1de4249aea43d' aria-label='none' aria-invalid='false' aria-required=\"true\"> <span>none<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"2. How much do you feel the need to move due to restless legs syndrome?\">2. How much do you feel the need to move due to restless legs syndrome?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_4db26ad2d110ef87695fc90978f40cb4\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\"  id='input_radio_2_4db26ad2d110ef87695fc90978f40cb4' aria-label='very strong' aria-invalid='false' aria-required=\"true\"> <span>very strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_b2bd4d2c235776088a9f9161097dbe5f\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_2_b2bd4d2c235776088a9f9161097dbe5f' aria-label='strong' aria-invalid='false' aria-required=\"true\"> <span>strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_bae61cf2bbe10070e56fc02998ff19ac\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_2_bae61cf2bbe10070e56fc02998ff19ac' aria-label='medium' aria-invalid='false' aria-required=\"true\"> <span>medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_e242ee3b275b8d363bf68badcc902f64\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_2_e242ee3b275b8d363bf68badcc902f64' aria-label='weak' aria-invalid='false' aria-required=\"true\"> <span>weak<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_2_787e14f86b1a25221f474efa7bef7364\"><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\"  id='input_radio_2_787e14f86b1a25221f474efa7bef7364' aria-label='none' aria-invalid='false' aria-required=\"true\"> <span>none<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"3. How much does the unpleasant feeling in your legs or arms decrease when you move?\">3. How much does the unpleasant feeling in your legs or arms decrease when you move?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_3_332d6fe95fef7b81f00c7b8eabf51392\"><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\"  id='input_radio_3_332d6fe95fef7b81f00c7b8eabf51392' aria-label='very strong' aria-invalid='false' aria-required=\"true\"> <span>very strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_3_845294a9204f5f2ebec327cc27ea0ffa\"><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_3_845294a9204f5f2ebec327cc27ea0ffa' aria-label='strong' aria-invalid='false' aria-required=\"true\"> <span>strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_3_36d43c42d4f7a9d8eda60e694675e752\"><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_3_36d43c42d4f7a9d8eda60e694675e752' aria-label='medium' aria-invalid='false' aria-required=\"true\"> <span>medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_3_94d44e30a817893269a7941449b84536\"><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_3_94d44e30a817893269a7941449b84536' aria-label='weak' aria-invalid='false' aria-required=\"true\"> <span>weak<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_3_a51b50111a17e00971e3f19a81fceb11\"><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\"  id='input_radio_3_a51b50111a17e00971e3f19a81fceb11' aria-label='none' aria-invalid='false' aria-required=\"true\"> <span>none<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"4. To what extent is your sleep disturbed by your restless legs syndrome?\">4. To what extent is your sleep disturbed by your restless legs syndrome?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_4_3b2492ee334fb6f8c34061cb05faa79c\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\"  id='input_radio_4_3b2492ee334fb6f8c34061cb05faa79c' aria-label='very strong' aria-invalid='false' aria-required=\"true\"> <span>very strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_4_3b8079f3a4f48fa2ac133cd2781b3da4\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_4_3b8079f3a4f48fa2ac133cd2781b3da4' aria-label='strong' aria-invalid='false' aria-required=\"true\"> <span>strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_4_5645885d9f42ffc4b589c3faff9cb7a7\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_4_5645885d9f42ffc4b589c3faff9cb7a7' aria-label='medium' aria-invalid='false' aria-required=\"true\"> <span>medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_4_47d3a6267a370b82f04752484430b7d8\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_4_47d3a6267a370b82f04752484430b7d8' aria-label='weak' aria-invalid='false' aria-required=\"true\"> <span>weak<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_4_431c7b9a9f0a631a322f56cdafbf31d1\"><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\"  id='input_radio_4_431c7b9a9f0a631a322f56cdafbf31d1' aria-label='none' aria-invalid='false' aria-required=\"true\"> <span>none<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"5. Do you experience severe fatigue or drowsiness as a result of your restless legs syndrome?\">5. Do you experience severe fatigue or drowsiness as a result of your restless legs syndrome?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_8_53b19daf75f81160592b271f68b455ba\"><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\"  id='input_radio_8_53b19daf75f81160592b271f68b455ba' aria-label='very strong' aria-invalid='false' aria-required=\"true\"> <span>very strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_8_a17f592973c1952644a85a7f7139bfe2\"><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_8_a17f592973c1952644a85a7f7139bfe2' aria-label='strong' aria-invalid='false' aria-required=\"true\"> <span>strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_8_b133b7a7cb0cb7c87acc70fc2c5a1dcb\"><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_8_b133b7a7cb0cb7c87acc70fc2c5a1dcb' aria-label='medium' aria-invalid='false' aria-required=\"true\"> <span>medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_8_e2767e07085daa167908f51e5c561c45\"><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_8_e2767e07085daa167908f51e5c561c45' aria-label='weak' aria-invalid='false' aria-required=\"true\"> <span>weak<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_8_8fd37c2860c61c499b84d237569ac8fd\"><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\"  id='input_radio_8_8fd37c2860c61c499b84d237569ac8fd' aria-label='none' aria-invalid='false' aria-required=\"true\"> <span>none<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"6. What is your overall assessment of the severity of your restless legs syndrome?\">6. What is your overall assessment of the severity of your restless legs syndrome?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_7_14af11b0a22f4560d7bd9db52fe1e3d8\"><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\"  id='input_radio_7_14af11b0a22f4560d7bd9db52fe1e3d8' aria-label='very strong' aria-invalid='false' aria-required=\"true\"> <span>very strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_7_ef19fca01d7f32db26577680124d4324\"><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_7_ef19fca01d7f32db26577680124d4324' aria-label='strong' aria-invalid='false' aria-required=\"true\"> <span>strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_7_bedc0f75040ccac7532b05b7414e8232\"><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_7_bedc0f75040ccac7532b05b7414e8232' aria-label='medium' aria-invalid='false' aria-required=\"true\"> <span>medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_7_3fc2c4ce64e4d178daab3b6b3200d69c\"><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_7_3fc2c4ce64e4d178daab3b6b3200d69c' aria-label='weak' aria-invalid='false' aria-required=\"true\"> <span>weak<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_7_69535e771ebf3f377c75f9fd19f12c3e\"><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\"  id='input_radio_7_69535e771ebf3f377c75f9fd19f12c3e' aria-label='none' aria-invalid='false' aria-required=\"true\"> <span>none<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"7. How often do you experience restless legs syndrome?\">7. How often do you experience restless legs syndrome?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_6_d6c9b94e5db828e5192fcfc3096b0652\"><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\"  id='input_radio_6_d6c9b94e5db828e5192fcfc3096b0652' aria-label='6-7 days\/week' aria-invalid='false' aria-required=\"true\"> <span>6-7 days\/week<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_6_ddb35a3bca2b53514fcb724567fa3623\"><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_6_ddb35a3bca2b53514fcb724567fa3623' aria-label='4-5 days\/week' aria-invalid='false' aria-required=\"true\"> <span>4-5 days\/week<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_6_253ee790e63f4072e408be390704ea10\"><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_6_253ee790e63f4072e408be390704ea10' aria-label='2-3 days\/week' aria-invalid='false' aria-required=\"true\"> <span>2-3 days\/week<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_6_5eb30981a61acc511769c67a92b9cd20\"><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_6_5eb30981a61acc511769c67a92b9cd20' aria-label='less than 1 hour\/day' aria-invalid='false' aria-required=\"true\"> <span>less than 1 hour\/day<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_6_61e2a44f953ed9d415e587c60aa0e708\"><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\"  id='input_radio_6_61e2a44f953ed9d415e587c60aa0e708' aria-label='never' aria-invalid='false' aria-required=\"true\"> <span>never<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"8. On days when you have symptoms of restless legs syndrome, how long do these symptoms last on average?\">8. On days when you have symptoms of restless legs syndrome, how long do these symptoms last on average?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_5_8713de5dc881352a6349c702d2fe72ba\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\"  id='input_radio_5_8713de5dc881352a6349c702d2fe72ba' aria-label='\u2265 8 hours\/day' aria-invalid='false' aria-required=\"true\"> <span>\u2265 8 hours\/day<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_5_d80bc9ee80c9b914a468e9ba837e6106\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_5_d80bc9ee80c9b914a468e9ba837e6106' aria-label='3-8 hours\/day' aria-invalid='false' aria-required=\"true\"> <span>3-8 hours\/day<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_5_31e457ebdc4fba01f013fa1cdccdac8e\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_5_31e457ebdc4fba01f013fa1cdccdac8e' aria-label='1-3 hours\/day' aria-invalid='false' aria-required=\"true\"> <span>1-3 hours\/day<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_5_7b8bc261a646b901f52e9837234087f8\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_5_7b8bc261a646b901f52e9837234087f8' aria-label='less than 1 hour\/day' aria-invalid='false' aria-required=\"true\"> <span>less than 1 hour\/day<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_5_81dc08a8a016d4cc0b68afc4d8bda479\"><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\"  id='input_radio_5_81dc08a8a016d4cc0b68afc4d8bda479' aria-label='no symptoms' aria-invalid='false' aria-required=\"true\"> <span>no symptoms<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"9. How does your restless legs syndrome affect your ability to perform your duties?\">9. How does your restless legs syndrome affect your ability to perform your duties?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_9_3e82efac34b6a7f865c74a4cb7acc721\"><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\"  id='input_radio_9_3e82efac34b6a7f865c74a4cb7acc721' aria-label='very strong' aria-invalid='false' aria-required=\"true\"> <span>very strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_9_c311ffecc072480e80dde34fe1c23665\"><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_9_c311ffecc072480e80dde34fe1c23665' aria-label='strong' aria-invalid='false' aria-required=\"true\"> <span>strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_9_3681badc4fa6c745d9a85face46a382a\"><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_9_3681badc4fa6c745d9a85face46a382a' aria-label='medium' aria-invalid='false' aria-required=\"true\"> <span>medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_9_3285379f13507c692353f3a65017b563\"><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_9_3285379f13507c692353f3a65017b563' aria-label='weak' aria-invalid='false' aria-required=\"true\"> <span>weak<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_9_4a0ce8a5ed80e31cf729df4c0bb32425\"><input  type=\"radio\" name=\"input_radio_9\" data-name=\"input_radio_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\"  id='input_radio_9_4a0ce8a5ed80e31cf729df4c0bb32425' aria-label='none' aria-invalid='false' aria-required=\"true\"> <span>none<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"10. To what extent does your restless legs syndrome affect your mood (anger, moodiness, depressive, sadness, anxiety, sensitivity, etc.)?\">10. To what extent does your restless legs syndrome affect your mood (anger, moodiness, depressive, sadness, anxiety, sensitivity, etc.)?<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_10_dfec64013eaaa31a1339f9b17829a01d\"><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\"  id='input_radio_10_dfec64013eaaa31a1339f9b17829a01d' aria-label='very strong' aria-invalid='false' aria-required=\"true\"> <span>very strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_10_fb39109994bed22ebefa9c630926885a\"><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\"  id='input_radio_10_fb39109994bed22ebefa9c630926885a' aria-label='strong' aria-invalid='false' aria-required=\"true\"> <span>strong<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_10_9635085366b057cb35c4111d7eda0b28\"><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\"  id='input_radio_10_9635085366b057cb35c4111d7eda0b28' aria-label='medium' aria-invalid='false' aria-required=\"true\"> <span>medium<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=\"input_radio_10_7f22698d613a0b55af0aa79935a0222a\"><input  type=\"radio\" name=\"input_radio_10\" data-name=\"input_radio_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\"  id='input_radio_10_7f22698d613a0b55af0aa79935a0222a' aria-label='weak' aria-invalid='false' aria-required=\"true\"> <span>weak<\/span><\/label><\/div><div class='ff-el-form-check 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