# Private review record

Blank editable record; no data are sent. Use only necessary authorized observations. This does not alter a registered study protocol.

## Exact question, language, version and experience period

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## Ordered labels and direction

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## Counts in every category

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## Skipped, not applicable and unknown states separately

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## Denominator for each displayed percentage

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## Central position(s), category labels and median convention

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## Numeric code mapping if used

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## Substantive justification for distance/scoring assumptions

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## Full distribution retained with any score

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## Allowed interpretation and limits

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