SlumsTesterV1 - Safe.html

<!DOCTYPE html>
<html lang="en">
  <head>
    <meta charset="utf-8">
    <meta name="viewport" content="user-scalable=1.0,initial-scale=1.0,minimum-scale=1.0,maximum-scale=1.0">
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="format-detection" content="telephone=no">
    <script src="http://code.jquery.com/jquery-2.1.0.min.js"></script>
    
    <title>SLUMS Examination</title>
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    function submitData(){
      mail = "chihchun_chen@yahoo.co.uk"
      subject = encodeURIComponent("SLUMSData")

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      //START
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</script>
  
    <style>

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  </head>
  <body>

   
    <!--form id="form1" name="form1" method="post" action="getData"-->

     <!--Title Page -->
      <div id="header">
      <h1>Screening Test</h1>
      </div>  

    <div class = "question">
    <div id="section">

      <!--<audio controls autoplay>
      <source src="Audio/Mary/intro.mp3" type="audio/mpeg">
        Your browser does not support the audio element.
      </audio> -->


      This is an initial application designed to investigate whether mobile devices are suitable to adminster apps which affect mental health. This is NOT a screening test for dementia. We are not qualified to diagnose dementia, nor are we trying to. We are using the St Loius University Mental Status Exams (SLUMS) as an example of such a test. If you wish to participate in the study, please press next to continue.
       <input type="submit" class="database" onclick="seeDatabase();" value="See local database" />
       </div>
      </div> 
    

    <!-- Questions -->
  	<div id="section">


    <div  align=center class="question" title="details">
      <table align="center">
        <tr><td><h2><center>First name</h2></td><td><center><input id="first_name" name="first_name" type="text" value=""/></tr></center>
        <tr><td><h2>Surname</h2></td><td><input id="surname" name="surname" type="text" value=""/></tr>
        <tr><td><h2>Age</h2></td><td><input id = "age" name="age" type="number" value=""/></td></tr>
        <tr><td><h2>Date of birth</h2></td><td><input id="dob" name="dob" type="date" value=""></td></tr>
      </table>
    </div>

    <div align="center" class="question" title="details2">
      <table>
        
        <tr><td><h2>Highest level of Education</h2></td><td><input id="education" name="education" type="text" list="educationlevels" value="None"/></td></tr>
        <datalist id="educationlevels">
                    <option label="Primary" value="Primary"></option>
                    <option label="Secondary" value="Secondary"></option>
                    <option label="University" value="University"></option>
                    <option label="Masters" value="Masters"></option>
                    <option label="PhD" value="PhD"></option>
                    <option label="Other" value="Other"></option>
        </datalist>
        <tr><td><h2>Level of Alertness</h2></td><td><input id="alertness" name="alertness" type="text" list="alertnesslevels" value="None"/></td></tr>
         <datalist id="alertnesslevels">
                    <option label="Alert" value="Awake and able to focus"></option>
                    <option label="Drowsy" value="Drowsy"></option>
                    <option label="Confused" value="Confused"></option>
                    <option label="Distractable" value="Distractable"></option>
                    <option label="Inattentive" value="Inattentive"></option>
                    <option label="Preoccupied" value="Preoccupied"></option>
                    <option label="Unsure" value ="Unsure"></option> 

        </datalist> 
      </table>
  	</div>

    <div class = "question">
    <h2> For the Administrator </h2>
    <p> 
      <h3 id ="tester">Instructions for you will be in bold black text. Please ask the participant the questions aloud clearly and slowly. It is not necessarily needed to speak loudly but it is necessary to speak slowly. Please read the whole page first and then adminster the questions.You may need to reassure patients by telling them that this is not a test they can fail but merely a tool much like a thermometer that takes temperature is a tool. What this does is checks for the amount of memory they have.</p> <br>
        <p id= "testee"> Questions which you should ask will be in blue text as this sentence is.  </h3> </p>
      </div>

      <div class = "question">
      <p id="tester">  Begin by asking the patient something like the following :
    </p>
    <p id="tester"> 
      </p>
      <p>
        <font color = "blue" > "Do you have any trouble with your memory?" <br> "May I ask you some questions about your memory?" <br> "I'd like to see how good your memory is by asking you some questions" </font>
      </p>
    </div>   
  
    <div  align="center" class="question">
      <h2 id="testee">  What day of the week is it? </h2>
      <input id="q1" name="q1" type="text" value=""/>
    </div>

    
    <div  align="center" class="question">   
      <h2 id="testee">What is the year?</h2> 
      <input id="q2" name="q2" type="number" value=""/>
    </div>

    <div  align="center" class="question">
      <h2 id="testee">What county are we in?</h2>
      <input id="q3" name="q3" type="text" value=""/>
    </div>

    <div  align="center" class="question">

      <p id="tester">
        Read the statement as written. For the objects, ask the patient to repeat the five objects that you recite to make sure the patient heard and understood what you said. Repeat them as many times as necessary for them to repeat it back to you correctly. </p>
      <p>
      <h2 id="testee">Please remember these five objects. I will ask you what they are later.</h2></p>
      <ul id="testee">
        <li>Apple</li>
        <li>Pen</li>
        <li>Tie</li>
        <li>House</li>
        <li>Car</li>
      </ul>
    </div>

    <div  align="center" class="question">
      <p id="tester">
        Make sure the patient is focused before reciting the information. Do not prompt or give hints but give the patient ample time. You may repeat the question once if asked. </p>
        <p>
      <h2 id="testee">You have $100 and you go to the store and buy a dozen apples for $3 and a tricyle for $20.</h2>

      <h2 id="testee">How much did you spend</h2>
      </p>
      <input id="q5a" name="q5a" type="text" value=""/>
    </div>

    <div align="center" class="question">

      <h2 id="testee">How much do you have left</h2>
      <input id="q5b" name="q5b" type="text" value=""/>
    </div>

    <div  align="center" class="question">
      <p id="tester"> 
        Count the correct number of animals which they are able to recite. Press start when you have finished the question
      </p>
      <p>
      <h2 id="testee">Please name as many animals as you can in one minute.</h2>
      <input id="q6" name="q6" type="text" value=""/>       
    </div>

    <div  align="center" class="question" id="testee">
      <p id="tester">
        Count the correct number of animals which they were able to recite. The correct items are :
        </p>
        <ul id="tester">
        <li>Apple</li>
        <li>Pen</li>
        <li>Tie</li>
        <li>House</li>
        <li>Car</li>
      </ul>
      <p>
      <h2 id="testee">What were the five objects I asked you to remember</h2></p>

        <input id="q7" name="q7" type="text" value="" />    
    </div>

    <div  align="center" class="question">
      <p id="tester">
        State each number by its individual name. For example 87 is pronounced "Eight, Seven". You are not allowed to repeat the numbers. If they fail to provide a number then enter "0" into the box.
      </p>
      <h2 id="testee">I'm going to give you a series of numbers and I would like you to give them to me backwards. For Example, if I say 42, you would say 24.</h2>

      
      <table>
        <tr><td><h2 id="testee">If I say 87, you would say</h2></td><td><input id="q8a" name="q8a" type="text" value=""></td></tr>
        <tr><td><h2 id="testee">If I say 659, you would say</h2></td><td><input id="q8b" name="q8b" type="text" value=""></td></tr>
        <tr><td><h2 id="testee">If I say 8537, you would say</h2></td><td><input id="q8c" name="q8c" type="text" value=""></td></tr>
      </table>
    </div>

    <div align="center" class="question">
    <p id="tester"> 
      The next page has a clock face on it. You will ask to patient to draw the markers on the clock face. If the patient only puts 4 markers on the clock, prompt them to number the markers. 
    </p>
  </div>

    <div align="center" class="question" id="clock">
      <span style="font-size:14px;">This is a clock face.<br>
       Please input in the hour markers and <u>the time</u> at ten minutes to eleven o'clock.</span>
      <canvas id="canvas1"></canvas>
      <input type="button" onclick="drawCircle($('#canvas1')[0]);" value="clear">
    </div>

  <div  align="center" class="question">
    <h1>Please hand the tablet back to the test assistant.</h1>
  </div>

  <div  align="center" class="question">
    <h2>Did the patient put 12 markers in roughly the correct location? OR Did they put 4 markers and labeled correctly</h2>


      <table>
        <tr><td><input id="q9a" name="q9a" type="checkbox" value=""/></td><td><h2>12 hours approximately correct</h2></td></tr>
        <tr><td><input id="q9b" name="q9b" type="checkbox" value=""/></td><td><h2>Time hands approximately correct</h2></td></tr>
      </table>
    
  </div>

  <div  align="center" class="question">
      <h2 id="testee">Please place an X in the triangle</h2>

      <canvas id="canvas2"></canvas>
      <input type="button" onclick="drawBoxes($('#canvas2')[0]);" value="clear" />
      
      
      <h2 id="testee">Which of the above figures is largest?</h2>
      <input id="q10b" name="q10b" type="text"/>

  </div>

   <div  align="center" class="question">
    <h1>Please hand the tablet back to the test assistant.</h1>
  </div>


  <div  align="center" class="question">
    <h2 id="tester">Was the x correct?</h2>
    <input id="q10a" name="q10a" type="checkbox"/>
  </div>

  <div  align="center" class="question">
    <h2 id="testee">I am going to tell you a story. Please listen carefully because afterwards, I'm going to ask you some questions about it.</h2>
    <p id="testee">
      Jill was a very successfull stockbroker. 
      She made a lot of money on the stock market.
      She then met Jack, a devastatingly handsome man. 
      She married him and had three children.
      They lived in Chicago.
      She then stopped work and stayed at home to bring up her children.
      When they were teenagers, she went back to work. 
      She and Jack lifed happily ever after.
    </p>

       <table id="testee" align="center">
        <tr><td><h2>What was the female's name?</h2></td><td><input id="q11a" name="q11a" type="text" value=""></td></tr>
        <tr><td><h2>When did she go back to work?</h2></td><td><input id="q11b" name="q11b" type="text" value=""></td></tr>
        <tr><td><h2>What work did she do?</h2></td><td><input id="q11c" name="q11c" type="text" value=""></td></tr>
        <tr><td><h2>What state did she live in?</h2></td><td><input id="q11d" name="q11d" type="text" value=""></td></tr>
      </table>
      <label>
     <!--p style="position: absolute; right:500; bottom:10">   
    <input type="submit" name="submit" id="submit" value="Submit"/>
    </p-->
  </div>

  <div  align="center" class="question">
    <input type="submit" onclick="saveCurrent();" value="save data in local database" />
  </div>

  <div  align="center" id="local_database">
    <input type="submit" onclick="submitData();" value="submit via mail csv" />
    <input type="submit" onclick="clearLocalData();" value="delete all data" />

    <table border=1>
      <thead>

      </thead>
      

      <tbody>

      </tbody>

    </table>

  </div>


  <!--/form-->
  </body>
</html>