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NIMH Data Archive
NDA ABCD CCF OAI NIAAADA AMP SCZ HEAL

Preintervention Survey

44 Shared Subjects

N/A
Clinical Assessments
Questionnaire
06/24/2015
presurv01

View Change History
01
Definition
Submission Template
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
Query sipa_1 Integer Recommended 1. My son/daughter has sudden changes of feelings or moods. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_2 Integer Recommended 2. My son/daughter has many friends. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_3 Integer Recommended 3. My son/daughter has never been in trouble with the police. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_4 Integer Recommended 4. My son/daughter does his or her best in school. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_5 Integer Recommended 5. My son/daughter shows affection toward me. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_6 Integer Recommended 6. My son/daughter becomes very upset or angry when he or she does not get his or her way. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_7 Integer Recommended 7. My son/daughter has little or no energy. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_8 Integer Recommended 8. My son/daughter has become physically violent. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_9 Integer Recommended 9. My son/daughter seems motivated to work hard. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_10 Integer Recommended 10. My son/daughter talks to me about problems. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_11 Integer Recommended 11. My son/daughter has a negative attitude. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_12 Integer Recommended 12. It bothers me that my son/daughter is so quiet. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_13 Integer Recommended 13. I think my son/daughter steals things. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_14 Integer Recommended 14. My son/daughter does poorly in school. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_15 Integer Recommended 15. My son/daughter tells me where he or she is going. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_16 Integer Recommended 16. My son/daughter is grouchy and irritable. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_17 Integer Recommended 17. My son/daughter has no close friends. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_18 Integer Recommended 18. My son/daughter is always telling lies. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_19 Integer Recommended 19. My son/daughter must get a great deal of attention in order to work well. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_20 Integer Recommended 20. My son/daughter stays out too late at night. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_21 Integer Recommended 21. My son/daughter has a bad temper. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_22 Integer Recommended 22. My son/daughter is not liked by others of the same age. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_23 Integer Recommended 23. My son/daughter has done serious damage to our home. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_24 Integer Recommended 24. My son/daughter gives up easily. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_25 Integer Recommended 25. My son/daughter has the same moral values that I have. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_26 Integer Recommended 26. My son/daughter seems very moody. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_27 Integer Recommended 27. My son/daughter is frequently bossed around or bullied by others. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_28 Integer Recommended 28. My son/daughter respects the property of others. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_29 Integer Recommended 29. My son/daughter could do better in school by trying harder. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_30 Integer Recommended 30. I believe that my son/daughter drinks more alcohol than I would like. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_31 Integer Recommended 31. My son/daughter gets upset over little things. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_32 Integer Recommended 32. My son/daughter is shy with others of the same age. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_33 Integer Recommended 33. I believe that my son/daughter skips school. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_34 Integer Recommended 34. My son/daughter completes the tasks he or she starts. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_35 Integer Recommended 35. My son/daughter avoids me at home. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_36 Integer Recommended 36. My son/daughter yells at me or my spouse/partner. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_37 Integer Recommended 37. My son/daughter gets teased a lot and it bothers me. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_38 Integer Recommended 38. My son/daughter has threatened to hurt people. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_39 Integer Recommended 39. My son/daughter has a short attention span. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_40 Integer Recommended 40. My son/daughter likes to do things with the whole family. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_41 Integer Recommended 41. My son/daughter thinks I am unfair. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_42 Integer Recommended 42. My son/daughter never seems to do anything. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_43 Integer Recommended 43. My son/daughter is disobedient at school. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_44 Integer Recommended 44. I worry that my son/daughter dos not do his or her school work. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_45 Integer Recommended 45. My son/daughter does things for me that make me feel good. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_46 Integer Recommended 46. My son/daughter argues too much. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_47 Integer Recommended 47. I often wonder if my son/daughter is lonely. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_48 Integer Recommended 48. My son/daughter often gets in trouble when he or she is with friends. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_49 Integer Recommended 49. My son/daughter puts forth a lot of effort to reach his or her goals. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_50 Integer Recommended 50. My son/daughter thinks I do not love him or her. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_51 Integer Recommended 51. Since my son/daughter became an adolescent/ young adult, I have a lot fewer chances to see my friends and to make new friends. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_52 Integer Recommended 52. Since my son/daughter became an adolescent/ young adult, I don't seem to spend as much time with in-laws and relatives as I would like. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_53 Integer Recommended 53. I feel alone and without friends. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_54 Integer Recommended 54. I am usually a positive and cheerful person. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_55 Integer Recommended 55. Since my son/daughter became an adolescent/ young adult, my spouse/partner and I don't spend as much time together as a couple as I had expected. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_56 Integer Recommended 56. I find myself giving up more of my life to meet my son/daughter's needs than I ever expected. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_57 Integer Recommended 57. I often have the feeling that other people my own age don't particularly like my company. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_58 Integer Recommended 58. When I go to a party, I don't expect to enjoy myself. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_59 Integer Recommended 59. Having an adolescent/ young adult does not leave me enough time for my own friends. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_60 Integer Recommended 60. My spouse/partner often hurts my feelings. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_61 Integer Recommended 61. I can't make decisions without help. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_62 Integer Recommended 62. I often feel guilty after I get angry at my son/daughter. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_63 Integer Recommended 63. Since my son/daughter became an adolescent/ young adult, my spouse/partner and I have been less physically affectionate than I would like. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_64 Integer Recommended 64. Having an adolescent/ young adult has caused more problems than I expected in my relationship with my spouse/partner. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_65 Integer Recommended 65. I often feel "left out" when I am around other people. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_66 Integer Recommended 66. I feel that I am an excellent parent. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_67 Integer Recommended 67. Since my son/daughter became an adolescent/ young adult, I feel that I am almost never able to do things that I like to do. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_68 Integer Recommended 68. I often need to work hard to avoid conflict with my spouse/partner. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_69 Integer Recommended 69. I am as capable as most other parents I know. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_70 Integer Recommended 70. I often have the feeling that I cannot handle things very well. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_71 Integer Recommended 71. Since my child became an adolescent/ young adult, my spouse/partner and I don't do as many things together. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_72 Integer Recommended 72. My spouse/partner distrusts my judgement as a parent. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_73 Integer Recommended 73. Since my son/daughter became an adolescent/ young adult, my spouse/partner has not given me as much help and support as I expected. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_74 Integer Recommended 74. When I think about myself as a parent of an adolescent/young adult, I believe I can handle anything that happens. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_75 Integer Recommended 75. Since my son/daughter has become an adult, my sexual relationship(s) has (have) been less satisfying. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_76 Integer Recommended 76. I frequently argue with my spouse/partner about how to raise my son/daughter. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_77 Integer Recommended 77. I don't have anyone who listens to my frustrations. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_78 Integer Recommended 78. I feel every time my son/daughter does something wrong it is really my fault. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_79 Integer Recommended 79. I feel sadder and more depressed than I expected when my child became an adolescent/ young adult. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_80 Integer Recommended 80. My spouse/partner and I disagree on the best way to discipline my son/daughter. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_81 Integer Recommended 81. I can talk to my spouse/partner about anything. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_82 Integer Recommended 82. When my son/daughter does things that bother me on purpose, I don't know what to do. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_83 Integer Recommended 83. It is easy for me to understand what my son/daughter wants or needs. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_84 Integer Recommended 84. I expected to have closer and warmer feelings for my son/daughter at this age than I do. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_85 Integer Recommended 85. My son/daughter comes to me for help more than to other people. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_86 Integer Recommended 86. When I think about the kind of parent I am, I often feel guilty or bad about myself. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_87 Integer Recommended 87. I am usually successful at getting my son/daughter to do what I ask. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_88 Integer Recommended 88. I enjoy being the parent of an adolescent/ young adult. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_89 Integer Recommended 89. I cannot get my son/daughter to listen to me. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_90 Integer Recommended 90. When my son/daughter misbehaves or gets in trouble, I feel responsible, as if I didn't do something right. 1::5 1=Strongly Disagree; 2=Disagree; 3=Not Sure; 4=Agree;5=Strongly Agree
Query sipa_91 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 91. Divorce 0;1 0=No; 1=Yes
Query sipa_92 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 92. Martital reconciliation 0;1 0=No; 1=Yes
Query sipa_93 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 93. Marriage 0;1 0=No; 1=Yes
Query sipa_94 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 94. Seperation 0;1 0=No; 1=Yes
Query sipa_95 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 95. Pregnancy 0;1 0=No; 1=Yes
Query sipa_96 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 96. Other relative moved into household 0;1 0=No; 1=Yes
Query sipa_97 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 97. Went deeply into debt 0;1 0=No; 1=Yes
Query sipa_98 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 98. Income inceased substantially (20% or more) 0;1 0=No; 1=Yes
Query sipa_99 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 99. Moved to new location 0;1 0=No; 1=Yes
Query sipa_100 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 100. Promotion at work 0;1 0=No; 1=Yes
Query sipa_101 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 101. Income decreased substantially 0;1 0=No; 1=Yes
Query sipa_102 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 102. Alcohol or drug problem 0;1 0=No; 1=Yes
Query sipa_103 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 103. Death of close family friend 0;1 0=No; 1=Yes
Query sipa_104 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 104. Began new job 0;1 0=No; 1=Yes
Query sipa_105 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 105. Entered new school 0;1 0=No; 1=Yes
Query sipa_106 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 106. Trouble with superiors at work 0;1 0=No; 1=Yes
Query sipa_107 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 107. Trouble with teachers at school 0;1 0=No; 1=Yes
Query sipa_108 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 108. Legal problems 0;1 0=No; 1=Yes
Query sipa_109 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 109. Death of immediate family member 0;1 0=No; 1=Yes
Query sipa_110 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 110. Demands/illness of aging parent 0;1 0=No; 1=Yes
Query sipa_111 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 111. Serious injury or medical problem 0;1 0=No; 1=Yes
Query sipa_112 Integer Recommended During the last 12 months, have any of the following events occurred in your immediate family? 112. Continuing or chronic medical condition (diabetes, heart disease, etc.) 0;1 0=No; 1=Yes
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

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