{% extends "global/Page.html" %}
{% load otree static %}

{% block title %}
    Fear Questionnaire
{% endblock %}

{% block content %}
    <p>
        For each item, indicate how much you agree or disagree with what the item says.  Please respond to all the items; do not leave any blank.  Choose only one response to each statement.  Please be as accurate and honest as you can be.  Respond to each item as if it were the only item.  That is, don't worry about being "consistent" in your responses.
    </p>

    <p>
    Choose from the following four response options:
    </p>

    <table class="table">

     <tr>

         <td> </td>

         <th> Not applicable to me</th><th> Very false for me </th> <th> Somewhat false for me </th><th> Somewhat true for me </th><th> Very true for me </th>

     </tr>


    <tr>

         <td>I am afraid of heights.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_1" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I am anxious about my financial debt.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_2" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I am anxious when tax-day comes.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_3" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear arguing with a loved one.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_4" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear becoming ill.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_5" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear being attacked or assaulted.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_6" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear being criticized.</td>


     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_7" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear being embarrassed.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_8" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear being left out of plans.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_9" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear being lonely.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_10" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear being misunderstood.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_11" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear being paralyzed.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_12" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear being recognized for my accolades in front of a group.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_13" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear being seriously injured.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_14" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear being the center of attention.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_15" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear being watched or observed while working.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_16" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear checking my bank account.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_17" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear criticising someone else.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_18" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear disappointing a loved one.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_19" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear dying alone.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_20" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear dying prematurely.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_21" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear dying.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_22" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear eating or drinking with other people.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_23" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear failing a test.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_24" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear failure.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_25" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear flying in airplanes.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_26" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear germs.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_27" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear getting demoted at work.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_28" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear getting into a fight with my close friend.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_29" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear guns</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_30" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear haunted houses.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_31" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear having a close friend develop a life-threatening illness.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_32" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear having a close friend die.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_33" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear having a loved one die.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_34" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear having a loved one get a life-threatening illness.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_35" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I think about being attacked when I go out at night.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_36" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I often wash my hands after touching an object that is not mine.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_37" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I often throw away things that are not clean.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_38" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I often procrastinate doing something that I know I will struggle with.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_39" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I often downplay my possible future success to lower expectations.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_40" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I often avoid places or events due to potential sickness or germs.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_41" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear the devil will take my soul.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_42" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear the apocalypse.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_43" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear starting something new due to the possibility of not being good at it.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_44" value={{ number }} required></th>

     {% endfor %}

    {{ form.FQ_44.errors }}

    </tr>


    <tr>

         <td>I fear starting my own business with my own money.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_45" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear spiders.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_46" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear speaking in front of an audience.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_47" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear someone breaking into my home.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_48" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear snakes.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_49" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear sick people.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_50" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear ghosts.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_51" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear romantic rejection.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_52" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear religious figures and gods.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_53" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear psychics will tell me something bad is going to happen.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_54" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear physical contact with others.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_55" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear people with mental illness.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_56" value={{ number }} required></th>

     {% endfor %}

    {{ form.FQ_56.errors }}

    </tr>


    <tr>

         <td>I fear paying bills.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_57" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear pain.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_58" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear not getting a job when I graduate.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_59" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear not being able to support my family.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_60" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear not being able to pay a loan.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_61" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear not being able to fulfill my promises.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_62" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear monsters.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_63" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear losing respect.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_64" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear losing my job.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_65" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear my house.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_66" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear losing friends.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_67" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear investing in a start-up company.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_68" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear interacting with strangers.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_69" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear imaginary creatures.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_70" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear hospitals.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_71" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear having to part from a close friend.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_72" value={{ number }} required></th>

     {% endfor %}

    </tr>


    <tr>

         <td>I fear having to make a decision that is extremely important to the lives of others.</td>

     {% for number in FQ_scales %}

        <th><input type="radio" name="FQ_73" value={{ number }} required></th>

     {% endfor %}

    </tr>


    </table>

    {{ form.FQ_7.errors }}
    {{ form.FQ_18.errors }}
    {{ form.FQ_19.errors }}
    {{ form.FQ_30.errors }}
    {{ form.FQ_31.errors }}
    {{ form.FQ_42.errors }}
    {{ form.FQ_64.errors }}

    {% next_button %}

{% endblock %}