Error message

  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).
  • Notice: Trying to access array offset on value of type null in _webform_client_form_rule_check() (line 2079 of /var/www/martel/sites/all/modules/webform/webform.module).

Toronto Empathy Questionnaire (Daily Evening Log)

Screening Visit

Instructions: Below is a list of statements. Please read each statement carefully and rate how frequently you felt or acted in the manner described today. Circle your answer using the numbers to the right. There are no right or wrong answers or trick questions. Please answer each question as honestly as you can.
0 = never
1 = rarely
2 = sometimes
3 = often
4 = always