Table 3.

Indication-specific data collected at registration.

Intervention	Indication-specific data	Measurement
Problem drinking	Average drinks per day	Drop-down menu 0-30+
	Program goal: cut down, stop, unsure	Likert scale
Depressive disorder	Depression rating over past 2 weeks	Likert scale 0-10
	Level of distress over past 2 weeks	Likert scale 0-10
	Level of interference over past 2 weeks	Likert scale 0-10
	Tried cognitive behavior therapy in the past	Yes or no
	Currently being treated	Yes or no
	Using program with health care professional	Yes or no
Panic disorder	Number of attacks over past 2 weeks	Drop-down menu 0-51+
	Average fear rating during attack	Likert scale 0-10
	Attack interference with average daily life	Drop-down menu 0-4
	Attack causing avoidance	Drop-down menu 0-4
	Tried cognitive behavior therapy in the past	Yes/No
	Use of program with health care professional	Yes/No
Smoking cessation	Smoking patterns: ≥ 1 cigarette per day, occasional smoker, recently quit	Drop-down menu
	Last cigarette: >24 hours, <24 hours	Radio button
	Cigarettes per day	Drop-down menu 0-100+
	Total years smoked	Drop-down menu 0-75+
	Minutes to first cigarette: >60, 31-60, 6-31, ≤5	Drop-down menu
	Past year quit attempts > 24 hours	Drop-down menu 0-10+
	Number of cohabitant smokers	Drop-down menu 0-10+
	Fagerstrom dependency score (very low, low, moderate, high, very high)	Internal calculation