renalreg/radar

{
  "multiple": false,
  "fields": [
    {
      "name": "education",
      "type": "int",
      "label": "Highest Educational Qualification",
      "required": false,
      "options": [
        {"value": 5, "label": "Higher Degree"},
        {"value": 4, "label": "First Degree"},
        {"value": 3, "label": "A Level"},
        {"value": 2, "label": "GCSE"},
        {"value": 1, "label": "NVQ"},
        {"value": 8, "label": "Other"},
        {"value": 0, "label": "None"}
      ]
    },
    {
      "name": "employmentStatus",
      "type": "int",
      "label": "Employment Status",
      "required": false,
      "options": [
        {"value": 1, "label": "Long term sick / disabled"},
        {"value": 2, "label": "Looking after family home"},
        {"value": 3, "label": "Not in work for some other reason"},
        {"value": 4, "label": "Retired from paid work"},
        {"value": 5, "label": "Student (includes those in training)"},
        {"value": 6, "label": "Unemployed"},
        {"value": 7, "label": "Working full time"},
        {"value": 8, "label": "Working part time"}
      ]
    },
    {
      "name": "firstLanguage",
      "type": "string",
      "label": "First Language",
      "required": false,
      "options": [
        {"value": "en", "label": "English"},
        {"value": "pl", "label": "Polish"},
        {"value": "pa", "label": "Punjabi"},
        {"value": "ur", "label": "Urdu"},
        {"value": "bn", "label": "Bengali"},
        {"value": "gu", "label": "Gujarati"},
        {"value": "ar", "label": "Arabic"},
        {"value": "fr", "label": "French"},
        {"value": "zh", "label": "Chinese"},
        {"value": "pt", "label": "Portuguese"},
        {"value": "es", "label": "Spanish"},
        {"value": "ta", "label": "Tamil"},
        {"value": "tr", "label": "Turkish"},
        {"value": "it", "label": "Italian"},
        {"value": "so", "label": "Somali"},
        {"value": "lt", "label": "Lithuanian"},
        {"value": "de", "label": "German"}
      ]
    },
    {
      "name": "maritalStatus",
      "type": "string",
      "label": "Marital Status",
      "required": false,
      "options": [
        {"value": "S", "label": "Single"},
        {"value": "M", "label": "Married / Civil Partner"},
        {"value": "D", "label": "Divorced / Dissolved Civil Partnership"},
        {"value": "W", "label": "Widowed / Surviving Civil Partner"},
        {"value": "P", "label": "Separated"},
        {"value": "N", "label": "Not Disclosed"}
      ]
    },
    {
      "name": "smoking",
      "type": "int",
      "label": "Smoking",
      "required": false,
      "options": [
        {"value": 1, "label": "Smoker"},
        {"value": 2, "label": "Ex-Smoker"},
        {"value": 0, "label": "Never Smoked"}
      ]
    },
    {
      "name": "cigarettesPerDay",
      "type": "int",
      "label": "Number of Cigarettes per Day",
      "required": false,
      "visible": {
        "name": "js",
        "value": "return form.smoking === 1;"
      }
    },
    {
      "name": "alcohol",
      "type": "boolean",
      "label": "Alcohol",
      "required": false
    },
    {
      "name": "unitsPerWeek",
      "type": "int",
      "label": "Number of Units per Day",
      "required": false,
      "visible": {
        "name": "js",
        "value": "return form.alcohol;"
      }
    },
    {
      "name": "literacy",
      "type": "int",
      "label": "Literacy",
      "required": false,
      "options": [
        {"value": 0, "label": "Unable to speak or read"},
        {"value": 1, "label": "Very weak fluency"},
        {"value": 2, "label": "Moderate fluency"},
        {"value": 3, "label": "Good fluency"}
      ]
    },
    {
      "name": "literacyHelp",
      "type": "int",
      "label": "How often do you need to have someone help you when you read?",
      "required": false,
      "options": [
        {"value": 1, "label": "Never"},
        {"value": 2, "label": "Rarely"},
        {"value": 3, "label": "Sometimes"},
        {"value": 4, "label": "Often"},
        {"value": 5, "label": "Always"}
      ]
    }
  ]
}