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548 lines
21 KiB
548 lines
21 KiB
3 years ago
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{
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"form_type": "lettings",
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"sections": {
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"household": {
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"label": "About the household",
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"subsections": {
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"household_characteristics": {
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"label": "Household characteristics",
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"pages": {
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"tenant_code": {
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"questions": {
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"tenant_code": {
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"check_answer_label": "Tenant code",
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"header": "What is the tenant code?",
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"type": "text"
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}
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}
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},
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"person_1_age": {
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"questions": {
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"age1": {
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"check_answer_label": "Tenant's age",
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"header": "What is the tenant's age?",
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"type": "numeric",
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"min": 0,
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"max": 150,
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"step": 1
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}
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}
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},
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"person_1_gender": {
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"questions": {
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"sex1": {
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"check_answer_label": "Tenant's gender",
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"header": "Which of these best describes the tenant's gender identity?",
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"type": "radio",
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"answer_options": {
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"0": "Female",
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"1": "Male",
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"2": "Non-binary",
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"3": "Prefer not to say"
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}
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}
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}
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},
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"household_number_of_other_members": {
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"questions": {
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"other_hhmemb": {
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"check_answer_label": "Number of Other Household Members",
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"header": "How many other people are there in the household?",
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"hint_text": "The maximum number of others is 1",
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"type": "numeric",
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"min": 0,
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"max": 1,
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"step": 1,
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"conditional_for": {
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"relat2": ">0",
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"age2": ">0",
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"sex2": ">0",
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"ecstat2": ">0"
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}
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},
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"relat2": {
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"check_answer_label": "Person 2's relationship to lead tenant",
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"header": "What's person 2's relationship to lead tenant",
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"type": "radio",
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"answer_options": {
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"0": "Other",
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"1": "Prefer not to say"
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}
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},
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"age2": {
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"check_answer_label": "Person 2's age",
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"header": "What's person 2's age",
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"type": "numeric",
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"min": 0,
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"max": 150,
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"step": 1
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},
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"sex2": {
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"check_answer_label": "Person 2's gender",
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"header": "Which of these best describes person 2's gender identity?",
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"type": "radio",
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"answer_options": {
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"0": "Female",
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"1": "Male",
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"2": "Non-binary",
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"3": "Prefer not to say"
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}
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},
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"ecstat2": {
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"check_answer_label": "Person 2's Work",
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"header": "Which of these best describes person 2's working situation?",
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"type": "radio",
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"answer_options": {
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"0": "Other",
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"1": "Prefer not to say"
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}
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}
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}
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}
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}
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},
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"household_needs": {
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"label": "Household needs",
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"pages": {
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"armed_forces": {
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"header": "Experience of the UK Armed Forces",
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"questions": {
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"armed_forces": {
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"header": "Has the tenant ever served in the UK armed forces?",
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"type": "radio",
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"check_answer_label": "Armed Forces",
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"answer_options": {
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"0": "Yes - a regular",
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"1": "Yes - a reserve",
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"2": "No",
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"3": "Prefer not to say"
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},
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"conditional_for": {
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"leftreg": ["Yes - a regular", "Yes - a reserve"],
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"reservist": ["Yes - a regular", "Yes - a reserve"]
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}
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},
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"leftreg": {
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"header": "Are they still serving?",
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"type": "radio",
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"check_answer_label": "When did they leave the Armed Forces?",
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"answer_options": {
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"0": "Yes",
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"1": "No - they left up to 5 years ago",
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"2": "No - they left more than 5 years ago",
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"3": "Prefer not to say"
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}
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},
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"reservist": {
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"header": "Were they seriously injured or ill as a result of their service?",
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"type": "radio",
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"check_answer_label": "Has anyone in the household been seriously injured or ill as a result of their service in the armed forces?",
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"answer_options": {
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"0": "Yes",
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"1": "No",
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"2": "Prefer not to say"
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}
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}
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}
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},
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"medical_conditions": {
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"questions": {
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"illness": {
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"header": "Does anyone in the household have any of the following that they expect to last for 12 months or more:<ul><li>Physical Condition</li><li>Mental Health Condition</li><li>Other Illness</li></ul>",
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"type": "radio",
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"check_answer_label": "Physical, mental health or illness in the household",
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"answer_options": {
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"0": "Yes",
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"1": "No",
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"2": "Do not know",
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"3": "Prefer not to say"
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}
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}
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}
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},
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"accessibility_requirements": {
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"questions": {
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"accessibility_requirements": {
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"header": "Are any of these affected by their condition or illness?",
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"hint_text": "Select all that apply",
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"type": "checkbox",
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"check_answer_label": "Disability requirements",
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"answer_options": {
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"housingneeds_a": "Fully wheelchair accessible housing",
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"housingneeds_b": "Wheelchair access to essential rooms",
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"housingneeds_c": "Level access housing",
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"divider_a": true,
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"housingneeds_h": "Do not know"
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}
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}
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}
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},
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"condition_effects": {
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"questions": {
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"condition_effects": {
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"header": "Are any of these affected by their condition or illness?",
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"hint_text": "Select all that apply",
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"type": "checkbox",
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"check_answer_label": "Conditions or illnesses",
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"answer_options": {
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"illness_type_1": "Vision - such as blindness or partial sight",
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"illness_type_2": "Hearing - such as deafness or partial hearing"
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}
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}
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}
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}
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}
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}
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}
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},
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"tenancy_and_property": {
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"label": "Tenancy and property information",
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"subsections": {
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"tenancy_information": {
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"label": "Tenancy information",
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"pages": {
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"tenancy_code": {
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"questions": {
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"tenancy_code": {
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"check_answer_label": "What is the tenancy code?",
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"header": "What is the tenancy code?",
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"type": "text"
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}
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}
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}
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}
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},
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"property_information": {
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"label": "Property information",
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"pages": {
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"property_wheelchair_accessible": {
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"questions": {
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"wchair": {
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"check_answer_label": "Is property built or adapted to wheelchair user standards?",
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"header": "Is property built or adapted to wheelchair user standards?",
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"type": "radio",
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"answer_options": {
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"0": "Yes",
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"1": "No"
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}
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}
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}
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}
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}
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},
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"conditional_question": {
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"label": "Conditional question",
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"pages": {
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"conditional_question": {
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"questions": {
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"preg_occ": {
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"check_answer_label": "Has the condition been met?",
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"header": "Has the condition been met?",
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"type": "radio",
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"answer_options": {
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"0": "Yes",
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"1": "No"
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}
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}
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},
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"conditional_route_to": {
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"rent": { "preg_occ": "Yes", "sex1": "Female" },
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"conditional_question_yes_page": { "preg_occ": "Yes" },
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"conditional_question_no_page": { "preg_occ": "No" }
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},
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"default_next_page": "check_answers"
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},
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"conditional_question_yes_page": {
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"questions": {
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"cbl": {
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"check_answer_label": "Has the next condition been met?",
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"header": "Has the next condition been met?",
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"type": "radio",
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"answer_options": {
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"0": "Yes",
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"1": "No"
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}
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}
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},
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"default_next_page": "check_answers"
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},
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"conditional_question_no_page": {
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"questions": {
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"conditional_question_no_question": {
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"check_answer_label": "Has the condition not been met?",
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"header": "Has the next condition not been met?",
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"type": "radio",
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"answer_options": {
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"0": "Yes",
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"1": "No"
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}
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}
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},
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"default_next_page": "conditional_question_no_second_page"
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},
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"conditional_question_no_second_page": {
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"questions": {
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"conditional_question_no_second_question": {
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"check_answer_label": "Has the condition not been met again?",
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"header": "Has the next condition not been met again?",
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"type": "radio",
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"answer_options": {
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"0": "Yes",
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"1": "No"
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}
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}
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}
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}
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}
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}
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}
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},
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"rent_and_charges": {
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"label": "Rent and charges",
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"subsections": {
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"income_and_benefits": {
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"label": "Income and benefits",
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"pages": {
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"net_income": {
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"questions": {
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"earnings": {
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"check_answer_label": "Income",
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"header": "What is the tenant’s /and partner’s combined income after tax?",
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"type": "numeric",
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"min": 0,
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"step": "1"
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},
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"incfreq": {
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"check_answer_label": "Income Frequency",
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"header": "How often do they receive this income?",
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"type": "radio",
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"answer_options": {
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"0": "Weekly",
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"1": "Monthly",
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"2": "Yearly"
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}
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}
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},
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"soft_validations": {
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"override_net_income_validation": {
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"check_answer_label": "Net income confirmed?",
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"type": "validation_override",
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"answer_options": {
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"override_net_income_validation": "Yes"
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}
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}
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}
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},
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"net_income_uc_proportion": {
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"questions": {
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"benefits": {
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"check_answer_label": "Benefits as a proportion of income",
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"header": "How much of the tenant’s income is from Universal Credit, state pensions or benefits?",
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"type": "radio",
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"answer_options": {
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"0": "All",
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"1": "Some"
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}
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}
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}
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},
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"housing_benefit": {
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"questions": {
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"hb": {
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"check_answer_label": "Universal Credit & Housing Benefit",
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"header": "Is the tenant likely to be in receipt of any of these housing-related benefits?",
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"type": "radio",
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"answer_options": {
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"0": "Housing Benefit, but not Universal Credit",
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"1": "Prefer not to say"
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}
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}
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}
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}
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}
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},
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"rent": {
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"label": "Rent",
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"pages": {
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"rent": {
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"questions": {
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"rent_frequency": {
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"check_answer_label": "Rent Period",
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"header": "Which period are rent and other charges due?",
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"type": "radio",
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"answer_options": {
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"0": "Weekly for 52 weeks",
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"1": "Fortnightly"
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}
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},
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"brent": {
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"check_answer_label": "Basic Rent",
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"header": "What is the basic rent?",
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"hint_text": "Eligible for housing benefit or Universal Credit",
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"type": "numeric",
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"min": 0,
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"step": 1,
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"fields-to-add": [
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"brent",
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"scharge",
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"pscharge",
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"supcharg"
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],
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"result-field": "tcharge"
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},
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"scharge": {
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"check_answer_label": "Service Charge",
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||
|
|
"header": "What is the service charge?",
|
||
|
|
"hint_text": "Eligible for housing benefit or Universal Credit",
|
||
|
|
"type": "numeric",
|
||
|
|
"min": 0,
|
||
|
|
"step": 1,
|
||
|
|
"fields-to-add": [
|
||
|
|
"brent",
|
||
|
|
"scharge",
|
||
|
|
"pscharge",
|
||
|
|
"supcharg"
|
||
|
|
],
|
||
|
|
"result-field": "tcharge"
|
||
|
|
},
|
||
|
|
"pscharge": {
|
||
|
|
"check_answer_label": "Personal Service Charge",
|
||
|
|
"header": "What is the personal service charge?",
|
||
|
|
"hint_text": "Not eligible for housing benefit or Universal Credit. For example, hot water excluding water rates.",
|
||
|
|
"type": "numeric",
|
||
|
|
"min": 0,
|
||
|
|
"step": 1,
|
||
|
|
"fields-to-add": [
|
||
|
|
"brent",
|
||
|
|
"scharge",
|
||
|
|
"pscharge",
|
||
|
|
"supcharg"
|
||
|
|
],
|
||
|
|
"result-field": "tcharge"
|
||
|
|
},
|
||
|
|
"supcharg": {
|
||
|
|
"check_answer_label": "Support Charge",
|
||
|
|
"header": "What is the support charge?",
|
||
|
|
"hint_text": "This is to fund housing-related support services included in the tenancy agreement",
|
||
|
|
"type": "numeric",
|
||
|
|
"min": 0,
|
||
|
|
"step": 1,
|
||
|
|
"fields-to-add": [
|
||
|
|
"brent",
|
||
|
|
"scharge",
|
||
|
|
"pscharge",
|
||
|
|
"supcharg"
|
||
|
|
],
|
||
|
|
"result-field": "tcharge"
|
||
|
|
},
|
||
|
|
"tcharge": {
|
||
|
|
"check_answer_label": "Total Charge",
|
||
|
|
"header": "Total charge?",
|
||
|
|
"hint_text": "This is the total of rent and all charges",
|
||
|
|
"type": "numeric",
|
||
|
|
"min": 0,
|
||
|
|
"step": 1,
|
||
|
|
"readonly": true
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
},
|
||
|
|
"local_authority": {
|
||
|
|
"label": "Local authority",
|
||
|
|
"subsections": {
|
||
|
|
"local_authority": {
|
||
|
|
"label": "Local authority",
|
||
|
|
"pages": {
|
||
|
|
"time_lived_in_la": {
|
||
|
|
"questions": {
|
||
|
|
"layear": {
|
||
|
|
"check_answer_label": "How long has the household continuously lived in the local authority area where the new letting is located?",
|
||
|
|
"header": "How long has the household continuously lived in the local authority area where the new letting is located?",
|
||
|
|
"type": "radio",
|
||
|
|
"answer_options": {
|
||
|
|
"0": "Just moved to local authority area",
|
||
|
|
"1": "Less than 1 year",
|
||
|
|
"2": "1 to 2 years",
|
||
|
|
"3": "2 to 3 years",
|
||
|
|
"4": "3 to 4 years",
|
||
|
|
"5": "4 to 5 years",
|
||
|
|
"6": "5 years or more",
|
||
|
|
"7": "Do not know"
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
},
|
||
|
|
"time_on_la_waiting_list": {
|
||
|
|
"questions": {
|
||
|
|
"lawaitlist": {
|
||
|
|
"check_answer_label": "How long has the household been on the local authority waiting list where the new letting is located?",
|
||
|
|
"header": "How long has the household been on the local authority waiting list where the new letting is located?",
|
||
|
|
"type": "radio",
|
||
|
|
"answer_options": {
|
||
|
|
"0": "Just moved to local authority area",
|
||
|
|
"1": "Less than 1 year",
|
||
|
|
"2": "1 to 2 years",
|
||
|
|
"3": "2 to 3 years",
|
||
|
|
"4": "3 to 4 years",
|
||
|
|
"5": "4 to 5 years",
|
||
|
|
"6": "5 years or more",
|
||
|
|
"7": "Do not know"
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
},
|
||
|
|
"property_postcode": {
|
||
|
|
"questions": {
|
||
|
|
"property_postcode": {
|
||
|
|
"check_answer_label": "Postcode of previous accomodation if the household has moved from settled accommodation",
|
||
|
|
"header": "Postcode for the previous accommodation",
|
||
|
|
"hint_text": "If the household has moved from settled accommodation immediately prior to being re-housed",
|
||
|
|
"type": "text",
|
||
|
|
"conditional_for": { "faake_key": "fake_condition" }
|
||
|
|
},
|
||
|
|
"previous_postcode": {
|
||
|
|
"check_answer_label": "Postcode of previous accomodation if the household has moved from settled accommodation",
|
||
|
|
"header": "Postcode for the previous accommodation",
|
||
|
|
"hint_text": "If the household has moved from settled accommodation immediately prior to being re-housed",
|
||
|
|
"type": "text"
|
||
|
|
}
|
||
|
|
}
|
||
|
|
},
|
||
|
|
"major_repairs_date": {
|
||
|
|
"questions": {
|
||
|
|
"mrcdate": {
|
||
|
|
"check_answer_label": "What was the major repairs completion date?",
|
||
|
|
"header": "What was the major repairs completion date?",
|
||
|
|
"hint_text": "For example, 27 3 2007",
|
||
|
|
"type": "date"
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
},
|
||
|
|
"submission": {
|
||
|
|
"label": "Submission",
|
||
|
|
"subsections": {
|
||
|
|
"declaration": {
|
||
|
|
"label": "Declaration",
|
||
|
|
"pages": {
|
||
|
|
"declaration": {
|
||
|
|
"questions": {
|
||
|
|
"declaration": {
|
||
|
|
"check_answer_label": "",
|
||
|
|
"header": "What is the tenant code?",
|
||
|
|
"type": "text"
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|
||
|
|
}
|