{ "form_type": "lettings", "sections": { "household": { "label": "About the household", "subsections": { "household_characteristics": { "label": "Household characteristics", "pages": { "tenant_code": { "questions": { "tenant_code": { "check_answer_label": "Tenant code", "header": "What is the tenant code?", "type": "text" } } }, "tenant_age": { "questions": { "tenant_age": { "check_answer_label": "Tenant's age", "header": "What is the tenant's age?", "type": "numeric", "min": 0, "max": 150, "step": 1 } } }, "tenant_gender": { "questions": { "tenant_gender": { "check_answer_label": "Tenant's gender", "header": "Which of these best describes the tenant's gender identity?", "type": "radio", "answer_options": { "0": "Female", "1": "Male", "2": "Non-binary", "3": "Prefer not to say" } } } }, "household_number_of_other_members": { "questions": { "household_number_of_other_members": { "check_answer_label": "Number of Other Household Members", "header": "How many other people are there in the household?", "hint_text": "The maximum number of others is 1", "type": "numeric", "min": 0, "max": 1, "step": 1, "conditional_for": { "person_2_relationship": ">0", "person_2_age": ">0", "person_2_gender": ">0", "person_2_economic_status": ">0" } }, "person_2_relationship": { "check_answer_label": "Person 2's relationship to lead tenant", "header": "What's person 2's relationship to lead tenant", "type": "radio", "answer_options": { "0": "Other", "1": "Prefer not to say" } }, "person_2_age": { "check_answer_label": "Person 2's age", "header": "What's person 2's age", "type": "numeric", "min": 0, "max": 150, "step": 1 }, "person_2_gender": { "check_answer_label": "Person 2's gender", "header": "Which of these best describes person 2's gender identity?", "type": "radio", "answer_options": { "0": "Female", "1": "Male", "2": "Non-binary", "3": "Prefer not to say" } }, "person_2_economic_status": { "check_answer_label": "Person 2's Work", "header": "Which of these best describes person 2's working situation?", "type": "radio", "answer_options": { "0": "Other", "1": "Prefer not to say" } } } } } }, "household_needs": { "label": "Household needs", "pages": { "armed_forces": { "header": "Experience of the UK Armed Forces", "questions": { "armed_forces": { "header": "Has the tenant ever served in the UK armed forces?", "type": "radio", "check_answer_label": "Armed Forces", "answer_options": { "0": "Yes - a regular", "1": "Yes - a reserve", "2": "No", "3": "Prefer not to say" }, "conditional_for": { "armed_forces_active": [ "Yes - a regular", "Yes - a reserve" ], "armed_forces_injured": [ "Yes - a regular", "Yes - a reserve" ] } }, "armed_forces_active": { "header": "Are they still serving?", "type": "radio", "check_answer_label": "When did they leave the Armed Forces?", "answer_options": { "0": "Yes", "1": "No - they left up to 5 years ago", "2": "No - they left more than 5 years ago", "3": "Prefer not to say" } }, "armed_forces_injured": { "header": "Were they seriously injured or ill as a result of their service?", "type": "radio", "check_answer_label": "Has anyone in the household been seriously injured or ill as a result of their service in the armed forces?", "answer_options": { "0": "Yes", "1": "No", "2": "Prefer not to say" } } } }, "medical_conditions": { "questions": { "medical_conditions": { "header": "Does anyone in the household have any of the following that they expect to last for 12 months or more:", "type": "radio", "check_answer_label": "Physical, mental health or illness in the household", "answer_options": { "0": "Yes", "1": "No", "2": "Do not know", "3": "Prefer not to say" } } } }, "accessibility_requirements": { "questions": { "accessibility_requirements": { "header": "Are any of these affected by their condition or illness?", "hint_text": "Select all that apply", "type": "checkbox", "check_answer_label": "Disability requirements", "answer_options": { "accessibility_requirements_fully_wheelchair_accessible_housing": "Fully wheelchair accessible housing", "accessibility_requirements_wheelchair_access_to_essential_rooms": "Wheelchair access to essential rooms", "accessibility_requirements_level_access_housing": "Level access housing", "divider_a": true, "accessibility_requirements_do_not_know": "Do not know" } } } }, "condition_effects": { "questions": { "condition_effects": { "header": "Are any of these affected by their condition or illness?", "hint_text": "Select all that apply", "type": "checkbox", "check_answer_label": "Conditions or illnesses", "answer_options": { "condition_effects_vision": "Vision - such as blindness or partial sight", "condition_effects_hearing": "Hearing - such as deafness or partial hearing" } } } } } } } }, "tenancy_and_property": { "label": "Tenancy and property information", "subsections": { "tenancy_information": { "label": "Tenancy information", "pages": { "tenancy_code": { "questions": { "tenancy_code": { "check_answer_label": "What is the tenancy code?", "header": "What is the tenancy code?", "type": "text" } } } } }, "property_information": { "label": "Property information", "pages": { "property_wheelchair_accessible": { "questions": { "property_wheelchair_accessible": { "check_answer_label": "Is property built or adapted to wheelchair user standards?", "header": "Is property built or adapted to wheelchair user standards?", "type": "radio", "answer_options": { "0": "Yes", "1": "No" } } } } } } } }, "rent_and_charges": { "label": "Rent and charges", "subsections": { "income_and_benefits": { "label": "Income and benefits", "pages": { "net_income": { "questions": { "net_income": { "check_answer_label": "Income", "header": "What is the tenant’s /and partner’s combined income after tax?", "type": "numeric", "min": 0, "step": "1" }, "net_income_frequency": { "check_answer_label": "Income Frequency", "header": "How often do they receive this income?", "type": "radio", "answer_options": { "0": "Weekly", "1": "Monthly", "2": "Yearly" } } } }, "net_income_uc_proportion": { "questions": { "net_income_uc_proportion": { "check_answer_label": "Benefits as a proportion of income", "header": "How much of the tenant’s income is from Universal Credit, state pensions or benefits?", "type": "radio", "answer_options": { "0": "All", "1": "Some" } } } }, "housing_benefit": { "questions": { "housing_benefit": { "check_answer_label": "Universal Credit & Housing Benefit", "header": "Is the tenant likely to be in receipt of any of these housing-related benefits?", "type": "radio", "answer_options": { "0": "Housing Benefit, but not Universal Credit", "1": "Prefer not to say" } } } } } }, "rent": { "label": "Rent", "pages": { "rent": { "questions": { "rent_frequency": { "check_answer_label": "Rent Period", "header": "Which period are rent and other charges due?", "type": "radio", "answer_options": { "0": "Weekly for 52 weeks", "1": "Fortnightly" } }, "basic_rent": { "check_answer_label": "Basic Rent", "header": "What is the basic rent?", "hint_text": "Eligible for housing benefit or Universal Credit", "type": "numeric", "min": 0, "step": 1, "fields-to-add": [ "basic_rent", "service_charge", "personal_service_charge", "support_charge" ], "result-field": "total_charge" }, "service_charge": { "check_answer_label": "Service Charge", "header": "What is the service charge?", "hint_text": "Eligible for housing benefit or Universal Credit", "type": "numeric", "min": 0, "step": 1, "fields-to-add": [ "basic_rent", "service_charge", "personal_service_charge", "support_charge" ], "result-field": "total_charge" }, "personal_service_charge": { "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": [ "basic_rent", "service_charge", "personal_service_charge", "support_charge" ], "result-field": "total_charge" }, "support_charge": { "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": [ "basic_rent", "service_charge", "personal_service_charge", "support_charge" ], "result-field": "total_charge" }, "total_charge": { "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": { "time_lived_in_la": { "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": { "time_on_la_waiting_list": { "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" } } } }, "previous_postcode": { "questions": { "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" } } } } } } }, "submission": { "label": "Submission", "subsections": { "declaration": { "label": "Declaration", "pages": { "declaration": { "questions": { "declaration": { "check_answer_label": "", "header": "What is the tenant code?", "type": "text" } } } } } } } } }