{
"form_type": "lettings",
"start_date": "2021-04-01T00:00:00.000+01:00",
"end_date": "2022-07-01T00:00:00.000+01:00",
"sections": {
"household": {
"label": "About the household",
"description": "Make sure the tenant has seen the privacy notice.",
"subsections": {
"household_characteristics": {
"label": "Household characteristics",
"pages": {
"tenant_code": {
"questions": {
"tenant_code": {
"check_answer_label": "Tenant code",
"header": "What is the tenant code?",
"hint_text": "This is how you usually refer to this tenancy on your own systems.",
"type": "text",
"width": 10
}
},
"depends_on": [
{
"housingneeds_a": "Yes"
},
{
"housingneeds_a": null
}
] },
"person_1_age": {
"questions": {
"age1": {
"check_answer_label": "Tenant’s age",
"header": "What is the tenant’s age?",
"type": "numeric",
"min": 0,
"max": 150,
"step": 1,
"width": 2
}
}
},
"person_1_gender": {
"questions": {
"sex1": {
"check_answer_label": "Tenant’s gender",
"header": "Which of these best describes the tenant’s gender identity?",
"type": "radio",
"answer_options": {
"0": {
"value": "Female"
},
"1": {
"value": "Male"
},
"2": {
"value": "Non-binary"
},
"3": {
"value": "Prefer not to say"
}
}
}
}
},
"household_number_of_other_members": {
"questions": {
"other_hhmemb": {
"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,
"width": 2,
"conditional_for": {
"relat2": ">0",
"age2": ">0",
"sex2": ">0",
"ecstat2": ">0"
}
},
"relat2": {
"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": {
"value": "Other"
},
"1": {
"value": "Prefer not to say"
}
}
},
"age2": {
"check_answer_label": "Person 2’s age",
"header": "What’s person 2’s age",
"type": "numeric",
"min": 0,
"max": 150,
"step": 1,
"width": 2
},
"sex2": {
"check_answer_label": "Person 2’s gender",
"header": "Which of these best describes person 2’s gender identity?",
"type": "radio",
"answer_options": {
"0": {
"value": "Female"
},
"1": {
"value": "Male"
},
"2": {
"value": "Non-binary"
},
"3": {
"value": "Prefer not to say"
}
}
},
"ecstat2": {
"check_answer_label": "Person 2’s Work",
"header": "Which of these best describes person 2’s working situation?",
"type": "radio",
"answer_options": {
"0": {
"value": "Other"
},
"1": {
"value": "Prefer not to say"
}
}
}
}
},
"propcode": {
"questions": {
"propcode": {
"check_answer_label": "",
"header": "property reference?",
"type": "text"
}
}
}
}
},
"household_needs": {
"label": "Household needs",
"pages": {
"armed_forces": {
"header": "Experience of the UK Armed Forces",
"questions": {
"armedforces": {
"header": "Is anyone in the household...",
"hint_text": "This excludes national service",
"type": "radio",
"check_answer_label": "Armed Forces",
"answer_options": {
"0":{
"value": "A current or former regular in the UK Armed Forces (excluding National Service)"
},
"1": {
"value": "A current or former reserve in the UK Armed Forces (excluding National Service)"
},
"2": {
"value": "A spouse / civil partner of a UK Armed Forces member who has separated or been bereaved within the last 2 years"
},
"3": {
"value": "No"
},
"4": {
"value": "Tenant prefers not to say"
}
},
"conditional_for": {
"leftreg": ["A current or former regular in the UK Armed Forces (excluding National Service)"]
}
},
"leftreg": {
"header": "Are they still serving?",
"hint_text": "",
"type": "text",
"check_answer_label": "When did they leave the Armed Forces?"
}
}
},
"medical_conditions": {
"questions": {
"illness": {
"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>",
"type": "radio",
"check_answer_label": "Physical, mental health or illness in the household",
"answer_options": {
"0": {
"value": "Yes"
},
"1": {
"value": "No"
},
"divider": {
"value": true
},
"2": {
"value": "Don’t know"
},
"3": {
"value": "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": {
"housingneeds_a": {
"value": "Fully wheelchair accessible housing"
},
"housingneeds_b": {
"value": "Wheelchair access to essential rooms"
},
"housingneeds_c": {
"value": "Level access housing"
},
"divider": {
"value": true
},
"housingneeds_h": {
"value": "Don’t know"
}
}
}
}
},
"accessible_select": {
"questions": {
"la": {
"header": "Select options",
"hint_text": "Type ahead to filter the options",
"type": "select",
"check_answer_label": "Accessible Select",
"answer_options": {
"" : "Select an option",
"E07000223": "Adur",
"E09000023": "Lewisham",
"E07000178": "Oxford",
"E07000114": "Thanet",
"E06000014": "York"
}
}
},
"depends_on": [
{
"la_known": "Yes",
"is_la_inferred": false
}
]
},
"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": {
"illness_type_1": {
"value": "Vision - such as blindness or partial sight"
},
"illness_type_2": {
"value": "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",
"width": 10
}
}
}
}
},
"property_information": {
"label": "Property information",
"pages": {
"property_postcode": {
"header": "",
"description": "",
"questions": {
"property_postcode": {
"check_answer_label": "Postcode",
"header": "",
"hint_text": "",
"type": "text",
"width": 5,
"inferred_answers": { "la": { "is_la_inferred": true } },
"inferred_check_answers_value": {
"condition": { "postcode_known": "No" },
"value": "Not known"
}
}
}
},
"do_you_know_the_local_authority": {
"header": "",
"description": "",
"questions": {
"la_known": {
"check_answer_label": "Do you know what local authority the property is located in?",
"header": "Do you know what local authority the property is located in?",
"hint_text": "",
"type": "radio",
"answer_options": {
"0": {
"value": "No"
},
"1": {
"value": "Yes"
}
}
}
},
"depends_on": [{"is_la_inferred": false}]
},
"property_wheelchair_accessible": {
"questions": {
"wchair": {
"check_answer_label": "Wheelchair adaptation",
"header": "Is the property built or adapted to wheelchair-user standards?",
"type": "radio",
"answer_options": {
"0": {
"value": "Yes"
},
"1": {
"value": "No"
}
}
}
}
}
}
},
"conditional_question": {
"label": "Conditional question",
"pages": {
"conditional_question": {
"questions": {
"preg_occ": {
"check_answer_label": "Has the condition been met?",
"header": "Has the condition been met?",
"type": "radio",
"answer_options": {
"0": {
"value": "Yes"
},
"1": {
"value": "No"
}
}
}
}
},
"conditional_question_yes_page": {
"questions": {
"cbl": {
"check_answer_label": "Has the next condition been met?",
"header": "Has the next condition been met?",
"type": "radio",
"answer_options": {
"0": {
"value": "Yes"
},
"1": {
"value": "No"
}
}
}
},
"depends_on": [{ "preg_occ": "Yes" }, { "wchair" : "Yes" }]
},
"conditional_question_no_page": {
"questions": {
"cbl": {
"check_answer_label": "Has the condition not been met?",
"header": "Has the next condition not been met?",
"type": "radio",
"answer_options": {
"0": {
"value": "Yes"
},
"1": {
"value": "No"
}
}
}
},
"depends_on": [{ "preg_occ": "No" }]
},
"conditional_question_no_second_page": {
"questions": {
"conditional_question_no_second_question": {
"check_answer_label": "Has the condition not been met again?",
"header": "Has the next condition not been met again?",
"type": "radio",
"answer_options": {
"0": {
"value": "Yes"
},
"1": {
"value": "No"
}
}
}
},
"depends_on": [{ "preg_occ": "No", "sex1": "Male" }]
}
}
}
}
},
"rent_and_charges": {
"label": "Rent and charges",
"subsections": {
"income_and_benefits": {
"label": "Income and benefits",
"pages": {
"net_income": {
"header": "Test header",
"description": "Some extra text for the page",
"questions": {
"earnings": {
"check_answer_label": "Income",
"header": "What is the tenant’s /and partner’s combined income after tax?",
"guidance_partial": "what_counts_as_income",
"type": "numeric",
"min": 0,
"step": 1,
"width": 5,
"prefix": "£",
"suffix": [
{ "label": "every week", "depends_on" : { "incfreq": "Weekly" } },
{ "label": "every month", "depends_on" : { "incfreq": "Monthly" } },
{ "label": "every month", "depends_on" : { "incfreq": "Yearly" } }
]
},
"incfreq": {
"check_answer_label": "Income Frequency",
"header": "How often do they receive this income?",
"type": "radio",
"answer_options": {
"0": {
"value": "Weekly"
},
"1": {
"value": "Monthly"
},
"2": {
"value": "Yearly"
}
}
}
},
"soft_validations": {
"override_net_income_validation": {
"check_answer_label": "Net income confirmed?",
"type": "validation_override",
"answer_options": {
"override_net_income_validation": "Yes"
}
}
}
},
"net_income_uc_proportion": {
"questions": {
"benefits": {
"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": {
"value":"All"
},
"1": {
"value":"Some"
}
}
}
}
},
"housing_benefit": {
"questions": {
"hb": {
"check_answer_label": "Housing-related benefits received",
"header": "Is the tenant likely to be in receipt of any of these housing-related benefits?",
"type": "radio",
"answer_options": {
"0": {
"value": "Housing benefit"
},
"1": {
"value": "Tenant prefers not to say"
}
},
"conditional_for": {
"conditional_question": ["Housing benefit"]
}
},
"conditional_question": {
"check_answer_label": "Conditional Question",
"header": "Question to test page conditions",
"type": "radio",
"answer_options": {
"0": {
"value": "Option A"
},
"1": {
"value": "Option B"
}
}
}
}
},
"dependent_page": {
"depends_on": [{ "incfreq": "Weekly" }],
"questions": {
"dependent_question": {
"check_answer_label": "Dependent Question",
"header": "Question to test page routing",
"type": "radio",
"answer_options": {
"0": {
"value": "Option A"
},
"1": {
"value": "Option B"
}
}
}
}
}
}
},
"rent_and_charges": {
"label": "Rent",
"pages": {
"rent": {
"questions": {
"period": {
"check_answer_label": "Rent Period",
"header": "Which period are rent and other charges due?",
"type": "radio",
"answer_options": {
"0": {
"value": "Weekly for 52 weeks"
},
"1": {
"value": "Every 2 weeks"
}
}
},
"brent": {
"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,
"width": 4,
"fields-to-add": [
"brent",
"scharge",
"pscharge",
"supcharg"
],
"result-field": "tcharge"
},
"scharge": {
"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,
"width": 4,
"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,
"width": 4,
"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,
"width": 4,
"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_output",
"min": 0,
"step": 1,
"width": 4,
"readonly": true,
"requires_js": true
}
}
},
"weekly_net_income": {
"header": "",
"description": "",
"questions": {
"earnings": {
"check_answer_label": "Total household income",
"header": "How much income does the household have in total every week?",
"hint_text": "",
"type": "numeric",
"min": 0,
"step": "1",
"width": 5,
"prefix": "£",
"suffix": " every week"
}
}
}
}
}
}
},
"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": {
"value": "Just moved to local authority area"
},
"1": {
"value": "Less than 1 year"
},
"2": {
"value": "1 year but under 2 years"
},
"3": {
"value": "2 years but under 3 years"
},
"4": {
"value": "3 years but under 4 years"
},
"5": {
"value": "4 years but under 5 years"
},
"6": {
"value": "5 years or more"
},
"divider": {
"value": true
},
"7": {
"value": "Don’t 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": {
"value": "Just moved to local authority area"
},
"1": {
"value": "Less than 1 year"
},
"2": {
"value": "1 year but under 2 years"
},
"3": {
"value": "2 years but under 3 years"
},
"4": {
"value": "3 years but under 4 years"
},
"5": {
"value": "4 years but under 5 years"
},
"6": {
"value": "5 years or more"
},
"divider": {
"value": true
},
"7": {
"value": "Don’t know"
}
}
}
}
},
"property_postcode": {
"questions": {
"property_postcode": {
"check_answer_label": "Postcode of previous accommodation 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",
"width": 5,
"conditional_for": { "fake_key": "fake_condition" }
},
"previous_postcode": {
"check_answer_label": "Postcode of previous accommodation 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",
"width": 5
}
}
},
"property_major_repairs": {
"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 2021",
"type": "date"
}
}
}
}
}
}
},
"submission": {
"label": "Submission",
"subsections": {
"declaration": {
"label": "Declaration",
"depends_on": [{
"household_characteristics": "completed",
"household_needs": "completed",
"tenancy_information": "completed",
"property_information": "completed"
}],
"pages": {
"declaration": {
"questions": {
"declaration": {
"check_answer_label": "",
"header": "Submit your lettings log ",
"type": "checkbox",
"answer_options": {
"declaration": {
"value": "The tenant has seen the Department for Levelling Up, Housing & Communities (DLUHC) privacy notice"
}
}
}
}
}
}
}
}
}
}
}