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547 lines
21 KiB
547 lines
21 KiB
{ |
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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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"armedforces": { |
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"header": "Is anyone in the household...", |
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"hint_text": "This excludes national service", |
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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":"A current or former regular in the UK Armed Forces (exc. National Service)", |
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"1":"A current or former reserve in the UK Armed Forces (exc. National Service)", |
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"2": "A spouse / civil partner of a UK Armed Forces member who has separated or been bereaved within the last 2 years", |
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"3": "No", |
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"4": "Tenant prefers not to say" |
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}, |
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"conditional_for": { |
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"leftreg": ["A current or former regular in the UK Armed Forces (exc. National Service)"], |
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"reservist": ["A current or former regular in the UK Armed Forces (exc. National Service)"] |
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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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"hint_text": "", |
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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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"hint_text": "", |
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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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}, |
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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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"depends_on": { "preg_occ": "Yes" } |
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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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"depends_on": { "preg_occ": "No" } |
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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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"depends_on": { "preg_occ": "No", "sex1": "Male" } |
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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?", |
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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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"pscharge": { |
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"check_answer_label": "Personal Service Charge", |
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"header": "What is the personal service charge?", |
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"hint_text": "Not eligible for housing benefit or Universal Credit. For example, hot water excluding water rates.", |
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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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"supcharg": { |
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"check_answer_label": "Support Charge", |
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"header": "What is the support charge?", |
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"hint_text": "This is to fund housing-related support services included in the tenancy agreement", |
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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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"tcharge": { |
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"check_answer_label": "Total Charge", |
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"header": "Total charge?", |
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"hint_text": "This is the total of rent and all charges", |
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"type": "numeric", |
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"min": 0, |
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"step": 1, |
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"readonly": true |
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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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"local_authority": { |
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"label": "Local authority", |
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"subsections": { |
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"local_authority": { |
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"label": "Local authority", |
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"pages": { |
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"time_lived_in_la": { |
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"questions": { |
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"layear": { |
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"check_answer_label": "How long has the household continuously lived in the local authority area where the new letting is located?", |
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"header": "How long has the household continuously lived in the local authority area where the new letting is located?", |
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"type": "radio", |
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"answer_options": { |
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"0": "Just moved to local authority area", |
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"1": "Less than 1 year", |
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"2": "1 to 2 years", |
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"3": "2 to 3 years", |
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"4": "3 to 4 years", |
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"5": "4 to 5 years", |
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"6": "5 years or more", |
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"7": "Do not know" |
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} |
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} |
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} |
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}, |
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"time_on_la_waiting_list": { |
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"questions": { |
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"lawaitlist": { |
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"check_answer_label": "How long has the household been on the local authority waiting list where the new letting is located?", |
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"header": "How long has the household been on the local authority waiting list where the new letting is located?", |
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"type": "radio", |
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"answer_options": { |
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"0": "Just moved to local authority area", |
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"1": "Less than 1 year", |
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"2": "1 to 2 years", |
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"3": "2 to 3 years", |
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"4": "3 to 4 years", |
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"5": "4 to 5 years", |
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"6": "5 years or more", |
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"7": "Do not know" |
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} |
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} |
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} |
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}, |
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"property_postcode": { |
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"questions": { |
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"property_postcode": { |
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"check_answer_label": "Postcode of previous accomodation if the household has moved from settled accommodation", |
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"header": "Postcode for the previous accommodation", |
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"hint_text": "If the household has moved from settled accommodation immediately prior to being re-housed", |
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"type": "text", |
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"conditional_for": { "faake_key": "fake_condition" } |
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}, |
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"previous_postcode": { |
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"check_answer_label": "Postcode of previous accomodation if the household has moved from settled accommodation", |
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"header": "Postcode for the previous accommodation", |
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"hint_text": "If the household has moved from settled accommodation immediately prior to being re-housed", |
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"type": "text" |
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} |
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} |
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}, |
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"property_major_repairs": { |
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"questions": { |
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"mrcdate": { |
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"check_answer_label": "What was the major repairs completion date?", |
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"header": "What was the major repairs completion date?", |
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"hint_text": "For example, 27 3 2007", |
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"type": "date" |
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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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"submission": { |
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"label": "Submission", |
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"subsections": { |
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"declaration": { |
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"label": "Declaration", |
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"pages": { |
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"declaration": { |
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"questions": { |
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"declaration": { |
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"check_answer_label": "", |
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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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} |
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} |
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} |
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} |
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} |
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}
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