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522 lines
20 KiB
522 lines
20 KiB
{ |
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"form_type": "lettings", |
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"start_year": 2021, |
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"end_year": 2022, |
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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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"header": "", |
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"description": "", |
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"questions":{ |
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"tenant_code": { |
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"header": "What is the tenant code?", |
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"hint_text": "", |
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"type": "text" |
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} |
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} |
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}, |
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"tenant_age":{ |
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"header": "", |
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"description": "", |
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"questions":{ |
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"tenant_age": { |
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"header": "What is the tenant's age?", |
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"hint_text": "", |
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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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"tenant_gender":{ |
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"header": "", |
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"description": "", |
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"questions":{ |
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"tenant_gender": { |
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"header": "Which of these best describes the tenant's gender identity?", |
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"hint_text": "", |
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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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"tenant_ethnic_group":{ |
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"header": "", |
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"description": "", |
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"questions":{ |
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"tenant_ethnic_group": { |
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"header": "What is the tenant's ethnic group?", |
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"hint_text": "", |
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"type": "radio", |
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"answer_options": { |
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"0": "White: English/Scottish/Welsh/Northern Irish/British", |
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"1": "White: Irish", |
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"2": "White: Gypsy/Irish Traveller", |
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"3": "White: Other", |
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"4": "Mixed: White & Black Caribbean", |
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"5": "Mixed: White & Black African", |
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"6": "Mixed: White & Asian", |
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"7": "Mixed: Other", |
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"8": "Asian or Asian British: Indian", |
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"9": "Asian or Asian British: Pakistani", |
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"10": "Asian or Asian British: Bangladeshi", |
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"11": "Asian or Asian British: Chinese", |
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"12": "Asian or Asian British: Other", |
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"13": "Black: Caribbean", |
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"14": "Black: African", |
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"15": "Black: Other", |
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"16": "Other Ethnic Group: Arab", |
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"17": "Other Ethnic Group: Other", |
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"18": "Prefer not to say" |
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} |
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} |
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} |
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}, |
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"tenant_nationality":{ |
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"header": "", |
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"description": "", |
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"questions":{ |
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"tenant_nationality": { |
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"header": "What is the tenant's nationality?", |
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"hint_text": "", |
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"type": "radio", |
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"answer_options": { |
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"0": "UK national resident in UK", |
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"1": "A current or former reserve in the UK Armed Forces (exc. National Service)", |
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"2": "UK national returning from residence overseas", |
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"3": "Czech Republic", |
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"4": "Estonia", |
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"5": "Hungary", |
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"6": "Latvia", |
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"7": "Lithuania", |
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"8": "Poland", |
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"9": "Slovakia", |
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"10": "Bulgaria", |
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"11": "Romania", |
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"12": "Ireland", |
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"13": "Other EU Economic Area (EEA country)", |
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"14": "Any other country", |
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"15": "Prefer not to say" |
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} |
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} |
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} |
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}, |
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"tenant_economic_status":{ |
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"header": "", |
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"description": "", |
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"questions":{ |
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"tenant_economic_status": { |
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"header": "Which of these best describes the tenant's working situation?", |
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"hint_text": "", |
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"type": "radio", |
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"answer_options": { |
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"0": "Part-time - Less than 30 hours", |
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"1": "Full-time - 30 hours or more", |
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"2": "In government training into work, such as New Deal", |
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"3": "Jobseeker", |
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"4": "Retired", |
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"5": "Not seeking work", |
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"6": "Full-time student", |
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"7": "Unable to work because of long term sick or disability", |
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"8": "Child under 16", |
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"9": "Other", |
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"10": "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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"header": "", |
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"description": "", |
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"questions":{ |
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"household_number_of_other_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 7", |
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"type": "numeric", |
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"min": 0, |
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"max": 7, |
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"step": 1 |
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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_situation": { |
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"label": "Household situation", |
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"pages": { |
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"previous_housing_situation":{ |
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"header": "", |
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"description": "", |
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"questions":{ |
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"previous_housing_situation": { |
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"header": "What was the tenant’s housing situation immediately before this letting?", |
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"hint_text": "", |
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"type": "radio", |
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"answer_options": { |
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"0": "Owner occupation (private) ", |
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"1": "Owner occupation (low cost home ownership)", |
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"2": "Private sector tenancy", |
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"3": "Tied housing or rented with job", |
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"4": "Supported housing", |
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"5": "Sheltered accomodation", |
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"6": "Residential care home", |
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"7": "Living with friends or family", |
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"8": "Refuge", |
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"9": "Hospital", |
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"10": "Prison / approved probation hostel", |
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"11": "Direct access hostel", |
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"12": "Bed & Breakfast", |
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"13": "Mobile home / caravan", |
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"14": "Any other temporary accommodation", |
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"15": "Home Office Asylum Support", |
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"16": "Children’s home / foster care", |
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"17": "Rough sleeping", |
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"18": "Other", |
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"19": "Fixed term Local Authority General Needs tenancy", |
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"20": "Lifetime Local Authority General Needs tenancy", |
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"21": "Fixed term PRP General Needs tenancy", |
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"22": "Lifetime PRP General Needs tenancy" |
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} |
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} |
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} |
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}, |
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"homelessness":{ |
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"header": "", |
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"description": "", |
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"questions":{ |
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"homelessness": { |
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"header": "Did the tenant experience homelessness immediately before this letting?", |
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"hint_text": "", |
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"type": "radio", |
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"answer_options": { |
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"0": "Yes - assessed as homeless by a local authority and owed a homelessness duty. Including if threatened with homelessness within 56 days", |
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"1": "Yes - other homelessness ", |
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"2": "No" |
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} |
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} |
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} |
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}, |
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"last_settled_home":{ |
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"header": "Leaving their last settled home", |
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"description": "", |
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"questions":{ |
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"last_settled_home": { |
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"header": "What is the tenant’s main reason for leaving?", |
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"hint_text": "", |
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"type": "radio", |
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"answer_options": { |
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"0": "Permanently decanted from another property owned by this landlord", |
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"1": "Left home country as a refugee", |
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"2": "Loss of tied accommodation", |
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"3": "Domestic abuse", |
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"4": "(Non violent) relationship breakdown with partner", |
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"5": "Asked to leave by family or friends", |
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"6": "Racial harassment", |
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"7": "Other problems with neighbours", |
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"8": "Property unsuitable because of overcrowding", |
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"9": "End of assured shorthold tenancy - no fault", |
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"10": "End of assured shorthold tenancy - tenant's fault", |
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"11": "End of fixed term tenancy - no fault", |
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"12": "End of fixed term tenancy - tenant's fault", |
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"13": "Repossession", |
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"14": "Under occupation - offered incentive to downsize", |
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"15": "Under occupation - no incentive", |
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"16": "Property unsuitable because of ill health / disability", |
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"17": "Property unsuitable because of poor condition", |
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"18": "Couldn't afford fees attached to renewing the tenancy", |
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"19": "Couldn't afford increase in rent", |
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"20": "Couldn't afford rent or mortgage - welfare reforms", |
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"21": "Couldn't afford rent or mortgage - employment", |
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"22": "Couldn't afford rent or mortgage - other", |
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"23": "To move nearer to family / friends / school", |
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"24": "To move nearer to work", |
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"25": "To move to accomodation with support", |
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"26": "To move to independent accomodation", |
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"27": "Hate crime", |
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"28": "Death of household member in last settled accomodation", |
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"29": "Discharged from prison", |
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"30": "Discharged from long stay hospital or similar institution", |
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"31": "Other", |
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"32": "Do not know", |
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"33": "Prefer not to say" |
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} |
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}, |
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"benefit_cap_spare_room_subsidy": { |
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"header": "Was the reason for leaving because of the benefit cap or removal of the spare room subsidy?", |
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"hint_text": "", |
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"type": "radio", |
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"answer_options": { |
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"0": "Yes - benefit cap", |
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"1": "Yes - removal of the spare room subsidy", |
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"2": "Yes - both the benefit cap and the removal of the spare room subsidy", |
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"3": "No", |
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"4": "Do not know", |
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"5": "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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"description": "", |
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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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"hint_text": "", |
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"type": "radio", |
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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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}, |
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"armed_forces_active": { |
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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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"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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"armed_forces_injured": { |
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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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"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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"armed_forces_partner": { |
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"header": "Was the tenant the spouse or civil partner of someone who served in the UK armed forces?", |
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"hint_text": "", |
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"type": "radio", |
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"answer_options": { |
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"0": "Yes - was the spouse or civil partner of a UK Armed Forces member and have separated within the last 2 years", |
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"1": "Yes - was the spouse or civil partner of a UK Armed Forces member who died within the last 2 years", |
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"2": "No", |
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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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"medical_conditions": { |
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"header": "", |
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"description": "", |
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"questions":{ |
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"medical_conditions": { |
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"header": "Does anyone in the household have a physical condition, mental health condition, or other illness that they expect to last for 12 months or more?", |
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"hint_text": "", |
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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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"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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"pregnancy": { |
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"header": "", |
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"description": "", |
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"questions":{ |
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"pregnancy": { |
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"header": "Is anyone in the household pregnant?", |
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"hint_text": "", |
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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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"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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"accessibility_requirements": { |
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"header": "", |
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"description": "", |
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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": "select", |
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"answer_options": { |
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"0": "Fully wheelchair accessible housing", |
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"1": "Wheelchair access to essential rooms", |
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"2": "Level access housing", |
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"3": "Other disability requirements", |
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"4": "No disability requirements", |
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"5": "Do not know", |
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"6": "Prefer not to say" |
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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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"header": "", |
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"description": "", |
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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": "select", |
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"answer_options": { |
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"0": "Vision - such as blindness or partial sight ", |
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"1": "Hearing - such as deafness or partial hearing ", |
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"2": "Mobility - such as walking short distances or climbing stairs ", |
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"3": "Dexterity - such as lifting and carrying objects or using a keyboard ", |
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"4": "Stamina or breathing or fatigue", |
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"5": "Learning or understanding or concentrating", |
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"6": "Memory", |
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"7": "Mental health - such as depression, anxiety, schizophrenia or bipolar", |
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"8": "Socially or behaviourally - such as those associated with autism spectral disorder (ASD) including Aspergers’ or attention deficit hyperactivity disorder (ADHD))", |
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"9": "Other", |
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"10": "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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} |
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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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"tenant_code_1":{ |
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"header": "", |
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"description": "", |
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"questions":{ |
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"tenant_code_1": { |
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"header": "What is the tenant code?", |
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"hint_text": "", |
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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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"tenant_code_2":{ |
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"header": "", |
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"description": "", |
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"questions":{ |
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"tenant_code_2": { |
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"header": "What is the tenant code?", |
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"hint_text": "", |
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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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"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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"tenant_code_3":{ |
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"header": "", |
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"description": "", |
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"questions":{ |
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"tenant_code_3": { |
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"header": "What is the tenant code?", |
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"hint_text": "", |
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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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"rent": { |
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"label": "Rent", |
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"pages": { |
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"tenant_code_4":{ |
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"header": "", |
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"description": "", |
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"questions":{ |
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"tenant_code_4": { |
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"header": "What is the tenant code?", |
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"hint_text": "", |
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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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"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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"tenant_code_5":{ |
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"header": "", |
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"description": "", |
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"questions":{ |
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"tenant_code_5": { |
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"header": "What is the tenant code?", |
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"hint_text": "", |
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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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"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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"tenant_code_6":{ |
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"header": "", |
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"description": "", |
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"questions":{ |
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"tenant_code_6": { |
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"header": "What is the tenant code?", |
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"hint_text": "", |
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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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