form.json

{
  "questions": [
    {
      "name": "tbrq",
      "type": "datetime",
      "title": "填报日期",
      "readonly": true,
      "defaultval": "now",
      "required": true
    },
    {
      "name": "zddw",
      "type": "lbs",
      "title": "自动定位",
      "readonly": true,
      "required": false,
      "remark": "请开启手机定位服务"
    },
    {
      "name": "mqszd",
      "type": "citys",
      "title": "目前所在地",
      "required": true
    },
    {
      "name": "sfjcs110",
      "type": "radio",
      "title": "近14天是否有与疫情中、高风险地区人员的接触史？",
      "required": true,
      "options": [
        {
          "title": "是"
        },
        {
          "title": "否"
        }
      ]
    },
    {
      "name": "sfjcs2",
      "type": "radio",
      "title": "近14天是否有与疑似、确诊人员的接触史?",
      "required": true,
      "options": [
        {
          "title": "是"
        },
        {
          "title": "否"
        }
      ]
    },
    {
      "name": "sfdgyq0",
      "type": "radio",
      "title": "近14天是否有到过疫情中风险地区所在区（县），近21天是否有到过疫情高风险地区所在城市？",
      "required": true,
      "options": [
        {
          "title": "是"
        },
        {
          "title": "否"
        }
      ]
    },
    {
      "name": "sfcyyxgc",
      "type": "radio",
      "title": "现是否处于医学观察状态？",
      "required": true,
      "options": [
        {
          "title": "是"
        },
        {
          "title": "否"
        }
      ]
    },
    {
      "name": "yxgcxx",
      "type": "textarea",
      "title": "若处于医学观察状态，请填写隔离地点和隔离起始时间？",
      "required": false
    },
    {
      "name": "sfcyjjgl",
      "type": "radio",
      "title": "现是否处于居家隔离状态？",
      "required": true,
      "options": [
        {
          "title": "是"
        },
        {
          "title": "否"
        }
      ]
    },
    {
      "name": "jjglxx",
      "type": "textarea",
      "title": "若处于居家隔离状态，请填写隔离地点和隔离起始时间？",
      "required": false
    },
    {
      "name": "xstzk",
      "type": "radio",
      "title": "现身体状况，是否存在发热体温、寒战、咳嗽、胸闷以及呼吸困难等症状？",
      "required": true,
      "options": [
        {
          "title": "是"
        },
        {
          "title": "否"
        }
      ]
    },
    {
      "name": "jssfjcs10",
      "type": "radio",
      "title": "同住家属近14天是否有与疫情中、高风险地区人员的接触史？",
      "required": true,
      "options": [
        {
          "title": "是"
        },
        {
          "title": "否"
        }
      ]
    },
    {
      "name": "jssfjcs2",
      "type": "radio",
      "title": "同住家属近14天是否有与疑似、确诊人员的接触史？",
      "required": true,
      "options": [
        {
          "title": "是"
        },
        {
          "title": "否"
        }
      ]
    },
    {
      "name": "jssfdgyq",
      "type": "radio",
      "title": "同住家属近14天是否到过疫情中、高风险地区？",
      "required": true,
      "options": [
        {
          "title": "是"
        },
        {
          "title": "否"
        }
      ]
    },
    {
      "name": "jssfcyyxgc",
      "type": "radio",
      "title": "同住家属现是否处于医学观察状态?",
      "required": true,
      "options": [
        {
          "title": "是"
        },
        {
          "title": "否"
        }
      ]
    },
    {
      "name": "hzjkm",
      "type": "radio",
      "title": "今日申领学校所在地健康码的颜色? What's the color of today's health code?",
      "required": true,
      "nocache": true,
      "options": [
        {
          "title": "绿码(Green code)"
        },
        {
          "title": "黄码(Yellow code)"
        },
        {
          "title": "红码(Red code)"
        },
        {
          "title": "橙码(Orange code)"
        }
      ]
    },
    {
      "name": "sfcrj",
      "type": "radio",
      "title": "本人或家庭成员(包括其他亲密接触人员)是否有近28日入境或未来7日拟入境的情况?Have you or your family members(including other close contact persons) entered China over the past 28 days or plan to enter China in 7 days?",
      "required": true,
      "nocache": true,
      "options": [
        {
          "title": "是 Yes(请及时向所在单位报告实际情况,Please contact your college/school immediately.)"
        },
        {
          "title": "否 No"
        }
      ]
    }
  ],
  "answer": {
    "填报日期": "",
    "自动定位": "",
    "目前所在地": "",
    "近14天是否有与疫情中、高风险地区人员的接触史？": "否",
    "近14天是否有与疑似、确诊人员的接触史?": "否",
    "近14天是否有到过疫情中风险地区所在区（县），近21天是否有到过疫情高风险地区所在城市？": "否",
    "现是否处于医学观察状态？": "否",
    "若处于医学观察状态，请填写隔离地点和隔离起始时间？": "",
    "现是否处于居家隔离状态？": "否",
    "若处于居家隔离状态，请填写隔离地点和隔离起始时间？": "",
    "现身体状况，是否存在发热体温、寒战、咳嗽、胸闷以及呼吸困难等症状？": "否",
    "同住家属近14天是否有与疫情中、高风险地区人员的接触史？": "否",
    "同住家属近14天是否有与疑似、确诊人员的接触史？": "否",
    "同住家属近14天是否到过疫情中、高风险地区？": "否",
    "同住家属现是否处于医学观察状态?": "否",
    "今日申领学校所在地健康码的颜色? What's the color of today's health code?": "绿码(Green code)",
    "本人或家庭成员(包括其他亲密接触人员)是否有近28日入境或未来7日拟入境的情况?Have you or your family members(including other close contact persons) entered China over the past 28 days or plan to enter China in 7 days?": "否 No"
  }
}