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form.json
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{
"questions": [
{
"name": "tbrq",
"type": "datetime",
"title": "填报日期(Date)",
"readonly": true,
"defaultval": "now",
"required": true
},
{
"name": "zddy",
"type": "lbs",
"title": "自动定位(Automatic location)",
"readonly": true,
"required": true
},
{
"name": "jrsfzx",
"type": "radio",
"title": "今日是否在校？(Are you on campus today?)",
"required": true,
"options": [{"title": "是(Yes)"},{"title": "否(NO)"}
]
},
{
"name": "sdlh",
"type": "radio",
"title": "近2天内是否曾经离杭？(Did you ever leave Hangzhou in past two days?)",
"required": true,
"options": [
{
"title": "是(Yes)"
},
{
"title": "否(NO)"
}
]
},
{
"name": "jqrsflj",
"type": "radio",
"title": "近7天是否有国内高中低风险地区旅居史?( In the past 7 days, have you ever been to any low, medium or high risk areas?)",
"required": true,
"options": [
{
"title": "是(Yes)"
},
{
"title": "否(NO)"
}
]
},
{
"name": "jqrsfys",
"type": "radio",
"title": "近7天是否有（或被告知有）与疑似、确诊人员或密切接触者的接触史? (In the past 7 days，did you contact any COVID-19 suspected or confirmed person(s) or close contacts ?)",
"required": true,
"options": [
{
"title": "是(Yes)"
},
{
"title": "否(NO)"
}
]
},
{
"name": "sfjkgk",
"type": "radio",
"title": "现是否处于健康管理（管控）期? 如是，请暂缓来校。(Are you under health management period currently ? If yes, please do not come to school for the time being.) ",
"required": true,
"options": [
{
"title": "否(NO)"
},
{
"title": "集中医学隔离期（medical quarantine）"
},
{
"title": "居家健康观察期（medical observation at home）"
},
{
"title": "日常健康监测期（daily health monitoring）"
}
]
},
{
"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? (Do you have any symptoms such as fever, chills, cough, chest tightness and dyspnea?)",
"required": true,
"options": [
{
"title": "是(Yes)"
},
{
"title": "否(NO)"
}
]
},
{
"name": "jssfjcs10",
"type": "radio",
"title": "同住家属（人员）是否有上述与疫情相关的情况？(Did your family members(s) living together have any situation mentioned above ?)",
"required": true,
"options": [
{
"title": "是(Yes)"
},
{
"title": "否(NO)"
}
]
},
{
"name": "jzym",
"type": "radio",
"title": "当前疫苗接种情况? (Vaccination status?)",
"required": true,
"options": [
{
"title": "已接种第一针 (first jab received) "
},
{
"title": "已接种第二针（已满6个月）(second jab received, more than 6 months)"
},
{
"title": "已接种第二针（未满6个月）(second jab received, less than 6 months)"
},
{
"title": "已接种第三针( booster jab received)"
},
{
"title": "未接种(unvaccinated)"
}
]
},
{
"name": "brjssfmj",
"type": "radio",
"title": "本人或家庭成员(包括其他亲密接触人员)是否有近10日入境或未来7天内拟入境的情况? (Have you or your family members(including other close contact persons) entered China over the past 10 days or plan to enter China in 7 days?)",
"required": true,
"options": [
{
"title": "是(Yes)"
},
{
"title": "否(NO)"
}
]
}
],
"answer": {
"填报日期(Date)": "",
"自动定位(Automatic location)": "",
"今日是否在校？(Are you on campus today?)":"是(Yes)",
"近2天内是否曾经离杭？(Did you ever leave Hangzhou in past two days?)":"否(NO)",
"近7天是否有国内中高风险地区所在区旅居史?( In the past 7 days, have you been to any places close to medium or high risk area?)":"否(NO)",
"近7天是否有（或被告知有）与疑似、确诊人员或密切接触者的接触史? (In the past 7 days，did you contact any COVID-19 suspected or confirmed person(s) or close contacts ?)":"否(NO)",
"现是否处于健康管理（管控）期? 如是，请暂缓来校。(Are you under health management period currently ? If yes, please do not come to school for the time being.) ":"否(NO)",
"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? (Do you have any symptoms such as fever, chills, cough, chest tightness and dyspnea?)":"否(NO)",
"同住家属（人员）是否有上述与疫情相关的情况？(Did your family members(s) living together have any situation mentioned above ?)":"否(NO)",
"当前疫苗接种情况? (Vaccination status?)":"",
"本人或家庭成员(包括其他亲密接触人员)是否有近10日入境或未来7天内拟入境的情况? (Have you or your family members(including other close contact persons) entered China over the past 10 days or plan to enter China in 7 days?)":"否(NO)"
}
}