json-object-editor 0.10.654 → 0.10.660

package/form-qs.json

@@ -0,0 +1,1007 @@
+{
+  "formId": "hw_health_questionnaire",
+  "formName": "Harmonious Wellness Health Questionnaire",
+  "version": "2026-01-04",
+  "owner": "Harmonious Wellness (Kelly Shay)",
+  "settings": {
+    "allowSaveAndResume": true,
+    "showProgressBar": true,
+    "defaultRequiredMessage": "This field is required.",
+    "ui": {
+      "layout": "multi_step",
+      "sectionStyle": "cards"
+    }
+  },
+  "logicConventions": {
+    "operators": ["eq", "neq", "in", "contains", "gt", "gte", "lt", "lte", "truthy"],
+    "notes": [
+      "Use visibility.whenAll/whenAny arrays of conditions.",
+      "Use 'text_contains' style logic via 'contains' operator on string fields."
+    ]
+  },
+  "sections": [
+    {
+      "id": "demographics",
+      "title": "Demographics",
+      "description": "Basic identifying and contact details.",
+      "fields": [
+        {
+          "id": "first_name",
+          "label": "First Name",
+          "type": "text",
+          "required": true,
+          "placeholder": "First name"
+        },
+        {
+          "id": "last_name",
+          "label": "Last Name",
+          "type": "text",
+          "required": true,
+          "placeholder": "Last name"
+        },
+        {
+          "id": "gender",
+          "label": "Gender",
+          "type": "select",
+          "required": true,
+          "options": [
+            { "value": "female", "label": "Female" },
+            { "value": "male", "label": "Male" },
+            { "value": "nonbinary", "label": "Non-binary" },
+            { "value": "prefer_not_to_say", "label": "Prefer not to say" }
+          ]
+        },
+        {
+          "id": "age",
+          "label": "Age",
+          "type": "number",
+          "required": true,
+          "min": 0,
+          "max": 120
+        },
+        {
+          "id": "height",
+          "label": "Height",
+          "type": "text",
+          "required": true,
+          "placeholder": "e.g., 5'8\" or 173 cm"
+        },
+        {
+          "id": "weight",
+          "label": "Weight",
+          "type": "text",
+          "required": true,
+          "placeholder": "e.g., 165 lb or 75 kg"
+        },
+        {
+          "id": "email",
+          "label": "Email Address",
+          "type": "email",
+          "required": true,
+          "placeholder": "name@email.com"
+        },
+        {
+          "id": "location_time_zone",
+          "label": "Location / Time Zone",
+          "type": "text",
+          "required": true,
+          "placeholder": "City, State and Time Zone"
+        },
+        {
+          "id": "phone_number",
+          "label": "Phone Number",
+          "type": "phone",
+          "required": true,
+          "placeholder": "(555) 555-5555"
+        },
+        {
+          "id": "preferred_communication_method",
+          "label": "Preferred Communication Method",
+          "type": "select",
+          "required": true,
+          "options": [
+            { "value": "text", "label": "Text" },
+            { "value": "email", "label": "Email" },
+            { "value": "phone", "label": "Phone Call" }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "primary_concerns_history",
+      "title": "Primary Concerns and Medical History",
+      "description": "Your main concerns and key medical background.",
+      "fields": [
+        {
+          "id": "main_health_concerns",
+          "label": "Main Health Concerns you'd like support on",
+          "type": "textarea",
+          "required": true,
+          "placeholder": "Briefly describe your top concerns."
+        },
+        {
+          "id": "diagnosed_medical_conditions",
+          "label": "Diagnosed Medical Conditions",
+          "type": "textarea",
+          "required": true,
+          "placeholder": "List diagnoses or type “None”."
+        },
+        {
+          "id": "current_medications",
+          "label": "Current Medications",
+          "type": "text",
+          "required": true,
+          "placeholder": "List medications or type “None”."
+        },
+        {
+          "id": "current_supplements",
+          "label": "Current Supplements",
+          "type": "text",
+          "required": true,
+          "placeholder": "List supplements or type “None”."
+        },
+        {
+          "id": "past_major_surgeries",
+          "label": "Past Major Surgeries",
+          "type": "text",
+          "required": true,
+          "placeholder": "List surgeries or type “N/A”."
+        },
+        {
+          "id": "pregnant_or_breastfeeding",
+          "label": "Pregnant or Breastfeeding",
+          "type": "boolean",
+          "required": true,
+          "visibility": {
+            "whenAll": [
+              { "field": "gender", "op": "eq", "value": "female" }
+            ]
+          }
+        },
+        {
+          "id": "gallbladder_removed",
+          "label": "Gallbladder Removed",
+          "type": "boolean",
+          "required": true
+        },
+        {
+          "id": "history_of_heart_issues",
+          "label": "History of Heart Issues (Arrhythmia, Stent, Pacemaker, etc.)",
+          "type": "text",
+          "required": true,
+          "placeholder": "Describe or type “N/A”."
+        },
+        {
+          "id": "cancer_history_explain",
+          "label": "Cancer History (Please explain)",
+          "type": "text",
+          "required": true,
+          "visibility": {
+            "whenAny": [
+              { "field": "diagnosed_medical_conditions", "op": "contains", "value": "cancer" },
+              { "field": "diagnosed_medical_conditions", "op": "contains", "value": "Cancer" }
+            ]
+          },
+          "placeholder": "Type and location, or “N/A”."
+        },
+        {
+          "id": "diabetes_type",
+          "label": "Diabetes Type",
+          "type": "select",
+          "required": true,
+          "options": [
+            { "value": "none", "label": "None" },
+            { "value": "type_1", "label": "Type 1" },
+            { "value": "type_2", "label": "Type 2" },
+            { "value": "unsure", "label": "Unsure" }
+          ]
+        },
+        {
+          "id": "kidney_disease",
+          "label": "Kidney Disease",
+          "type": "boolean",
+          "required": true,
+          "visibility": {
+            "whenAny": [
+              { "field": "diagnosed_medical_conditions", "op": "contains", "value": "kidney" },
+              { "field": "diagnosed_medical_conditions", "op": "contains", "value": "Kidney" }
+            ]
+          }
+        },
+        {
+          "id": "liver_hepatitis_history",
+          "label": "Liver/Hepatitis History",
+          "type": "boolean",
+          "required": true,
+          "visibility": {
+            "whenAny": [
+              { "field": "diagnosed_medical_conditions", "op": "contains", "value": "liver" },
+              { "field": "diagnosed_medical_conditions", "op": "contains", "value": "Liver" },
+              { "field": "diagnosed_medical_conditions", "op": "contains", "value": "hepatitis" },
+              { "field": "diagnosed_medical_conditions", "op": "contains", "value": "Hepatitis" }
+            ]
+          }
+        },
+        {
+          "id": "known_allergies_food_environmental",
+          "label": "Known Allergies (Food/Environmental)",
+          "type": "text",
+          "required": true,
+          "placeholder": "List allergies or type “N/A”."
+        }
+      ]
+    },
+    {
+      "id": "gi_digestion",
+      "title": "Digestion and Elimination",
+      "description": "Digestive function, reactions, and stool patterns.",
+      "fields": [
+        {
+          "id": "overall_digestion",
+          "label": "Overall Digestion",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5,
+          "minLabel": "Very poor",
+          "maxLabel": "Excellent"
+        },
+        {
+          "id": "bloating_after_meals",
+          "label": "Bloating After Meals",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "reaction_to_fats",
+          "label": "Reaction to Fats",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "gas_frequency",
+          "label": "Gas Frequency",
+          "type": "scale",
+          "required": false,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "constipation_tendency",
+          "label": "Constipation Tendency",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "diarrhea_tendency",
+          "label": "Diarrhea Tendency",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "stool_form_bristol",
+          "label": "Stool Form (Bristol Scale)",
+          "type": "select",
+          "required": true,
+          "options": [
+            { "value": "1", "label": "Type 1 (hard lumps)" },
+            { "value": "2", "label": "Type 2 (lumpy sausage)" },
+            { "value": "3", "label": "Type 3 (cracked sausage)" },
+            { "value": "4", "label": "Type 4 (smooth sausage)" },
+            { "value": "5", "label": "Type 5 (soft blobs)" },
+            { "value": "6", "label": "Type 6 (mushy)" },
+            { "value": "7", "label": "Type 7 (watery)" }
+          ]
+        },
+        {
+          "id": "stool_frequency",
+          "label": "Stool Frequency",
+          "type": "select",
+          "required": true,
+          "options": [
+            { "value": "0_1", "label": "0–1 per day" },
+            { "value": "1_2", "label": "1–2 per day" },
+            { "value": "2_3", "label": "2–3 per day" },
+            { "value": "3_plus", "label": "3+ per day" }
+          ]
+        },
+        {
+          "id": "food_sensitivities",
+          "label": "Food Sensitivities",
+          "type": "text",
+          "required": false,
+          "placeholder": "List foods or type “N/A”."
+        },
+        {
+          "id": "acid_reflux_heartburn",
+          "label": "Acid Reflux / Heartburn",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        }
+      ]
+    },
+    {
+      "id": "energy_metabolic",
+      "title": "Energy and Metabolic Signals",
+      "description": "Energy patterns, weight patterns, and cravings.",
+      "fields": [
+        {
+          "id": "daily_energy_level",
+          "label": "Daily Energy Level",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "midday_crashes",
+          "label": "Midday Crashes",
+          "type": "scale",
+          "required": false,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "morning_fatigue",
+          "label": "Morning Fatigue",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "over_or_under_weight",
+          "label": "Are you Overweight or Underweight?",
+          "type": "select",
+          "required": true,
+          "options": [
+            { "value": "overweight", "label": "Overweight" },
+            { "value": "underweight", "label": "Underweight" },
+            { "value": "neither", "label": "Neither" }
+          ]
+        },
+        {
+          "id": "easy_gain_hard_lose",
+          "label": "Easy to Gain Weight & Hard to Loose It?",
+          "type": "boolean",
+          "required": false
+        },
+        {
+          "id": "blood_sugar_symptoms",
+          "label": "Blood Sugar Symptoms",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "cravings_sweets_salt_caffeine",
+          "label": "Cravings (Sweets/Salt/Caffeine)",
+          "type": "select",
+          "required": true,
+          "options": [
+            { "value": "none", "label": "None" },
+            { "value": "sweets", "label": "Sweets" },
+            { "value": "salt", "label": "Salt" },
+            { "value": "caffeine", "label": "Caffeine" },
+            { "value": "multiple", "label": "Multiple" }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "hormones_repro",
+      "title": "Hormones and Reproductive Health",
+      "description": "Hormonal symptoms and sex-specific health signals.",
+      "fields": [
+        {
+          "id": "hormonal_imbalance_symptoms",
+          "label": "Hormonal Imbalance Symptoms",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "temperature_sensitivity",
+          "label": "Temperature Sensitivity",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "hot_flashes_night_sweats",
+          "label": "Hot Flashes / Night Sweats",
+          "type": "boolean",
+          "required": true
+        },
+        {
+          "id": "libido_level",
+          "label": "Libido Level",
+          "type": "select",
+          "required": true,
+          "options": [
+            { "value": "low", "label": "Low" },
+            { "value": "moderate", "label": "Moderate" },
+            { "value": "high", "label": "High" }
+          ]
+        },
+
+        {
+          "id": "cycle_regularity",
+          "label": "Cycle Regularity",
+          "type": "boolean",
+          "required": true,
+          "visibility": { "whenAll": [{ "field": "gender", "op": "eq", "value": "female" }] }
+        },
+        {
+          "id": "pms_severity",
+          "label": "PMS Severity",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5,
+          "visibility": { "whenAll": [{ "field": "gender", "op": "eq", "value": "female" }] }
+        },
+        {
+          "id": "menstrual_pain",
+          "label": "Menstrual Pain",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5,
+          "visibility": { "whenAll": [{ "field": "gender", "op": "eq", "value": "female" }] }
+        },
+        {
+          "id": "menopause_perimenopause_symptoms",
+          "label": "Menopause or Perimenopause Symptoms",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5,
+          "visibility": { "whenAll": [{ "field": "gender", "op": "eq", "value": "female" }] }
+        },
+
+        {
+          "id": "prostate_symptoms",
+          "label": "Prostate Symptoms",
+          "type": "boolean",
+          "required": true,
+          "visibility": { "whenAll": [{ "field": "gender", "op": "eq", "value": "male" }] }
+        },
+        {
+          "id": "erectile_function_concerns",
+          "label": "Erectile Function Concerns",
+          "type": "boolean",
+          "required": true,
+          "visibility": { "whenAll": [{ "field": "gender", "op": "eq", "value": "male" }] }
+        }
+      ]
+    },
+    {
+      "id": "sleep_stress_emotions",
+      "title": "Sleep, Stress, and Emotional Health",
+      "description": "Sleep quality and nervous system load.",
+      "fields": [
+        {
+          "id": "sleep_quality",
+          "label": "Sleep Quality",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "time_to_fall_asleep",
+          "label": "Time to Fall Asleep",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "difficulty_staying_asleep",
+          "label": "Difficulty Staying Asleep",
+          "type": "scale",
+          "required": false,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "difficulty_falling_asleep",
+          "label": "Difficulty Falling Asleep",
+          "type": "scale",
+          "required": false,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "overall_stress_level",
+          "label": "Overall Stress Level",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "anxiety_level",
+          "label": "Anxiety Level",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "overthinking_rumination",
+          "label": "Overthinking / Rumination",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "emotional_resilience",
+          "label": "Emotional Resilience",
+          "type": "scale",
+          "required": false,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "major_trauma_stress_history",
+          "label": "Major Trauma/Stress History",
+          "type": "text",
+          "required": false,
+          "placeholder": "Briefly describe or type “N/A”."
+        }
+      ]
+    },
+    {
+      "id": "immune_lymph_skin",
+      "title": "Immune, Lymphatic, Skin, and Cognitive",
+      "description": "Immune resilience, lymph congestion signals, skin and cognition.",
+      "fields": [
+        {
+          "id": "swelling_puffiness",
+          "label": "Swelling / Puffiness",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "skin_issues_acne_eczema_rashes",
+          "label": "Skin Issues (Acne/Eczema/Rashes)",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "brain_fog",
+          "label": "Brain Fog",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "frequent_colds_low_immunity",
+          "label": "Frequent Colds or Low Immunity",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "sinus_congestion",
+          "label": "Sinus Congestion",
+          "type": "scale",
+          "required": false,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "lymph_node_swelling",
+          "label": "Lymph Node Swelling",
+          "type": "scale",
+          "required": false,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "hair_loss_thinning",
+          "label": "Hair Loss / Thinning",
+          "type": "boolean",
+          "required": false
+        },
+        {
+          "id": "autoimmune_diagnosis",
+          "label": "Autoimmune Diagnosis",
+          "type": "boolean",
+          "required": true,
+          "visibility": {
+            "whenAny": [
+              { "field": "diagnosed_medical_conditions", "op": "contains", "value": "autoimmune" },
+              { "field": "diagnosed_medical_conditions", "op": "contains", "value": "Autoimmune" }
+            ]
+          }
+        }
+      ]
+    },
+    {
+      "id": "respiratory_cardio_movement",
+      "title": "Respiratory, Cardiovascular, and Movement",
+      "description": "Breathing, heart-related symptoms, and activity tolerance.",
+      "fields": [
+        {
+          "id": "shortness_of_breath",
+          "label": "Shortness of Breath",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "exercise_intolerance",
+          "label": "Exercise Intolerance",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "chest_tightness",
+          "label": "Chest Tightness",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "chronic_cough",
+          "label": "Chronic Cough",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "mucus_production",
+          "label": "Mucus Production",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "smoking_or_exposure",
+          "label": "Smoking or Exposure",
+          "type": "boolean",
+          "required": true
+        },
+        {
+          "id": "smoking_amount",
+          "label": "If yes, how much? (amount or exposure details)",
+          "type": "text",
+          "required": false,
+          "visibility": {
+            "whenAll": [{ "field": "smoking_or_exposure", "op": "eq", "value": true }]
+          },
+          "placeholder": "e.g., packs/day, cigarettes/day, secondhand exposure"
+        },
+        {
+          "id": "cardiovascular_symptoms_chest_pain_pressure_arrhythmia",
+          "label": "Cardiovascular Symptoms (Chest pain, pressure, arrhythmia)",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "movement_frequency",
+          "label": "Movement Frequency",
+          "type": "select",
+          "required": true,
+          "options": [
+            { "value": "rarely", "label": "Rarely" },
+            { "value": "1_2_week", "label": "1–2x/week" },
+            { "value": "3_4_week", "label": "3–4x/week" },
+            { "value": "5_plus_week", "label": "5+ times/week" }
+          ]
+        }
+      ]
+    },
+    {
+      "id": "lifestyle_hydration_exposure",
+      "title": "Lifestyle, Hydration, and Exposures",
+      "description": "Daily rhythm inputs and environmental/toxic load.",
+      "fields": [
+        {
+          "id": "sunlight_exposure",
+          "label": "Sunlight Exposure",
+          "type": "select",
+          "required": true,
+          "options": [
+            { "value": "low", "label": "Low" },
+            { "value": "moderate", "label": "Moderate" },
+            { "value": "high", "label": "High" }
+          ]
+        },
+        {
+          "id": "workload_stress_load",
+          "label": "Workload / Stress Load",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "hydration_level",
+          "label": "Hydration Level",
+          "type": "scale",
+          "required": true,
+          "min": 0,
+          "max": 5
+        },
+        {
+          "id": "type_of_water_consumed",
+          "label": "Type of Water Consumed",
+          "type": "select",
+          "required": false,
+          "options": [
+            { "value": "filtered", "label": "Filtered" },
+            { "value": "spring", "label": "Spring" },
+            { "value": "tap", "label": "Tap" },
+            { "value": "reverse_osmosis", "label": "Reverse Osmosis" },
+            { "value": "bottled", "label": "Bottled" },
+            { "value": "other", "label": "Other" }
+          ]
+        },
+        {
+          "id": "alcohol_caffeine_intake",
+          "label": "Alcohol / Caffeine Intake",
+          "type": "select",
+          "required": false,
+          "options": [
+            { "value": "none", "label": "None" },
+            { "value": "low", "label": "Low" },
+            { "value": "moderate", "label": "Moderate" },
+            { "value": "high", "label": "High" }
+          ]
+        },
+        {
+          "id": "heavy_metal_exposure",
+          "label": "Heavy Metal Exposure",
+          "type": "boolean",
+          "required": true
+        },
+        {
+          "id": "mold_exposure",
+          "label": "Mold Exposure",
+          "type": "boolean",
+          "required": true
+        }
+      ]
+    },
+    {
+      "id": "detox_case_history_goals",
+      "title": "Detox History, Case History, and Intentions",
+      "description": "Context for pacing, root causes, and your intention.",
+      "fields": [
+        {
+          "id": "past_detox_attempts",
+          "label": "Past Detox Attempts",
+          "type": "boolean",
+          "required": false
+        },
+        {
+          "id": "past_detox_reactions",
+          "label": "If yes, what happened? (reactions/notes)",
+          "type": "text",
+          "required": false,
+          "visibility": {
+            "whenAll": [{ "field": "past_detox_attempts", "op": "eq", "value": true }]
+          },
+          "placeholder": "Short notes"
+        },
+        {
+          "id": "onset_of_condition_symptoms",
+          "label": "Onset of condition symptoms (When did they begin?)",
+          "type": "text",
+          "required": true,
+          "placeholder": "Approx date or timeframe"
+        },
+        {
+          "id": "root_triggers_identified",
+          "label": "Root Triggers Identified",
+          "type": "text",
+          "required": false,
+          "placeholder": "If you suspect any triggers (stress, mold, diet, etc.)"
+        },
+        {
+          "id": "major_life_events_around_onset",
+          "label": "Major Life Events Around Onset",
+          "type": "text",
+          "required": false,
+          "placeholder": "Anything significant around that time"
+        },
+        {
+          "id": "what_do_you_want_most_from_this_protocol",
+          "label": "What Do You Want Most From This Protocol?",
+          "type": "text",
+          "required": true,
+          "placeholder": "Your primary outcome"
+        }
+      ]
+    },
+    {
+      "id": "vitals_diet_family",
+      "title": "Vitals, Diet, and Family History",
+      "description": "Key anchors Kelly requested to see grouped and easy to reference.",
+      "fields": [
+        {
+          "id": "blood_pressure_right",
+          "label": "Blood Pressure Right",
+          "type": "text",
+          "required": true,
+          "placeholder": "e.g., 120/80 or type “N/A”"
+        },
+        {
+          "id": "blood_pressure_left",
+          "label": "Blood Pressure Left",
+          "type": "text",
+          "required": true,
+          "placeholder": "e.g., 120/80 or type “N/A”"
+        },
+        {
+          "id": "urine_ph",
+          "label": "Urine pH",
+          "type": "number",
+          "required": true,
+          "min": 0,
+          "max": 14,
+          "step": 0.1,
+          "placeholder": "e.g., 6.5 or type “N/A”"
+        },
+        {
+          "id": "daily_diet_breakfast_lunch_dinner_snacks",
+          "label": "What does your current daily diet consist of? (Breakfast/Lunch/Dinner/Snacks)",
+          "type": "textarea",
+          "required": true,
+          "placeholder": "List typical breakfast, lunch, dinner, and snacks."
+        },
+        {
+          "id": "family_history_all",
+          "label": "Please list all known health concerns for each family member (Mother/Father/Grandparents/Siblings). Leave blank if you aren’t sure.",
+          "type": "textarea",
+          "required": true,
+          "placeholder": "Mother: ... Father: ... Grandparents: ... Siblings: ..."
+        }
+      ]
+    },
+    {
+      "id": "system_mapping_additions",
+      "title": "System Mapping (Kelly’s Key Adds)",
+      "description": "High-signal items reintroduced as explicit questions for clearer gland/system mapping.",
+      "fields": [
+        { "id": "cold_hands_or_feet", "label": "Cold Hands or Feet", "type": "boolean", "required": true },
+        { "id": "cold_all_the_time", "label": "Cold All the Time", "type": "boolean", "required": true },
+        { "id": "are_your_fingernails", "label": "Are Your Fingernails:", "type": "select", "required": false, "options": [
+          { "value": "weak", "label": "Weak" },
+          { "value": "brittle", "label": "Brittle" },
+          { "value": "ridged", "label": "Ridged" },
+          { "value": "normal", "label": "Normal" }
+        ]},
+        { "id": "muscle_weakness", "label": "Muscle Weakness", "type": "boolean", "required": false },
+        { "id": "varicose_veins", "label": "Varicose Veins", "type": "boolean", "required": false },
+        { "id": "hemorrhoids", "label": "Hemorrhoids", "type": "boolean", "required": false },
+        { "id": "prolapses", "label": "Prolapses", "type": "boolean", "required": true },
+        { "id": "muscle_cramps", "label": "Muscle Cramps", "type": "boolean", "required": true },
+        { "id": "low_bone_density", "label": "Low Bone Density", "type": "boolean", "required": true },
+        { "id": "osteoporosis", "label": "Osteoporosis", "type": "boolean", "required": true },
+        { "id": "scoliosis", "label": "Scoliosis", "type": "boolean", "required": true },
+
+        {
+          "id": "mental_health_challenges_list",
+          "label": "Mental Health Challenges (Depression, PTSD, OCD, etc.)",
+          "type": "text",
+          "required": true,
+          "placeholder": "List challenges or type “N/A”."
+        },
+        { "id": "poor_memory", "label": "Poor Memory", "type": "boolean", "required": true },
+        { "id": "lack_of_motivation", "label": "Lack of Motivation", "type": "boolean", "required": false },
+        { "id": "depression_binary", "label": "Depression", "type": "boolean", "required": true },
+        { "id": "slow_digestion_binary", "label": "Slow Digestion", "type": "boolean", "required": false },
+        { "id": "nervousness", "label": "Nervousness", "type": "boolean", "required": true },
+
+        {
+          "id": "itis_condition_list",
+          "label": "Do You Have Any “Itis” Condition (Arthritis, Osteoarthritis, Bursitis, etc.) — Please List",
+          "type": "text",
+          "required": false,
+          "placeholder": "List or type “N/A”."
+        },
+        { "id": "low_steroids_low_cortisol", "label": "Low Steroids / Low Cortisol", "type": "boolean", "required": true },
+        { "id": "add", "label": "ADD (Attention Deficit Disorder)", "type": "boolean", "required": true },
+        { "id": "adhd", "label": "ADHD (Attention Deficit Hyperactivity Disorder)", "type": "boolean", "required": true },
+        { "id": "autism", "label": "Autism", "type": "boolean", "required": true },
+
+        { "id": "fibroids", "label": "Fibroids", "type": "boolean", "required": true, "visibility": { "whenAll": [{ "field": "gender", "op": "eq", "value": "female" }] } },
+        { "id": "endometriosis", "label": "Endometriosis", "type": "boolean", "required": true, "visibility": { "whenAll": [{ "field": "gender", "op": "eq", "value": "female" }] } },
+
+        { "id": "fats_dairy_bloat", "label": "Fats and dairy cause stomach bloat", "type": "boolean", "required": false },
+        { "id": "fats_dairy_pain", "label": "Fats and dairy cause stomach pain", "type": "boolean", "required": false },
+        { "id": "anemia", "label": "Anemia", "type": "boolean", "required": true },
+        { "id": "heart_attack", "label": "Heart Attack", "type": "boolean", "required": true },
+
+        { "id": "sleep_apnea", "label": "Sleep Apnea", "type": "boolean", "required": true },
+        { "id": "do_you_snore", "label": "Do You Snore?", "type": "boolean", "required": true },
+
+        { "id": "uti", "label": "UTI", "type": "boolean", "required": true },
+        { "id": "bladder_infection", "label": "Bladder Infection", "type": "boolean", "required": true },
+        { "id": "sciatica", "label": "Sciatica", "type": "boolean", "required": false },
+        { "id": "bags_under_eyes", "label": "Bags Under Eyes", "type": "boolean", "required": false },
+        { "id": "frequent_urination", "label": "Frequent Urination", "type": "boolean", "required": true },
+        { "id": "kidney_stones", "label": "Kidney Stones", "type": "boolean", "required": true },
+        { "id": "lower_back_pain", "label": "Lower Back Pain", "type": "boolean", "required": false }
+      ]
+    },
+    {
+      "id": "treatments_vaccines_substances",
+      "title": "Treatments, Vaccines, and Substances",
+      "description": "Safety and detox context.",
+      "fields": [
+        {
+          "id": "chemo_or_radiation_history",
+          "label": "Have You Gone Through Chemotherapy or Radiation?",
+          "type": "boolean",
+          "required": true
+        },
+        {
+          "id": "standard_vaccinations",
+          "label": "Have You Received the “Standard” Vaccinations?",
+          "type": "boolean",
+          "required": true
+        },
+        {
+          "id": "travel_vaccinations",
+          "label": "Have You Received Vaccinations for Travelling to Foreign Countries?",
+          "type": "boolean",
+          "required": true
+        },
+        {
+          "id": "flu_shot",
+          "label": "Have You Received a Flu Shot?",
+          "type": "boolean",
+          "required": true
+        },
+        {
+          "id": "recreational_drugs_list",
+          "label": "Please List Any ‘Recreational’ Drugs You Have Used:",
+          "type": "text",
+          "required": false,
+          "placeholder": "List or type “N/A”."
+        }
+      ]
+    }
+  ],
+  "dataExport": {
+    "flattening": {
+      "delimiter": ".",
+      "includeHiddenFields": false
+    },
+    "fieldMap": "use_field_ids_as_keys"
+  }
+}