inputSchema: type: object properties: title: Enterprise Healthcare Client Insights Survey pages: - id: 1 name: form_title label: enterprise_healthcare_client_insights_survey_form hint: null type: text options: [] required: false - id: 2 name: form_category label: category hint: null type: text options: [] required: false - id: 3 name: form_description label: description hint: null type: text options: [] required: false - id: 4 name: satisfaction_rating label: satisfaction_rating hint: null type: number options: [] required: false - id: 5 name: improvement_ideas label: improvement_ideas hint: null type: text options: [] required: false - id: 6 name: referral_intent label: referral_intent hint: null type: text options: [] required: false - id: 7 name: client_name label: client_name hint: null type: text options: [] required: false - id: 8 name: email label: email hint: null type: email options: [] required: false - id: 9 name: phone label: phone hint: null type: text options: [] required: false - id: 10 name: form_comments label: form_comments hint: null type: note options: [] required: false - id: 11 name: form_submit label: submit hint: null type: select_one options: - Submit - Save and Continue - Cancel required: false - id: 12 name: form_referral_intent_yes label: 'True' hint: null type: select_multiple options: - 'True' - 'False' - Undecided required: true - id: 13 name: form_referral_intent_reasons label: referral_intent_reasons hint: null type: select_multiple options: - For Referral - Not for Referral - Maybe for Referral required: true - id: 14 name: form_referral_intent_referral_source label: referral_intent_referral_source hint: null type: select_multiple options: - Referrals from Google - Referrals from Social Media - Referrals from Word of Mouth - Referrals from Email - Referrals from Other required: true - id: 15 name: form_referral_intent_referral_channels label: referral_intent_referral_channels hint: null type: select_multiple options: - Online - Phone - Email - In Person required: true - id: 16 name: form_referral_intent_referral_sources label: referral_intent_referral_sources hint: null type: select_multiple options: - Referrals from Google - Referrals from Social Media - Referrals from Word of Mouth - Referrals from Email - Referrals from Other required: true - id: 17 name: form_referral_intent_referral_channels_sources label: referral_intent_referral_channels_sources hint: null type: select_multiple options: - Online - Phone - Email - In Person required: true - id: 18 name: form_referral_intent_referral_channels_sources_2 label: referral_intent_referral_channels_sources_2 hint: null type: select_multiple options: - Referrals from Google - Referrals from Social Media - Referrals from Word of Mouth - Referrals from Email - Referrals from Other required: true - id: 19 name: form_referral_intent_referral_channels_sources_3 label: referral_intent_referral_channels_sources_3 hint: null type: select_multiple options: - Online - Phone - Email - In Person required: true - id: 20 name: form_referral_intent_referral_channels_sources_4 label: referral_intent_referral_channels_sources_4 hint: null type: select_multiple options: - Referrals from Google - Referrals from Social Media - Referrals from Word of Mouth - Referrals from Email - Referrals from Other required: true - id: 21 name: form_referral_intent_referral_channels_sources_5 label: referral_intent_referral_channels_sources_5 hint: null type: select_multiple options: - Online - Phone - Email - In Person required: true - id: 22 name: form_referral_intent_referral_channels_sources_6 label: referral_intent_referral_channels_sources_6 hint: null type: select_multiple options: - Referrals from Google - Referrals from Social Media - Referrals from Word of Mouth - Referrals from Email - Referrals from Other required: true - id: 23 name: form_referral_intent_referral_channels_sources_7 label: referral_intent_referral_channels_sources_7 hint: null type: select_multiple options: - Online - Phone - Email - In Person required: true - id: 24 name: form_referral_intent_referral_channels_sources_8 label: referral_intent_referral_channels_sources_8 hint: null type: select_multiple options: - Referrals from Google - Referrals from Social Media - Referrals from Word of Mouth - Referrals from Email - Referrals from Other required: true - id: 25 name: form_submit_2 label: submit_2 hint: null type: select_one options: - Submit - Save and Continue - Cancel required: false - id: 26 name: form_comments label: comments hint: null type: text options: [] required: false - id: 27 name: form_comments_2 label: comments_2 hint: null type: text options: [] required: false - id: 28 name: form_comments_3 label: comments_3 hint: null type: text options: [] required: false - id: 29 name: form_comments_4 label: comments_4 hint: null type: text options: [] required: false - id: 30 name: form_comments_5 label: comments_5 hint: null type: text options: [] required: false - id: 31 name: form_comments_6 label: comments_6 hint: null type: text options: [] required: false - id: 32 name: form_comments_7 label: comments_7 hint: null type: text options: [] required: false - id: 33 name: form_comments_8 label: comments_8 hint: null type: text options: [] required: false - id: 34 name: form_comments_9 label: comments_9 hint: null type: text options: [] required: false - id: 35 name: form_comments_10 label: comments_10 hint: null type: text options: [] required: false