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rossnelson/form-data.json

Last active March 31, 2016 18:05
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Raw
form-data.json
{
"title": "BASS Medical Group - Walnut Creek",
"fields": [
{
"type": "short_text",
"question": "What is your first and last name?",
"description": "Only management will see your name for the purpose of follow up, if needed. If you'd prefer to leave anonymous feedback, you can skip this question.",
"required": false
},
{
"type": "picture_choice",
"question": "Which provider did you see today?",
"required": true,
"choices": [
{
"image_id": "45363VNRkB",
"label": "Dmitry Lerner"
},
{
"image_id": "fCEh8bbr4g",
"label": "Brian Hopkins"
},
{
"image_id": "JET4ULGet9",
"label": "Jason Moy"
},
{
"image_id": "bH8nXVveZJ",
"label": "John Zink"
},
{
"image_id": "uZeG7THHvX",
"label": "Gregory Rhodes"
},
{
"image_id": "hquS57gCLa",
"label": "Michael deBoisblanc"
},
{
"image_id": "DXxv6eZCNV",
"label": "Rajiv Nagesetty"
},
{
"image_id": "MmSUk8XsD9",
"label": "John Bry"
},
{
"image_id": "ma3kGJZbGY",
"label": "Keshav Pandurangi"
},
{
"image_id": "HYU9DHVrba",
"label": "Joseph Brandel"
},
{
"image_id": "yVi38nfKBC",
"label": "Brian Chin"
},
{
"image_id": "K74VEcx977",
"label": "Gonzalo Obnial"
},
{
"image_id": "6xVbvF7sMj",
"label": "Wilson Tsai"
},
{
"image_id": "a4uHZDhXHa",
"label": "Michaela Straznicka"
},
{
"image_id": "7kGhfaAKVe",
"label": "Fernando Otero"
},
{
"image_id": "iujaF5aqqr",
"label": "Stacey Pickering"
},
{
"image_id": "PxjD67CXue",
"label": "Saurin Shah"
}
]
},
{
"type": "opinion_scale",
"question": "Based on your experience, how likely are you to refer us to a friend?",
"description": "Be brutally honest. We use your response to learn how to improve patient care.",
"required": true,
"ref": "nps_score"
},
{
"type": "long_text",
"question": "Okay, great!\nCould you write a brief comment as to why you scored us a {{nps_score}}?",
"description": "Your comments help us identify opportunities to improve.",
"required": false
}
],
"tags": [
"17",
"Ross-iPad"
],
"design_id": "858BujFGYW",
"webhook_submit_url": "http:\/\/home.simian.us:3000\/api\/responses",
"branding": false
}
Raw
forms_response.json
{
"id": "tKQsJpARxb",
"design": {
"id": "858BujFGYW",
"colors": {
"answer": "#0783c3",
"background": "#f7f7f7",
"button": "#0783c3",
"question": "#3D3D3D"
},
"font": "Lato",
"version": "v0.4"
},
"title": "BASS Medical Group - Walnut Creek",
"fields": [
{
"id": 4004285,
"type": "short_text",
"question": "What is your first and last name?",
"description": "Only management will see your name for the purpose of follow up, if needed. If you'd prefer to leave anonymous feedback, you can skip this question."
},
{
"id": 4004286,
"type": "picture_choice",
"question": "Which provider did you see today?",
"required": true,
"choices": [
{
"label": "Dmitry Lerner",
"image_id": "45363VNRkB",
"image": {
"id": "45363VNRkB",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-a8c7c55f-e53a-44cc-9302-ad32d7488b70-imageedit_48_2048284236.jpg",
"filename": "choice-n5hfnataWaSMs7TVNWVQ8LHTB9cWLvs5-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "Brian Hopkins",
"image_id": "fCEh8bbr4g",
"image": {
"id": "fCEh8bbr4g",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-95e11911-3489-4808-8a27-46eff2560b67-imageedit_46_7172783099.jpg",
"filename": "choice-AeRGy29BNrXKx3n8S8GmrYVxYTG8PkSB-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "Jason Moy",
"image_id": "JET4ULGet9",
"image": {
"id": "JET4ULGet9",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-b481cfbd-8588-4457-9240-a58fea38a295-imageedit_58_7476064722.jpg",
"filename": "choice-KjpdVYBeMAiB2BZVeYQiWWPRCQ65j3WE-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "John Zink",
"image_id": "bH8nXVveZJ",
"image": {
"id": "bH8nXVveZJ",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-3c9af3b2-02ff-427a-bd50-2bd64cc8148d-imageedit_74_3976065196.jpg",
"filename": "choice-CGtqtaSt4WYGyBdrUD5GGMmahANpywD2-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "Gregory Rhodes",
"image_id": "uZeG7THHvX",
"image": {
"id": "uZeG7THHvX",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-ec8b4a31-bf81-4282-b1e5-14a830b0f5b0-imageedit_56_4773129217.jpg",
"filename": "choice-XeqRPLw553dAuxQCMrN96g8sCuSsvuEZ-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "Michael deBoisblanc",
"image_id": "hquS57gCLa",
"image": {
"id": "hquS57gCLa",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-45f425bc-1084-4bf9-8078-08a23fc08162-imageedit_66_3478884205.jpg",
"filename": "choice-jmhwzZ6wu4gKWg7njSJtSrc3BrkJHi7d-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "Rajiv Nagesetty",
"image_id": "DXxv6eZCNV",
"image": {
"id": "DXxv6eZCNV",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-4e6ed4fa-4906-43b3-81c1-2aaa5d639035-imageedit_68_7886092279.jpg",
"filename": "choice-YYMQ3QHfPmb8DcHfLy5NfhbywKs2emGr-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "John Bry",
"image_id": "MmSUk8XsD9",
"image": {
"id": "MmSUk8XsD9",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-af65459a-8507-4a43-9f36-df8affca65ea-imageedit_60_5688130009.jpg",
"filename": "choice-aEhqvF3GFSwezCmE8sfKXa3288dffqUT-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "Keshav Pandurangi",
"image_id": "ma3kGJZbGY",
"image": {
"id": "ma3kGJZbGY",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-092f6c38-bb80-47e2-b4c3-3a74ac8acb6b-imageedit_62_5585349962.jpg",
"filename": "choice-zcAWQeZFQpeibKYtqCxygp38rnDyEapg-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "Joseph Brandel",
"image_id": "HYU9DHVrba",
"image": {
"id": "HYU9DHVrba",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-e50ee999-98e0-4145-b863-af8369b51578-imageedit_76_9433739170.jpg",
"filename": "choice-Uta6ReWbYqe7zjLT6xtEY7tEprC4dtBp-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "Brian Chin",
"image_id": "yVi38nfKBC",
"image": {
"id": "yVi38nfKBC",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-c20b7938-f59b-4352-9285-c2812223e870-imageedit_50_3031304880.jpg",
"filename": "choice-aFWm2Q5yWVGnHadLW22pSwQvQUD4gry8-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "Gonzalo Obnial",
"image_id": "K74VEcx977",
"image": {
"id": "K74VEcx977",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-84e91c3c-576d-4334-9981-5a1cc3611238-imageedit_54_4494610697.jpg",
"filename": "choice-WJwXM3zpkwSpAd9wcaZkhxkmcenYJ6Aq-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "Wilson Tsai",
"image_id": "6xVbvF7sMj",
"image": {
"id": "6xVbvF7sMj",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-48917cbd-a9ca-41cf-83b2-788e4f19f0df-imageedit_72_6926997337.jpg",
"filename": "choice-smAAkU99Xkmq8mFdpajVNKn7SkCQvvKT-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "Michaela Straznicka",
"image_id": "a4uHZDhXHa",
"image": {
"id": "a4uHZDhXHa",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-c04adfd2-a4a4-457e-8d3c-d720c00b2b72-imageedit_64_8794932253.jpg",
"filename": "choice-CyNrdaZzJwUuVbQDr4VYa28XhNZ6GkKt-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "Fernando Otero",
"image_id": "7kGhfaAKVe",
"image": {
"id": "7kGhfaAKVe",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-71c2597b-5e06-4ab6-a6ce-4f9e8f74f71b-imageedit_52_8982796251.jpg",
"filename": "choice-FtWsydmTBXQrpfnqM9Brw7Y6krWUcKqC-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "Stacey Pickering",
"image_id": "iujaF5aqqr",
"image": {
"id": "iujaF5aqqr",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-3bbfa5d3-4e67-4f6f-8ceb-784d39963b75-imageedit_78_9937015138.jpg",
"filename": "choice-bitW63e6Arrvuf33kvTDatWtqCmNL43Z-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
},
{
"label": "Saurin Shah",
"image_id": "PxjD67CXue",
"image": {
"id": "PxjD67CXue",
"type": "choice",
"url": "http://files.parsetfss.com/e225b8d5-89ff-455c-80c1-f7828e3c481e/tfss-ce72687d-6e60-4873-b40b-733b405db402-imageedit_70_3771302577.jpg",
"filename": "choice-XcCA8LRCGgDtb2pGxdP2jetdHyi9qdnT-default",
"height": 230,
"width": 230,
"version": "v0.4"
}
}
]
},
{
"id": 4004287,
"type": "opinion_scale",
"question": "Based on your experience, how likely are you to refer us to a friend?",
"description": "Be brutally honest. We use your response to learn how to improve patient care.",
"required": true,
"ref": "nps_score"
},
{
"id": 4004288,
"type": "long_text",
"question": "Okay, great!\nCould you write a brief comment as to why you scored us a {{nps_score}}?",
"description": "Your comments help us identify opportunities to improve."
}
],
"webhook_submit_url": "http://home.simian.us:3000/api/responses",
"urls": [
{
"id": "LPPUNxDL8x",
"form_id": "tKQsJpARxb",
"version": "v0.4"
}
],
"_links": [
{
"rel": "self",
"href": "https://api.typeform.io/v0.4/forms/tKQsJpARxb"
},
{
"rel": "form_render",
"href": "https://forms.typeform.io/to/LPPUNxDL8x"
},
{
"rel": "url",
"href": "https://api.typeform.io/v0.4/urls/LPPUNxDL8x"
}
],
"tags": [
"17",
"Ross-iPad"
],
"version": "v0.4",
"branding": false
}
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