state.js

import NewDate from "../../utils/NewDate";

export default {
  date: NewDate(),
  name: "",
  dob: "",
  age: "",
  healthcard: "",
  effectivedate: "",
  expirydate: "",
  streetaddress: "",
  city: "",
  province: "",
  postal: "",
  homephone: "",
  workphone: "",
  cellphone: "",
  email: "",
  occupation: "",
  famphysician: "",
  contacted: "",
  hearofus: "",
  heartattack: false,
  heartattackDate: "",
  heartdisease: false,
  heartdiseaseDate: "",
  chestpain: false,
  chestpainDate: "",
  stroke: false,
  strokeDate: "",
  bloodclots: false,
  bloodclotsDate: "",
  bleeding: false,
  bleedingDate: "",
  bloodpressure: false,
  bloodpressureDate: "",
  kidneydisease: false,
  kidneydiseaseDate: "",
  openingmouth: false,
  openingmouthDate: "",
  diabetes: false,
  diabetesDate: "",
  arthritis: false,
  arthritisDate: "",
  asthma: false,
  asthmaDate: "",
  seizures: false,
  seizuresDate: "",
  thyroid: false,
  thyroidDate: "",
  liversisease: false,
  liversiseaseDate: "",
  hiv: false,
  hivDate: "",
  despression: false,
  depressionDate: "",
  sleepApnea: "",
  sleepApneaOther: "",
  doSmoke: "",
  smokeNumn: "",
  didSmoke: "",
  smokeQuit: "",
  height: "",
  weight: "",
  pregnancy: "",
  prevSurg1: "",
  prevSurg2: "",
  prevSurg3: "",
  prevSurg4: "",
  allergicMed: "",
  whichMed: "",
  allergicFood: "",
  whichFood: "",
  allergicLatex: "",
  allergicIodine: "",
  hyperthermia: "",
  anesthetic: "",
  anestheticDescribe: "",
  medication1: "",
  medication2: "",
  medication3: "",
  medication4: "",
  medication5: "",
  medication6: "",
  promotions: "",
  skinCare: "",
  comments: "",
  fail: false,
  done: false,
};