{ "name": "X Pharmacy ", "schemaVersion": "v1", "settings": { "titleImageUrl": "https://www.studentdoctor.net/wp-content/uploads/2018/08/20180815_prescription.png", "description": "Testing formstr for getting prescriptions", "thankYouPage": true }, "fields": [ { "question": "Location", "answerType": "dropdown", "answerSettings": { "choices": [ { "label": "Narnia", "choiceId": "ae9DZi" }, { "label": "Hogwarts", "choiceId": "Dx4gyn" }, { "label": "Mordor", "choiceId": "oWygzo" }, { "label": "Tattooine", "choiceId": "dLgxns" } ], "required": true }, "questionId": "V7yEc2" }, { "question": "Patient", "answerType": "label", "answerSettings": {}, "questionId": "BPfwxq" }, { "question": "Name", "answerType": "shortText", "answerSettings": {}, "questionId": "HLydbI" }, { "question": "Date Of Birth ", "answerType": "date", "answerSettings": {}, "questionId": "lzpBhA" }, { "question": "Address", "answerType": "paragraph", "answerSettings": {}, "questionId": "Mvajrv" }, { "question": "Phone", "answerType": "shortText", "answerSettings": {}, "questionId": "PjTnfM" }, { "question": "Allergies", "answerType": "shortText", "answerSettings": {}, "questionId": "UMfscG" }, { "question": "Current Meds ", "answerType": "shortText", "answerSettings": {}, "questionId": "Cc8lih" }, { "question": "Medications", "answerType": "label", "answerSettings": {}, "questionId": "0R7uhf" }, { "question": "Name", "answerType": "shortText", "answerSettings": {}, "questionId": "WXJScB" }, { "question": "Dosage Form", "answerType": "shortText", "answerSettings": {}, "questionId": "BxEwHQ" }, { "question": "Strength", "answerType": "shortText", "answerSettings": {}, "questionId": "q2nC6e" }, { "question": "Quantiy ", "answerType": "number", "answerSettings": {}, "questionId": "fz68UV" }, { "question": "Re-fills", "answerType": "shortText", "answerSettings": {}, "questionId": "9SdbyN" }, { "question": "Directions", "answerType": "paragraph", "answerSettings": {}, "questionId": "6FrcPv" } ] }