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‎lambdas/packages/hrm-form-definitions/form-definitions/usvt/v1/webchat/PreEngagementForm.json‎

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"type": "input",
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"name": "friendlyName",
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"label": "Nickname",
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"placeholder": "GuestName",
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"required": true
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},
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{
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"type": "input",
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"name": "firstName",
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"label": "First Name",
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"placeholder": "GuestName",
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"placeholder": "Enter Your Name",
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"required": true
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},
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{
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"type": "email",
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"name": "contactIdentifier",
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"label": "Email",
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"required": true,
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"placeholder": "Email"
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},
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{
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"label": "Age",
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"type": "select",
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"name": "age",
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"required": true,
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"defaultValue": "",
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"options": [
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{
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"value": "",
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"label": ""
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},
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{
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"value": "Unborn",
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"label": "Unborn"
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},
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{
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"value": "00",
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"label": "0"
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},
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{
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"value": "01",
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"label": "1"
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},
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{
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"value": "02",
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"label": "2"
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},
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{
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"value": "03",
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"label": "3"
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},
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{
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"value": "04",
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"label": "4"
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},
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{
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"value": "05",
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"label": "5"
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},
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{
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"value": "06",
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"label": "6"
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},
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{
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"value": "07",
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"label": "7"
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},
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{
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"value": "08",
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"label": "8"
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},
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{
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"value": "09",
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"label": "9"
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},
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{
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"value": "10",
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"label": "10"
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},
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{
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"value": "11",
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"label": "11"
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},
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{
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"value": "12",
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"label": "12"
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},
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{
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"value": "13",
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"label": "13"
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},
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"value": "14",
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"label": "14"
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},
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{
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"value": "15",
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"label": "15"
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},
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{
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"value": "16",
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"label": "16"
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},
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{
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"value": "17",
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"label": "17"
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},
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{
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"value": "18",
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"label": "18"
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},
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{
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"value": "19",
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"label": "19"
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},
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{
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"value": "20",
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"label": "20"
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},
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{
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"value": "21",
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"label": "21"
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},
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{
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"value": "22",
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"label": "22"
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},
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{
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"value": "23",
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"label": "23"
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},
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{
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"value": "24",
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"label": "24"
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},
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{
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"value": ">25",
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"label": ">25"
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},
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{
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"value": "Unknown",
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"label": "Unknown"
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}
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]
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},
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{
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"label": "Gender",
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"type": "select",
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"name": "gender",
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"name": "email",
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"label": "Email Address",
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"required": true,
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"defaultValue": "",
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"options": [
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{
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"value": "",
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"label": ""
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},
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{
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"value": "Girl",
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"label": "Girl"
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},
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{
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"value": "Boy",
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"label": "Boy"
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},
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{
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"value": "Non-Binary",
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"label": "Non-Binary"
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},
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{
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"value": "Unknown",
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"label": "Unknown"
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}
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]
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},
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{
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"type": "select",
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"name": "province",
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"label": "Province",
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"required": false,
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"defaultValue": "",
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"options": [
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{
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"value": "",
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"label": ""
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},
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{
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"value": "Northern",
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"label": "Northern"
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},
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{
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"value": "Eastern",
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"label": "Eastern"
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},
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{
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"value": "Western",
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"label": "Western"
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},
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{
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"value": "Southern",
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"label": "Southern"
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},
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{
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"value": "Unknown",
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"label": "Unknown"
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}
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]
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},
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{
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"name": "district",
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"label": "District",
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"type": "dependent-select",
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"dependsOn": "province",
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"required": false,
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"options": {
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"Northern": [
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{
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"value": "District A",
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"label": "District A"
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},
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{
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"value": "District B",
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"label": "District B"
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},
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{
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"value": "District C",
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"label": "District C"
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},
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{
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"value": "Unknown",
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"label": "Unknown"
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}
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],
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"Eastern": [
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{
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"value": "District A",
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"label": "District A"
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},
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{
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"value": "District B",
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"label": "District B"
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},
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{
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"value": "District C",
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"label": "District C"
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},
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{
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"value": "Unknown",
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"label": "Unknown"
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}
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],
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"Western": [
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{
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"value": "District A",
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"label": "District A"
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},
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{
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"value": "District B",
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"label": "District B"
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},
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{
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"value": "District C",
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"label": "District C"
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},
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{
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"value": "Unknown",
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"label": "Unknown"
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}
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],
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"Southern": [
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{
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"value": "District A",
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"label": "District A"
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},
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{
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"value": "District B",
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"label": "District B"
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},
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{
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"value": "District C",
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"label": "District C"
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},
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{
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"value": "Unknown",
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"label": "Unknown"
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}
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]
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}
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},
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{
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"label": "How urgent is your situation?",
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"type": "select",
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"name": "urgencyLevel",
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"required": false,
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"defaultValue": "",
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"options": [
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{
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"value": "",
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"label": ""
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},
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{
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"value": "Urgent",
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"label": "Urgent"
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},
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{
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"value": "Critical",
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"label": "Critical"
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},
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{
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"value": "Non-critical",
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"label": "Non-critical"
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},
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{
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"value": "Other",
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"label": "Other"
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}
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]
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},
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{
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"type": "checkbox",
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"name": "termsAndConditions",
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"label": "I've read and accept the <a href=\"https://en.wikipedia.org/wiki/Terms_of_service\" target=\"_blank\">Terms and Conditions</a>",
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"required": {
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"value": true,
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"message": "Sorry, if you don't accept our terms and conditions we can't provide counselling to you."
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}
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"placeholder": "Enter Your Email Address"
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}
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]
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}

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