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Family History<\\\\\\\/strong><\\\\\\\/p>\\\\nHas any immediate family member (parents, sibling, child) had any of the following conditions?<\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612168311587\\\"},{\\\"index\\\":9,\\\"element\\\":\\\"input_checkbox\\\",\\\"attributes\\\":{\\\"type\\\":\\\"checkbox\\\",\\\"name\\\":\\\"checkbox_10\\\",\\\"value\\\":[]},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Condition\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Heart Disease (before age 55)\\\",\\\"value\\\":\\\"Heart Disease (before age 55)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Stroke\\\",\\\"value\\\":\\\"Stroke\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"High Blood Pressure\\\",\\\"value\\\":\\\"High Blood Pressure\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Diabetes\\\",\\\"value\\\":\\\"Diabetes\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3},{\\\"label\\\":\\\"Mental Illness\\\",\\\"value\\\":\\\"Mental Illness\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":4},{\\\"label\\\":\\\"Cancer \\\",\\\"value\\\":\\\"Cancer \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":5}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"randomize_options\\\":\\\"no\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - {remaining_quantity} available\\\",\\\"global_inventory\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Checkbox\\\",\\\"icon_class\\\":\\\"ff-edit-checkbox-1\\\",\\\"template\\\":\\\"inputCheckable\\\"},\\\"uniqElKey\\\":\\\"el_17561217821568\\\"},{\\\"index\\\":2,\\\"element\\\":\\\"input_text\\\",\\\"attributes\\\":{\\\"type\\\":\\\"text\\\",\\\"name\\\":\\\"input_text_7\\\",\\\"value\\\":\\\"\\\",\\\"class\\\":\\\"\\\",\\\"placeholder\\\":\\\"\\\",\\\"maxlength\\\":\\\"\\\"},\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Specify Type\\\",\\\"label_placement\\\":\\\"\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"prefix_label\\\":\\\"\\\",\\\"suffix_label\\\":\\\"\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":true,\\\"conditions\\\":[{\\\"field\\\":\\\"checkbox_10\\\",\\\"value\\\":\\\"Cancer \\\",\\\"operator\\\":\\\"=\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"is_unique\\\":\\\"no\\\",\\\"unique_validation_message\\\":\\\"This value need to be unique.\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Simple Text\\\",\\\"icon_class\\\":\\\"ff-edit-text\\\",\\\"template\\\":\\\"inputText\\\"},\\\"uniqElKey\\\":\\\"el_175612203741982\\\"},{\\\"index\\\":17,\\\"element\\\":\\\"custom_html\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"html_codes\\\":\\\"
Lifestyle<\\\\\\\/strong><\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612226346140\\\"},{\\\"index\\\":1,\\\"element\\\":\\\"container\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_width\\\":\\\"\\\",\\\"is_width_auto_calc\\\":true,\\\"render_recaptcha_v3_badge\\\":false},\\\"columns\\\":[{\\\"width\\\":50,\\\"fields\\\":[{\\\"index\\\":8,\\\"element\\\":\\\"input_radio\\\",\\\"attributes\\\":{\\\"type\\\":\\\"radio\\\",\\\"name\\\":\\\"input_radio_3\\\",\\\"value\\\":\\\"\\\"},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Tobacco Use\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"randomize_options\\\":\\\"no\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Never smoked \\\",\\\"value\\\":\\\"Never smoked \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Former smoker\\\",\\\"value\\\":\\\"Former smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"Current smoker\\\",\\\"value\\\":\\\"Current smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"value\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - 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Family History<\\\\\\\/strong><\\\\\\\/p>\\\\nHas any immediate family member (parents, sibling, child) had any of the following conditions?<\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612168311587\\\"},{\\\"index\\\":9,\\\"element\\\":\\\"input_checkbox\\\",\\\"attributes\\\":{\\\"type\\\":\\\"checkbox\\\",\\\"name\\\":\\\"checkbox_10\\\",\\\"value\\\":[]},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Condition\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Heart Disease (before age 55)\\\",\\\"value\\\":\\\"Heart Disease (before age 55)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Stroke\\\",\\\"value\\\":\\\"Stroke\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"High Blood Pressure\\\",\\\"value\\\":\\\"High Blood Pressure\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Diabetes\\\",\\\"value\\\":\\\"Diabetes\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3},{\\\"label\\\":\\\"Mental Illness\\\",\\\"value\\\":\\\"Mental Illness\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":4},{\\\"label\\\":\\\"Cancer \\\",\\\"value\\\":\\\"Cancer \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":5}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"randomize_options\\\":\\\"no\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - {remaining_quantity} available\\\",\\\"global_inventory\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Checkbox\\\",\\\"icon_class\\\":\\\"ff-edit-checkbox-1\\\",\\\"template\\\":\\\"inputCheckable\\\"},\\\"uniqElKey\\\":\\\"el_17561217821568\\\"},{\\\"index\\\":2,\\\"element\\\":\\\"input_text\\\",\\\"attributes\\\":{\\\"type\\\":\\\"text\\\",\\\"name\\\":\\\"input_text_7\\\",\\\"value\\\":\\\"\\\",\\\"class\\\":\\\"\\\",\\\"placeholder\\\":\\\"\\\",\\\"maxlength\\\":\\\"\\\"},\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Specify Type\\\",\\\"label_placement\\\":\\\"\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"prefix_label\\\":\\\"\\\",\\\"suffix_label\\\":\\\"\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":true,\\\"conditions\\\":[{\\\"field\\\":\\\"checkbox_10\\\",\\\"value\\\":\\\"Cancer \\\",\\\"operator\\\":\\\"=\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"is_unique\\\":\\\"no\\\",\\\"unique_validation_message\\\":\\\"This value need to be unique.\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Simple Text\\\",\\\"icon_class\\\":\\\"ff-edit-text\\\",\\\"template\\\":\\\"inputText\\\"},\\\"uniqElKey\\\":\\\"el_175612203741982\\\"},{\\\"index\\\":17,\\\"element\\\":\\\"custom_html\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"html_codes\\\":\\\"
Lifestyle<\\\\\\\/strong><\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612226346140\\\"},{\\\"index\\\":1,\\\"element\\\":\\\"container\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_width\\\":\\\"\\\",\\\"is_width_auto_calc\\\":true,\\\"render_recaptcha_v3_badge\\\":false},\\\"columns\\\":[{\\\"width\\\":50,\\\"fields\\\":[{\\\"index\\\":8,\\\"element\\\":\\\"input_radio\\\",\\\"attributes\\\":{\\\"type\\\":\\\"radio\\\",\\\"name\\\":\\\"input_radio_3\\\",\\\"value\\\":\\\"\\\"},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Tobacco Use\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"randomize_options\\\":\\\"no\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Never smoked \\\",\\\"value\\\":\\\"Never smoked \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Former smoker\\\",\\\"value\\\":\\\"Former smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"Current smoker\\\",\\\"value\\\":\\\"Current smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"value\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - 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Family History<\\\\\\\/strong><\\\\\\\/p>\\\\nHas any immediate family member (parents, sibling, child) had any of the following conditions?<\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612168311587\\\"},{\\\"index\\\":9,\\\"element\\\":\\\"input_checkbox\\\",\\\"attributes\\\":{\\\"type\\\":\\\"checkbox\\\",\\\"name\\\":\\\"checkbox_10\\\",\\\"value\\\":[]},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Condition\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Heart Disease (before age 55)\\\",\\\"value\\\":\\\"Heart Disease (before age 55)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Stroke\\\",\\\"value\\\":\\\"Stroke\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"High Blood Pressure\\\",\\\"value\\\":\\\"High Blood Pressure\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Diabetes\\\",\\\"value\\\":\\\"Diabetes\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3},{\\\"label\\\":\\\"Mental Illness\\\",\\\"value\\\":\\\"Mental Illness\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":4},{\\\"label\\\":\\\"Cancer \\\",\\\"value\\\":\\\"Cancer \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":5}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"randomize_options\\\":\\\"no\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - {remaining_quantity} available\\\",\\\"global_inventory\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Checkbox\\\",\\\"icon_class\\\":\\\"ff-edit-checkbox-1\\\",\\\"template\\\":\\\"inputCheckable\\\"},\\\"uniqElKey\\\":\\\"el_17561217821568\\\"},{\\\"index\\\":2,\\\"element\\\":\\\"input_text\\\",\\\"attributes\\\":{\\\"type\\\":\\\"text\\\",\\\"name\\\":\\\"input_text_7\\\",\\\"value\\\":\\\"\\\",\\\"class\\\":\\\"\\\",\\\"placeholder\\\":\\\"\\\",\\\"maxlength\\\":\\\"\\\"},\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Specify Type\\\",\\\"label_placement\\\":\\\"\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"prefix_label\\\":\\\"\\\",\\\"suffix_label\\\":\\\"\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":true,\\\"conditions\\\":[{\\\"field\\\":\\\"checkbox_10\\\",\\\"value\\\":\\\"Cancer \\\",\\\"operator\\\":\\\"=\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"is_unique\\\":\\\"no\\\",\\\"unique_validation_message\\\":\\\"This value need to be unique.\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Simple Text\\\",\\\"icon_class\\\":\\\"ff-edit-text\\\",\\\"template\\\":\\\"inputText\\\"},\\\"uniqElKey\\\":\\\"el_175612203741982\\\"},{\\\"index\\\":17,\\\"element\\\":\\\"custom_html\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"html_codes\\\":\\\"
Lifestyle<\\\\\\\/strong><\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612226346140\\\"},{\\\"index\\\":1,\\\"element\\\":\\\"container\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_width\\\":\\\"\\\",\\\"is_width_auto_calc\\\":true,\\\"render_recaptcha_v3_badge\\\":false},\\\"columns\\\":[{\\\"width\\\":50,\\\"fields\\\":[{\\\"index\\\":8,\\\"element\\\":\\\"input_radio\\\",\\\"attributes\\\":{\\\"type\\\":\\\"radio\\\",\\\"name\\\":\\\"input_radio_3\\\",\\\"value\\\":\\\"\\\"},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Tobacco Use\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"randomize_options\\\":\\\"no\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Never smoked \\\",\\\"value\\\":\\\"Never smoked \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Former smoker\\\",\\\"value\\\":\\\"Former smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"Current smoker\\\",\\\"value\\\":\\\"Current smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"value\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - 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Family History<\\\\\\\/strong><\\\\\\\/p>\\\\nHas any immediate family member (parents, sibling, child) had any of the following conditions?<\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612168311587\\\"},{\\\"index\\\":9,\\\"element\\\":\\\"input_checkbox\\\",\\\"attributes\\\":{\\\"type\\\":\\\"checkbox\\\",\\\"name\\\":\\\"checkbox_10\\\",\\\"value\\\":[]},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Condition\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Heart Disease (before age 55)\\\",\\\"value\\\":\\\"Heart Disease (before age 55)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Stroke\\\",\\\"value\\\":\\\"Stroke\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"High Blood Pressure\\\",\\\"value\\\":\\\"High Blood Pressure\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Diabetes\\\",\\\"value\\\":\\\"Diabetes\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3},{\\\"label\\\":\\\"Mental Illness\\\",\\\"value\\\":\\\"Mental Illness\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":4},{\\\"label\\\":\\\"Cancer \\\",\\\"value\\\":\\\"Cancer \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":5}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"randomize_options\\\":\\\"no\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - {remaining_quantity} available\\\",\\\"global_inventory\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Checkbox\\\",\\\"icon_class\\\":\\\"ff-edit-checkbox-1\\\",\\\"template\\\":\\\"inputCheckable\\\"},\\\"uniqElKey\\\":\\\"el_17561217821568\\\"},{\\\"index\\\":2,\\\"element\\\":\\\"input_text\\\",\\\"attributes\\\":{\\\"type\\\":\\\"text\\\",\\\"name\\\":\\\"input_text_7\\\",\\\"value\\\":\\\"\\\",\\\"class\\\":\\\"\\\",\\\"placeholder\\\":\\\"\\\",\\\"maxlength\\\":\\\"\\\"},\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Specify Type\\\",\\\"label_placement\\\":\\\"\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"prefix_label\\\":\\\"\\\",\\\"suffix_label\\\":\\\"\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":true,\\\"conditions\\\":[{\\\"field\\\":\\\"checkbox_10\\\",\\\"value\\\":\\\"Cancer \\\",\\\"operator\\\":\\\"=\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"is_unique\\\":\\\"no\\\",\\\"unique_validation_message\\\":\\\"This value need to be unique.\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Simple Text\\\",\\\"icon_class\\\":\\\"ff-edit-text\\\",\\\"template\\\":\\\"inputText\\\"},\\\"uniqElKey\\\":\\\"el_175612203741982\\\"},{\\\"index\\\":17,\\\"element\\\":\\\"custom_html\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"html_codes\\\":\\\"
Lifestyle<\\\\\\\/strong><\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612226346140\\\"},{\\\"index\\\":1,\\\"element\\\":\\\"container\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_width\\\":\\\"\\\",\\\"is_width_auto_calc\\\":true,\\\"render_recaptcha_v3_badge\\\":false},\\\"columns\\\":[{\\\"width\\\":50,\\\"fields\\\":[{\\\"index\\\":8,\\\"element\\\":\\\"input_radio\\\",\\\"attributes\\\":{\\\"type\\\":\\\"radio\\\",\\\"name\\\":\\\"input_radio_3\\\",\\\"value\\\":\\\"\\\"},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Tobacco Use\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"randomize_options\\\":\\\"no\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Never smoked \\\",\\\"value\\\":\\\"Never smoked \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Former smoker\\\",\\\"value\\\":\\\"Former smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"Current smoker\\\",\\\"value\\\":\\\"Current smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"value\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - 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Family History<\\\\\\\/strong><\\\\\\\/p>\\\\nHas any immediate family member (parents, sibling, child) had any of the following conditions?<\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612168311587\\\"},{\\\"index\\\":9,\\\"element\\\":\\\"input_checkbox\\\",\\\"attributes\\\":{\\\"type\\\":\\\"checkbox\\\",\\\"name\\\":\\\"checkbox_10\\\",\\\"value\\\":[]},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Condition\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Heart Disease (before age 55)\\\",\\\"value\\\":\\\"Heart Disease (before age 55)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Stroke\\\",\\\"value\\\":\\\"Stroke\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"High Blood Pressure\\\",\\\"value\\\":\\\"High Blood Pressure\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Diabetes\\\",\\\"value\\\":\\\"Diabetes\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3},{\\\"label\\\":\\\"Mental Illness\\\",\\\"value\\\":\\\"Mental Illness\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":4},{\\\"label\\\":\\\"Cancer \\\",\\\"value\\\":\\\"Cancer \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":5}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"randomize_options\\\":\\\"no\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - {remaining_quantity} available\\\",\\\"global_inventory\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Checkbox\\\",\\\"icon_class\\\":\\\"ff-edit-checkbox-1\\\",\\\"template\\\":\\\"inputCheckable\\\"},\\\"uniqElKey\\\":\\\"el_17561217821568\\\"},{\\\"index\\\":2,\\\"element\\\":\\\"input_text\\\",\\\"attributes\\\":{\\\"type\\\":\\\"text\\\",\\\"name\\\":\\\"input_text_7\\\",\\\"value\\\":\\\"\\\",\\\"class\\\":\\\"\\\",\\\"placeholder\\\":\\\"\\\",\\\"maxlength\\\":\\\"\\\"},\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Specify Type\\\",\\\"label_placement\\\":\\\"\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"prefix_label\\\":\\\"\\\",\\\"suffix_label\\\":\\\"\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":true,\\\"conditions\\\":[{\\\"field\\\":\\\"checkbox_10\\\",\\\"value\\\":\\\"Cancer \\\",\\\"operator\\\":\\\"=\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"is_unique\\\":\\\"no\\\",\\\"unique_validation_message\\\":\\\"This value need to be unique.\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Simple Text\\\",\\\"icon_class\\\":\\\"ff-edit-text\\\",\\\"template\\\":\\\"inputText\\\"},\\\"uniqElKey\\\":\\\"el_175612203741982\\\"},{\\\"index\\\":17,\\\"element\\\":\\\"custom_html\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"html_codes\\\":\\\"
Lifestyle<\\\\\\\/strong><\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612226346140\\\"},{\\\"index\\\":1,\\\"element\\\":\\\"container\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_width\\\":\\\"\\\",\\\"is_width_auto_calc\\\":true,\\\"render_recaptcha_v3_badge\\\":false},\\\"columns\\\":[{\\\"width\\\":50,\\\"fields\\\":[{\\\"index\\\":8,\\\"element\\\":\\\"input_radio\\\",\\\"attributes\\\":{\\\"type\\\":\\\"radio\\\",\\\"name\\\":\\\"input_radio_3\\\",\\\"value\\\":\\\"\\\"},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Tobacco Use\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"randomize_options\\\":\\\"no\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Never smoked \\\",\\\"value\\\":\\\"Never smoked \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Former smoker\\\",\\\"value\\\":\\\"Former smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"Current smoker\\\",\\\"value\\\":\\\"Current smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"value\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - 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Family History<\\\\\\\/strong><\\\\\\\/p>\\\\nHas any immediate family member (parents, sibling, child) had any of the following conditions?<\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612168311587\\\"},{\\\"index\\\":9,\\\"element\\\":\\\"input_checkbox\\\",\\\"attributes\\\":{\\\"type\\\":\\\"checkbox\\\",\\\"name\\\":\\\"checkbox_10\\\",\\\"value\\\":[]},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Condition\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Heart Disease (before age 55)\\\",\\\"value\\\":\\\"Heart Disease (before age 55)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Stroke\\\",\\\"value\\\":\\\"Stroke\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"High Blood Pressure\\\",\\\"value\\\":\\\"High Blood Pressure\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Diabetes\\\",\\\"value\\\":\\\"Diabetes\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3},{\\\"label\\\":\\\"Mental Illness\\\",\\\"value\\\":\\\"Mental Illness\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":4},{\\\"label\\\":\\\"Cancer \\\",\\\"value\\\":\\\"Cancer \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":5}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"randomize_options\\\":\\\"no\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - {remaining_quantity} available\\\",\\\"global_inventory\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Checkbox\\\",\\\"icon_class\\\":\\\"ff-edit-checkbox-1\\\",\\\"template\\\":\\\"inputCheckable\\\"},\\\"uniqElKey\\\":\\\"el_17561217821568\\\"},{\\\"index\\\":2,\\\"element\\\":\\\"input_text\\\",\\\"attributes\\\":{\\\"type\\\":\\\"text\\\",\\\"name\\\":\\\"input_text_7\\\",\\\"value\\\":\\\"\\\",\\\"class\\\":\\\"\\\",\\\"placeholder\\\":\\\"\\\",\\\"maxlength\\\":\\\"\\\"},\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Specify Type\\\",\\\"label_placement\\\":\\\"\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"prefix_label\\\":\\\"\\\",\\\"suffix_label\\\":\\\"\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":true,\\\"conditions\\\":[{\\\"field\\\":\\\"checkbox_10\\\",\\\"value\\\":\\\"Cancer \\\",\\\"operator\\\":\\\"=\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"is_unique\\\":\\\"no\\\",\\\"unique_validation_message\\\":\\\"This value need to be unique.\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Simple Text\\\",\\\"icon_class\\\":\\\"ff-edit-text\\\",\\\"template\\\":\\\"inputText\\\"},\\\"uniqElKey\\\":\\\"el_175612203741982\\\"},{\\\"index\\\":17,\\\"element\\\":\\\"custom_html\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"html_codes\\\":\\\"
Lifestyle<\\\\\\\/strong><\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612226346140\\\"},{\\\"index\\\":1,\\\"element\\\":\\\"container\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_width\\\":\\\"\\\",\\\"is_width_auto_calc\\\":true,\\\"render_recaptcha_v3_badge\\\":false},\\\"columns\\\":[{\\\"width\\\":50,\\\"fields\\\":[{\\\"index\\\":8,\\\"element\\\":\\\"input_radio\\\",\\\"attributes\\\":{\\\"type\\\":\\\"radio\\\",\\\"name\\\":\\\"input_radio_3\\\",\\\"value\\\":\\\"\\\"},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Tobacco Use\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"randomize_options\\\":\\\"no\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Never smoked \\\",\\\"value\\\":\\\"Never smoked \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Former smoker\\\",\\\"value\\\":\\\"Former smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"Current smoker\\\",\\\"value\\\":\\\"Current smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"value\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - 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Family History<\\\\\\\/strong><\\\\\\\/p>\\\\nHas any immediate family member (parents, sibling, child) had any of the following conditions?<\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612168311587\\\"},{\\\"index\\\":9,\\\"element\\\":\\\"input_checkbox\\\",\\\"attributes\\\":{\\\"type\\\":\\\"checkbox\\\",\\\"name\\\":\\\"checkbox_10\\\",\\\"value\\\":[]},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Condition\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Heart Disease (before age 55)\\\",\\\"value\\\":\\\"Heart Disease (before age 55)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Stroke\\\",\\\"value\\\":\\\"Stroke\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"High Blood Pressure\\\",\\\"value\\\":\\\"High Blood Pressure\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Diabetes\\\",\\\"value\\\":\\\"Diabetes\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3},{\\\"label\\\":\\\"Mental Illness\\\",\\\"value\\\":\\\"Mental Illness\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":4},{\\\"label\\\":\\\"Cancer \\\",\\\"value\\\":\\\"Cancer \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":5}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"randomize_options\\\":\\\"no\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - {remaining_quantity} available\\\",\\\"global_inventory\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Checkbox\\\",\\\"icon_class\\\":\\\"ff-edit-checkbox-1\\\",\\\"template\\\":\\\"inputCheckable\\\"},\\\"uniqElKey\\\":\\\"el_17561217821568\\\"},{\\\"index\\\":2,\\\"element\\\":\\\"input_text\\\",\\\"attributes\\\":{\\\"type\\\":\\\"text\\\",\\\"name\\\":\\\"input_text_7\\\",\\\"value\\\":\\\"\\\",\\\"class\\\":\\\"\\\",\\\"placeholder\\\":\\\"\\\",\\\"maxlength\\\":\\\"\\\"},\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Specify Type\\\",\\\"label_placement\\\":\\\"\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"prefix_label\\\":\\\"\\\",\\\"suffix_label\\\":\\\"\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":true,\\\"conditions\\\":[{\\\"field\\\":\\\"checkbox_10\\\",\\\"value\\\":\\\"Cancer \\\",\\\"operator\\\":\\\"=\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"is_unique\\\":\\\"no\\\",\\\"unique_validation_message\\\":\\\"This value need to be unique.\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Simple Text\\\",\\\"icon_class\\\":\\\"ff-edit-text\\\",\\\"template\\\":\\\"inputText\\\"},\\\"uniqElKey\\\":\\\"el_175612203741982\\\"},{\\\"index\\\":17,\\\"element\\\":\\\"custom_html\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"html_codes\\\":\\\"
Lifestyle<\\\\\\\/strong><\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612226346140\\\"},{\\\"index\\\":1,\\\"element\\\":\\\"container\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_width\\\":\\\"\\\",\\\"is_width_auto_calc\\\":true,\\\"render_recaptcha_v3_badge\\\":false},\\\"columns\\\":[{\\\"width\\\":50,\\\"fields\\\":[{\\\"index\\\":8,\\\"element\\\":\\\"input_radio\\\",\\\"attributes\\\":{\\\"type\\\":\\\"radio\\\",\\\"name\\\":\\\"input_radio_3\\\",\\\"value\\\":\\\"\\\"},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Tobacco Use\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"randomize_options\\\":\\\"no\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Never smoked \\\",\\\"value\\\":\\\"Never smoked \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Former smoker\\\",\\\"value\\\":\\\"Former smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"Current smoker\\\",\\\"value\\\":\\\"Current smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"value\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - 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Family History<\\\\\\\/strong><\\\\\\\/p>\\\\nHas any immediate family member (parents, sibling, child) had any of the following conditions?<\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612168311587\\\"},{\\\"index\\\":9,\\\"element\\\":\\\"input_checkbox\\\",\\\"attributes\\\":{\\\"type\\\":\\\"checkbox\\\",\\\"name\\\":\\\"checkbox_10\\\",\\\"value\\\":[]},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Condition\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Heart Disease (before age 55)\\\",\\\"value\\\":\\\"Heart Disease (before age 55)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Stroke\\\",\\\"value\\\":\\\"Stroke\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"High Blood Pressure\\\",\\\"value\\\":\\\"High Blood Pressure\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Diabetes\\\",\\\"value\\\":\\\"Diabetes\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3},{\\\"label\\\":\\\"Mental Illness\\\",\\\"value\\\":\\\"Mental Illness\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":4},{\\\"label\\\":\\\"Cancer \\\",\\\"value\\\":\\\"Cancer \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":5}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"randomize_options\\\":\\\"no\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - {remaining_quantity} available\\\",\\\"global_inventory\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Checkbox\\\",\\\"icon_class\\\":\\\"ff-edit-checkbox-1\\\",\\\"template\\\":\\\"inputCheckable\\\"},\\\"uniqElKey\\\":\\\"el_17561217821568\\\"},{\\\"index\\\":2,\\\"element\\\":\\\"input_text\\\",\\\"attributes\\\":{\\\"type\\\":\\\"text\\\",\\\"name\\\":\\\"input_text_7\\\",\\\"value\\\":\\\"\\\",\\\"class\\\":\\\"\\\",\\\"placeholder\\\":\\\"\\\",\\\"maxlength\\\":\\\"\\\"},\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Specify Type\\\",\\\"label_placement\\\":\\\"\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"prefix_label\\\":\\\"\\\",\\\"suffix_label\\\":\\\"\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":true,\\\"conditions\\\":[{\\\"field\\\":\\\"checkbox_10\\\",\\\"value\\\":\\\"Cancer \\\",\\\"operator\\\":\\\"=\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"is_unique\\\":\\\"no\\\",\\\"unique_validation_message\\\":\\\"This value need to be unique.\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Simple Text\\\",\\\"icon_class\\\":\\\"ff-edit-text\\\",\\\"template\\\":\\\"inputText\\\"},\\\"uniqElKey\\\":\\\"el_175612203741982\\\"},{\\\"index\\\":17,\\\"element\\\":\\\"custom_html\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"html_codes\\\":\\\"
Lifestyle<\\\\\\\/strong><\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612226346140\\\"},{\\\"index\\\":1,\\\"element\\\":\\\"container\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_width\\\":\\\"\\\",\\\"is_width_auto_calc\\\":true,\\\"render_recaptcha_v3_badge\\\":false},\\\"columns\\\":[{\\\"width\\\":50,\\\"fields\\\":[{\\\"index\\\":8,\\\"element\\\":\\\"input_radio\\\",\\\"attributes\\\":{\\\"type\\\":\\\"radio\\\",\\\"name\\\":\\\"input_radio_3\\\",\\\"value\\\":\\\"\\\"},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Tobacco Use\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"randomize_options\\\":\\\"no\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Never smoked \\\",\\\"value\\\":\\\"Never smoked \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Former smoker\\\",\\\"value\\\":\\\"Former smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"Current smoker\\\",\\\"value\\\":\\\"Current smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"value\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - 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The information on this form helps your healthcare provider understand your health status and provide the best care. All your answers are confidential. Please answer each question as accurately and completely as you can.<\\\\\\\/p>\\\",\\\"old_value\\\":\\\"
The information on this form helps your healthcare provider understand your health status and provide the best care. All your answers are confidential. Please answer each question as accurately and completely as you can.<\\\\\\\/p>\\\",\\\"info\\\":\\\"Modified custom_html html_codes value from '
The information on this form helps your healthcare provider understand your health status and provide the best care. All your answers are confidential. Please answer each question as accurately and completely as you can.<\\\\\\\/p>' to '
The information on this form helps your healthcare provider understand your health status and provide the best care. All your answers are confidential. Please answer each question as accurately and completely as you can.<\\\\\\\/p>'\\\",\\\"category\\\":\\\"settings\\\"}]\"}"},{"meta_key":"revision","value":"{\"change_title\":\"Modified 1 attribute\\\/setting\",\"timestamp\":\"2025-08-26 10:00:27\",\"old_data\":\"{\\\"fields\\\":[{\\\"index\\\":17,\\\"element\\\":\\\"custom_html\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"html_codes\\\":\\\"
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Family History<\\\\\\\/strong><\\\\\\\/p>\\\\nHas any immediate family member (parents, sibling, child) had any of the following conditions?<\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612168311587\\\"},{\\\"index\\\":9,\\\"element\\\":\\\"input_checkbox\\\",\\\"attributes\\\":{\\\"type\\\":\\\"checkbox\\\",\\\"name\\\":\\\"checkbox_10\\\",\\\"value\\\":[]},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Condition\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Heart Disease (before age 55)\\\",\\\"value\\\":\\\"Heart Disease (before age 55)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Stroke\\\",\\\"value\\\":\\\"Stroke\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"High Blood Pressure\\\",\\\"value\\\":\\\"High Blood Pressure\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Diabetes\\\",\\\"value\\\":\\\"Diabetes\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3},{\\\"label\\\":\\\"Mental Illness\\\",\\\"value\\\":\\\"Mental Illness\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":4},{\\\"label\\\":\\\"Cancer \\\",\\\"value\\\":\\\"Cancer \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":5}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"randomize_options\\\":\\\"no\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - {remaining_quantity} available\\\",\\\"global_inventory\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Checkbox\\\",\\\"icon_class\\\":\\\"ff-edit-checkbox-1\\\",\\\"template\\\":\\\"inputCheckable\\\"},\\\"uniqElKey\\\":\\\"el_17561217821568\\\"},{\\\"index\\\":2,\\\"element\\\":\\\"input_text\\\",\\\"attributes\\\":{\\\"type\\\":\\\"text\\\",\\\"name\\\":\\\"input_text_7\\\",\\\"value\\\":\\\"\\\",\\\"class\\\":\\\"\\\",\\\"placeholder\\\":\\\"\\\",\\\"maxlength\\\":\\\"\\\"},\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Specify Type\\\",\\\"label_placement\\\":\\\"\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"prefix_label\\\":\\\"\\\",\\\"suffix_label\\\":\\\"\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":true,\\\"conditions\\\":[{\\\"field\\\":\\\"checkbox_10\\\",\\\"value\\\":\\\"Cancer \\\",\\\"operator\\\":\\\"=\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"is_unique\\\":\\\"no\\\",\\\"unique_validation_message\\\":\\\"This value need to be unique.\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Simple Text\\\",\\\"icon_class\\\":\\\"ff-edit-text\\\",\\\"template\\\":\\\"inputText\\\"},\\\"uniqElKey\\\":\\\"el_175612203741982\\\"},{\\\"index\\\":17,\\\"element\\\":\\\"custom_html\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"html_codes\\\":\\\"
Lifestyle<\\\\\\\/strong><\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612226346140\\\"},{\\\"index\\\":1,\\\"element\\\":\\\"container\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_width\\\":\\\"\\\",\\\"is_width_auto_calc\\\":true,\\\"render_recaptcha_v3_badge\\\":false},\\\"columns\\\":[{\\\"width\\\":50,\\\"fields\\\":[{\\\"index\\\":8,\\\"element\\\":\\\"input_radio\\\",\\\"attributes\\\":{\\\"type\\\":\\\"radio\\\",\\\"name\\\":\\\"input_radio_3\\\",\\\"value\\\":\\\"\\\"},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Tobacco Use\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"randomize_options\\\":\\\"no\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Never smoked \\\",\\\"value\\\":\\\"Never smoked \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Former smoker\\\",\\\"value\\\":\\\"Former smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"Current smoker\\\",\\\"value\\\":\\\"Current smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"value\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - 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Family History<\\\\\\\/strong><\\\\\\\/p>\\\\nHas any immediate family member (parents, sibling, child) had any of the following conditions?<\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612168311587\\\"},{\\\"index\\\":9,\\\"element\\\":\\\"input_checkbox\\\",\\\"attributes\\\":{\\\"type\\\":\\\"checkbox\\\",\\\"name\\\":\\\"checkbox_10\\\",\\\"value\\\":[]},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Condition\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Heart Disease (before age 55)\\\",\\\"value\\\":\\\"Heart Disease (before age 55)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Stroke\\\",\\\"value\\\":\\\"Stroke\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"High Blood Pressure\\\",\\\"value\\\":\\\"High Blood Pressure\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Diabetes\\\",\\\"value\\\":\\\"Diabetes\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3},{\\\"label\\\":\\\"Mental Illness\\\",\\\"value\\\":\\\"Mental Illness\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":4},{\\\"label\\\":\\\"Cancer \\\",\\\"value\\\":\\\"Cancer \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":5}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"randomize_options\\\":\\\"no\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - {remaining_quantity} available\\\",\\\"global_inventory\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Checkbox\\\",\\\"icon_class\\\":\\\"ff-edit-checkbox-1\\\",\\\"template\\\":\\\"inputCheckable\\\"},\\\"uniqElKey\\\":\\\"el_17561217821568\\\"},{\\\"index\\\":2,\\\"element\\\":\\\"input_text\\\",\\\"attributes\\\":{\\\"type\\\":\\\"text\\\",\\\"name\\\":\\\"input_text_7\\\",\\\"value\\\":\\\"\\\",\\\"class\\\":\\\"\\\",\\\"placeholder\\\":\\\"\\\",\\\"maxlength\\\":\\\"\\\"},\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Specify Type\\\",\\\"label_placement\\\":\\\"\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"prefix_label\\\":\\\"\\\",\\\"suffix_label\\\":\\\"\\\",\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":true,\\\"conditions\\\":[{\\\"field\\\":\\\"checkbox_10\\\",\\\"value\\\":\\\"Cancer \\\",\\\"operator\\\":\\\"=\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"is_unique\\\":\\\"no\\\",\\\"unique_validation_message\\\":\\\"This value need to be unique.\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Simple Text\\\",\\\"icon_class\\\":\\\"ff-edit-text\\\",\\\"template\\\":\\\"inputText\\\"},\\\"uniqElKey\\\":\\\"el_175612203741982\\\"},{\\\"index\\\":17,\\\"element\\\":\\\"custom_html\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"html_codes\\\":\\\"
Lifestyle<\\\\\\\/strong><\\\\\\\/p>\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_class\\\":\\\"\\\"},\\\"editor_options\\\":{\\\"title\\\":\\\"Custom HTML\\\",\\\"icon_class\\\":\\\"ff-edit-html\\\",\\\"template\\\":\\\"customHTML\\\"},\\\"uniqElKey\\\":\\\"el_175612226346140\\\"},{\\\"index\\\":1,\\\"element\\\":\\\"container\\\",\\\"attributes\\\":[],\\\"settings\\\":{\\\"container_class\\\":\\\"\\\",\\\"conditional_logics\\\":{\\\"type\\\":\\\"any\\\",\\\"status\\\":false,\\\"conditions\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"condition_groups\\\":[{\\\"rules\\\":[{\\\"field\\\":\\\"\\\",\\\"value\\\":\\\"\\\",\\\"operator\\\":\\\"\\\"}],\\\"title\\\":\\\"\\\",\\\"isEditingTitle\\\":false,\\\"isPreviewOpen\\\":false,\\\"isGroupOpen\\\":true}]},\\\"container_width\\\":\\\"\\\",\\\"is_width_auto_calc\\\":true,\\\"render_recaptcha_v3_badge\\\":false},\\\"columns\\\":[{\\\"width\\\":50,\\\"fields\\\":[{\\\"index\\\":8,\\\"element\\\":\\\"input_radio\\\",\\\"attributes\\\":{\\\"type\\\":\\\"radio\\\",\\\"name\\\":\\\"input_radio_3\\\",\\\"value\\\":\\\"\\\"},\\\"settings\\\":{\\\"dynamic_default_value\\\":\\\"\\\",\\\"container_class\\\":\\\"\\\",\\\"label\\\":\\\"Tobacco Use\\\",\\\"admin_field_label\\\":\\\"\\\",\\\"label_placement\\\":\\\"\\\",\\\"display_type\\\":\\\"\\\",\\\"help_message\\\":\\\"\\\",\\\"randomize_options\\\":\\\"no\\\",\\\"advanced_options\\\":[{\\\"label\\\":\\\"Never smoked \\\",\\\"value\\\":\\\"Never smoked \\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":0},{\\\"label\\\":\\\"Former smoker\\\",\\\"value\\\":\\\"Former smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":1},{\\\"label\\\":\\\"Current smoker\\\",\\\"value\\\":\\\"Current smoker\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":2},{\\\"label\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"value\\\":\\\"Other tobacco (Vape, chew, etc.)\\\",\\\"calc_value\\\":\\\"\\\",\\\"image\\\":\\\"\\\",\\\"id\\\":3}],\\\"calc_value_status\\\":false,\\\"enable_image_input\\\":false,\\\"values_visible\\\":false,\\\"validation_rules\\\":{\\\"required\\\":{\\\"value\\\":false,\\\"message\\\":\\\"This field is required\\\",\\\"global_message\\\":\\\"This field is required\\\",\\\"global\\\":true}},\\\"conditional_logics\\\":[],\\\"layout_class\\\":\\\"\\\",\\\"inventory_type\\\":false,\\\"inventory_stockout_message\\\":\\\"This Item is Stock Out\\\",\\\"hide_choice_when_stockout\\\":\\\"no\\\",\\\"hide_input_when_stockout\\\":\\\"no\\\",\\\"disable_input_when_stockout\\\":\\\"no\\\",\\\"show_stock\\\":\\\"no\\\",\\\"simple_inventory\\\":\\\"\\\",\\\"single_inventory_stock\\\":10,\\\"stock_quantity_label\\\":\\\" - 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