export default { steps: { page0: { elements: [ 'h3', 'h4', 'digestive_health', ], buttons: { previous: false, }, }, page1: { elements: [ 'h2_1', 'h4_1', 'symptoms', ], }, page2: { elements: [ 'h2', 'h4_2', 'gastrointestinal_conditions', ], }, page3: { elements: [ 'h4_3', 'diet_description', ], }, page4: { elements: [ 'h2_4', 'h4_4', 'dietary_restrictions', ], }, page5: { elements: [ 'h4_5', 'bowel_movements', ], }, page6: { elements: [ 'h2_6', 'h4_6', 'stool_consistency', ], }, page7: { elements: [ 'h4_7', 'gut_health_therapies', ], }, page8: { elements: [ 'h2_8', 'h4_8', 'prescription_medications', ], }, page9: { elements: [ 'h4_9', 'current_medications', ], }, page10: { elements: [ 'h2_10', 'h4_10', 'other_conditions', ], }, page11: { elements: [ 'h4_11', 'chronic_constipation_diarrhea', ], }, page12: { elements: [ 'h2_12', 'h4_12', 'consumption_habits', ], }, page13: { elements: [ 'h4_13', 'lactose_intolerance', ], }, page14: { elements: [ 'h4_14', 'pregnant', ], }, }, schema: { h3: { type: 'static', tag: 'h2', content: 'Digestive Health', align: 'left', }, h4: { type: 'static', tag: 'h4', content: 'How would you describe your overall digestive health?', }, digestive_health: { type: 'radiogroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Excellent', label: 'Excellent', }, { value: 'Good', label: 'Good', }, { value: 'Fair', label: 'Fair', }, { value: 'Poor', label: 'Poor', }, ], }, h2_1: { type: 'static', tag: 'h2', content: 'Symptoms', }, h4_1: { type: 'static', tag: 'h4', content: 'Do you experience any of the following symptoms regularly?', }, symptoms: { type: 'checkboxgroup', rules: [ 'required', ], view: 'blocks', items: [ { value: 'Bloating', label: 'Bloating', }, { value: 'Gas', label: 'Gas', }, { value: 'Abdominal pain or cramping', label: 'Abdominal pain or cramping', }, { value: 'Constipation', label: 'Constipation', }, { value: 'Diarrhea', label: 'Diarrhea', }, { value: 'Heartburn or acid reflux', label: 'Heartburn or acid reflux', }, { value: 'Nausea', label: 'Nausea', }, { value: 'Food sensitivities', label: 'Food sensitivities', }, { value: 'Other', label: 'Other', }, ], }, h2: { type: 'static', tag: 'h2', content: 'Gastrointestinal Conditions', }, h4_2: { type: 'static', tag: 'h4', content: 'Have you been diagnosed with any gastrointestinal conditions?', }, gastrointestinal_conditions: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], rules: [ 'required', ], }, gastrointestinal_conditions_reason: { type: 'text', label: 'If yes, please specify the condition.', rules: [ 'required', ], conditions: [ [ 'gastrointestinal_conditions', 'in', [ 'Yes', ], ], ], }, h4_3: { type: 'static', tag: 'h4', content: 'How would you describe your current diet?', }, diet_description: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Balanced', label: 'Balanced', }, { value: 'High-carb', label: 'High-carb', }, { value: 'Low-carb', label: 'Low-carb', }, { value: 'High-fiber', label: 'High-fiber', }, { value: 'Low-fiber', label: 'Low-fiber', }, { value: 'Gluten-free', label: 'Gluten-free', }, { value: 'Other', label: 'Other', }, ], rules: [ 'required', ], }, h2_4: { type: 'static', tag: 'h2', content: 'Dietary Restrictions', }, h4_4: { type: 'static', tag: 'h4', content: 'Do you follow any specific dietary plans or restrictions?', }, dietary_restrictions: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], rules: [ 'required', ], }, dietary_restrictions_description: { type: 'text', label: 'If yes, please describe.', rules: [ 'required', ], conditions: [ [ 'dietary_restrictions', 'in', [ 'Yes', ], ], ], }, h4_5: { type: 'static', tag: 'h4', content: 'How regular are your bowel movements?', }, bowel_movements: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Daily', label: 'Daily', }, { value: 'Every other day', label: 'Every other day', }, { value: 'Once a week', label: 'Once a week', }, { value: 'Less than once a week', label: 'Less than once a week', }, ], rules: [ 'required', ], }, h2_6: { type: 'static', tag: 'h2', content: 'Stool Consistency', }, h4_6: { type: 'static', tag: 'h4', content: 'How would you describe the consistency of your stools?', }, stool_consistency: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Hard', label: 'Hard', }, { value: 'Loose', label: 'Loose', }, { value: 'Normal', label: 'Normal', }, { value: 'Mixed', label: 'Mixed', }, ], rules: [ 'required', ], }, h4_7: { type: 'static', tag: 'h4', content: 'Have you previously used gut health therapies?', }, gut_health_therapies: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], rules: [ 'required', ], }, gut_health_therapies_description: { type: 'text', label: 'If yes, please list the therapies and describe your experience.', rules: [ 'required', ], conditions: [ [ 'gut_health_therapies', 'in', [ 'Yes', ], ], ], }, h2_8: { type: 'static', tag: 'h2', content: 'Prescription Medications', }, h4_8: { type: 'static', tag: 'h4', content: 'Have you ever taken prescription medications for gut health?', }, prescription_medications: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], rules: [ 'required', ], }, prescription_medications_description: { type: 'text', label: 'If yes, please list the medications and their effectiveness.', rules: [ 'required', ], conditions: [ [ 'prescription_medications', 'in', [ 'Yes', ], ], ], }, h4_9: { type: 'static', tag: 'h4', content: 'Are you currently taking any medications or supplements for gut health?', }, current_medications: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], rules: [ 'required', ], }, current_medications_description: { type: 'text', label: 'If yes, please list the products and dosages.', rules: [ 'required', ], conditions: [ [ 'current_medications', 'in', [ 'Yes', ], ], ], }, h2_10: { type: 'static', tag: 'h2', content: 'Other Conditions', }, h4_10: { type: 'static', tag: 'h4', content: 'Have you been diagnosed with any of the following conditions?', }, other_conditions: { type: 'checkboxgroup', view: 'blocks', items: [ { value: 'Irritable Bowel Syndrome (IBS)', label: 'Irritable Bowel Syndrome (IBS)', }, { value: 'Inflammatory Bowel Disease (IBD)', label: 'Inflammatory Bowel Disease (IBD)', }, { value: 'Crohn’s Disease', label: 'Crohn’s Disease', }, { value: 'Ulcerative Colitis', label: 'Ulcerative Colitis', }, { value: 'Celiac Disease', label: 'Celiac Disease', }, { value: 'Diverticulitis', label: 'Diverticulitis', }, { value: 'Small Intestinal Bacterial Overgrowth (SIBO)', label: 'Small Intestinal Bacterial Overgrowth (SIBO)', }, { value: 'Other', label: 'Other', }, ], rules: [ 'required', ], }, h4_11: { type: 'static', tag: 'h4', content: 'Do you suffer from chronic constipation or diarrhea?', }, chronic_constipation_diarrhea: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], rules: [ 'required', ], }, chronic_constipation_diarrhea_description: { type: 'text', label: 'If yes, please describe.', rules: [ 'required', ], conditions: [ [ 'chronic_constipation_diarrhea', 'in', [ 'Yes', ], ], ], }, h2_12: { type: 'static', tag: 'h2', content: 'Consumption Habits', }, h4_12: { type: 'static', tag: 'h4', content: 'Do you consume caffeine, nicotine, or alcohol?', }, consumption_habits: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], rules: [ 'required', ], }, consumption_habits_description: { type: 'text', label: 'If yes, please specify.', rules: [ 'required', ], conditions: [ [ 'consumption_habits', 'in', [ 'Yes', ], ], ], }, h4_13: { type: 'static', tag: 'h4', content: 'Do you have any history of lactose intolerance or sensitivities to sugar alcohols?', }, lactose_intolerance: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], rules: [ 'required', ], }, lactose_intolerance_description: { type: 'text', label: 'If yes, please describe.', rules: [ 'required', ], conditions: [ [ 'lactose_intolerance', 'in', [ 'Yes', ], ], ], }, h4_14: { type: 'static', tag: 'h4', content: 'Are you pregnant? (Female Specific)', }, pregnant: { type: 'radiogroup', view: 'blocks', items: [ { value: 'Yes', label: 'Yes', }, { value: 'No', label: 'No', }, ], rules: [ 'required', ], }, }, };