export default{ steps: { page0: { elements: [ 'h3', 'dizziness_or_fainting', ], }, page1: { elements: [ 'h3_1', 'falls_that_caused_an_injury', ], }, page2: { elements: [ 'h3_2', 'stroke', ], }, page3: { elements: [ 'h3_3', 'shortness_of_breath_when_walking_1_to_2_blocks', ], }, page4: { elements: [ 'h3_4', 'shortness_of_breath_when_climbing_1_flight_of_stairs', ], }, page5: { elements: [ 'h3_5', 'shortness_of_breath_when_lying_down', ], }, page6: { elements: [ 'h3_6', 'lower_leg_cramps_while_walking', ], }, page7: { elements: [ 'h3_7', 'bleeding_problems_or_low_iron_also _called_anemia', ], }, page8: { elements: [ 'h3_8', 'blood_clot_in_leg_also_called_phlebitis', ], }, page9: { elements: [ 'h3_9', 'high_cholesterol', ], }, page10: { elements: [ 'h3_10', 'diabetes', ], }, page11: { elements: [ 'h3_11', 'high_blood_pressure', ], }, page12: { elements: [ 'h3_12', 'heart_murmur_or_abnormal_heart_valve', ], }, page13: { elements: [ 'h3_13', 'uncomfortable_feeling_in_the_chest', ], }, page14: { elements: [ 'h3_14', 'chest_pain_with_activity_also_called_angina', ], }, page15: { elements: [ 'h3_15', 'heart_attack_also_called_myocardial_infarction', ], }, page16: { elements: [ 'h3_16', 'swollen_legs', ], }, page17: { elements: [ 'h3_17', 'ankles_or_feet', ], }, page18: { elements: [ 'h3_18', 'Irregular_heartbeat', ], }, page19: { elements: [ 'h3_19', 'stress_test_or_treadmill_test', ], }, page20: { elements: [ 'h3_20', 'cardiac_catheterization_or_angiogram', ], }, page21: { elements: [ 'h3_21', 'angioplasty_or_stent', ], }, page22: { elements: [ 'h3_22', 'heart_surgery_If_so_what_kind', 'hurt_surgery_kind_please_explain', ], }, page23: { elements: [ 'h3_23', 'special_meal_plan_or_diet', 'which_special_meal_plan_or_diet', ], }, page24: { elements: [ 'h3_24', 'do_you_exercise_regularly', 'exercisy_regularly_how many_days_a_week', ], }, }, schema: { h3: { type: 'static', tag: 'h3', content: 'Dizziness or fainting', }, dizziness_or_fainting: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_1: { type: 'static', tag: 'h3', content: 'Falls that caused an injury', }, falls_that_caused_an_injury: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_2: { type: 'static', tag: 'h3', content: 'Stroke', }, stroke: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_3: { type: 'static', tag: 'h3', content: 'Shortness of breath when walking 1 to 2 blocks', }, shortness_of_breath_when_walking_1_to_2_blocks: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_4: { type: 'static', tag: 'h3', content: 'Shortness of breath when climbing 1 flight of stairs', }, shortness_of_breath_when_climbing_1_flight_of_stairs: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_5: { type: 'static', tag: 'h3', content: 'Shortness of breath when lying down', }, shortness_of_breath_when_lying_down: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_6: { type: 'static', tag: 'h3', content: 'Lower leg cramps while walking', }, lower_leg_cramps_while_walking: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_7: { type: 'static', tag: 'h3', content: 'Bleeding problems or low iron (also called anemia)', }, 'bleeding_problems_or_low_iron_also _called_anemia': { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_8: { type: 'static', tag: 'h3', content: 'Blood clot in leg (also called phlebitis)', }, blood_clot_in_leg_also_called_phlebitis: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_9: { type: 'static', tag: 'h3', content: 'High cholesterol', }, high_cholesterol: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_10: { type: 'static', tag: 'h3', content: 'Diabetes', }, diabetes: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_11: { type: 'static', tag: 'h3', content: 'High blood pressure', }, high_blood_pressure: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_12: { type: 'static', tag: 'h3', content: 'Heart murmur or abnormal heart valve', }, heart_murmur_or_abnormal_heart_valve: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_13: { type: 'static', tag: 'h3', content: 'Uncomfortable feeling in the chest', }, uncomfortable_feeling_in_the_chest: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_14: { type: 'static', tag: 'h3', content: 'Chest pain with activity (also called angina)', }, chest_pain_with_activity_also_called_angina: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_15: { type: 'static', tag: 'h3', content: 'Heart attack (also called myocardial infarction)', }, heart_attack_also_called_myocardial_infarction: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_16: { type: 'static', tag: 'h3', content: 'Swollen legs', }, swollen_legs: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_17: { type: 'static', tag: 'h3', content: 'ankles or feet', }, ankles_or_feet: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], rules: [ 'required', ], }, h3_18: { type: 'static', tag: 'h3', content: 'Irregular heartbeat', }, Irregular_heartbeat: { type: 'radiogroup', items: [ { value: 'Within last 30 days', label: 'Within last 30 days', }, { value: 'In the past', label: 'In the past', }, ], }, h3_19: { type: 'static', tag: 'h3', content: 'Have you had any of the following tests or procedures?', }, stress_test_or_treadmill_test: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], label: 'Stress test or treadmill test:', rules: [ 'required', ], }, h3_20: { type: 'static', tag: 'h3', content: 'Have you had any of the following tests or procedures', }, cardiac_catheterization_or_angiogram: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], label: 'Cardiac catheterization or angiogram:', rules: [ 'required', ], }, h3_21: { type: 'static', tag: 'h3', content: 'Have you had any of the following tests or procedures?', }, angioplasty_or_stent: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], label: 'Angioplasty or stent', rules: [ 'required', ], }, h3_22: { type: 'static', tag: 'h3', content: 'Have you had any of the following tests or procedures?', }, heart_surgery_If_so_what_kind: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], label: 'Heart surgery If so, what kind?', rules: [ 'required', ], }, hurt_surgery_kind_please_explain: { type: 'textarea', label: 'Please explain', conditions: [ [ 'heart_surgery_If_so_what_kind', 'in', [ 'yes', ], ], ], }, h3_23: { type: 'static', tag: 'h3', content: 'Do you follow a special meal plan or diet (such as Atkins®, Weight Watchers®, vegetarian, low fat, or diabetic)?', }, special_meal_plan_or_diet: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], rules: [ 'required', ], }, which_special_meal_plan_or_diet: { type: 'text', label: 'Which meal plan or diet you follow?', conditions: [ [ 'special_meal_plan_or_diet', 'in', [ 'yes', ], ], ], }, h3_24: { type: 'static', tag: 'h3', content: 'Do you exercise regularly?', }, do_you_exercise_regularly: { type: 'radiogroup', items: [ { value: 'yes', label: 'Yes', }, { value: 'no', label: 'No', }, ], rules: [ 'required', ], }, 'exercisy_regularly_how many_days_a_week': { type: 'text', label: 'How many days a week?', conditions: [ [ 'do_you_exercise_regularly', 'in', [ 'yes', ], ], ], }, }, }