\n\n

{{ surveyName }}<\/h2>\n\n {{#if confirmation}}\n {{{ confirmation }}}\n\n {{else}}\n\n {{#if surveyIntroduction }}\n
{{ surveyIntroduction }}<\/p>\n {{\/if}}\n\n \n\n\n {{#is settings.consId \"===\" \"0\" }}\n
\n Have a Luminate Online account? Log in.<\/a>\n <\/div>\n {{\/is}}\n\n\n \n \n\n\n {{#if hasErrors }}\n
\n An error occurred.<\/strong>
Please correct the field entries below.\n <\/div>\n {{\/if}}\n\n\n
\n
\n <\/span> = required field\n <\/div>\n <\/div>\n\n\n {{#each surveyQuestions}}\n\n {{#is questionType \"===\" \"ShortTextValue\" }}\n
\n {{ questionText }}{{#is questionRequired \"===\" \"true\" }}<\/span>{{\/is}}<\/label>\n
\n \n {{#if error }}\n
{{ error }}<\/div>\n {{\/if}}\n <\/div>\n <\/div>\n {{\/is}}\n\n {{#is questionType \"===\" \"TextValue\" }}\n
\n {{ questionText }}{{#is questionRequired \"===\" \"true\" }}<\/span>{{\/is}}<\/label>\n
\n {{ value }}<\/textarea>\n {{#if questionHint }}\n <div class=\"help-block\">{{ questionHint }}<\/div>\n {{\/if}}\n {{#if error }}\n <div class=\"help-block\">{{ error }}<\/div>\n {{\/if}}\n <\/div>\n <\/div>\n {{\/is}}\n\n {{#is questionType \"===\" \"YesNo\" }}\n <div class=\"form-group{{#if error }} has-error{{\/if}}\">\n <label class=\"col-sm-3 control-label\" for=\"short-text-{{ @index }}\">{{ questionText }}{{#is questionRequired \"===\" \"true\" }}<span class=\"text-danger form-required-marker\"><\/span>{{\/is}}<\/label>\n <div class=\"col-sm-9\">\n <select class=\"form-control\" id=\"question_{{ questionId }}\" name=\"question_{{ questionId }}\">\n <option value=\"NOREPLY\">Please select...<\/option>\n {{#each questionTypeData.surveyQuestionData.availableAnswer }}\n <option value=\"{{ value }}\"{{#is ..\/value \"===\" value}} checked{{\/is}}>{{ label }}<\/option>\n {{\/each}}\n <\/select>\n {{#if error }}\n <div class=\"help-block\">{{ error }}<\/div>\n {{\/if}}\n <\/div>\n <\/div>\n {{\/is}}\n\n {{#is questionType \"===\" \"TrueFalse\" }}\n <div class=\"form-group{{#if error }} has-error{{\/if}}\">\n <label class=\"col-sm-3 control-label\" for=\"short-text-{{ @index }}\">{{ questionText }}{{#is questionRequired \"===\" \"true\" }}<span class=\"text-danger form-required-marker\"><\/span>{{\/is}}<\/label>\n <div class=\"col-sm-9\">\n <select class=\"form-control\" id=\"question_{{ questionId }}\" name=\"question_{{ questionId }}\">\n <option value=\"NOREPLY\">Please select...<\/option>\n {{#each questionTypeData.surveyQuestionData.availableAnswer }}\n <option value=\"{{ value }}\"{{#is ..\/value \"===\" value}} checked{{\/is}}>{{ label }}<\/option>\n {{\/each}}\n <\/select>\n {{#if error }}\n <div class=\"help-block\">{{ error }}<\/div>\n {{\/if}}\n <\/div>\n <\/div>\n {{\/is}}\n\n {{#is questionType \"===\" \"MultiSingle\" }}\n <div class=\"form-group{{#if error }} has-error{{\/if}}\">\n <label class=\"col-sm-3 control-label\" for=\"short-text-{{ @index }}\">{{ questionText }}{{#is questionRequired \"===\" \"true\" }}<span class=\"text-danger form-required-marker\"><\/span>{{\/is}}<\/label>\n <div class=\"col-sm-9\">\n <select class=\"form-control\" id=\"question_{{ questionId }}\" name=\"question_{{ questionId }}\">\n <option value=\"NOREPLY\">Please select...<\/option>\n {{#each questionTypeData.surveyQuestionData.availableAnswer }}\n <option value=\"{{ value }}\"{{#is ..\/value \"===\" value}} checked{{\/is}}>{{ label }}<\/option>\n {{\/each}}\n <\/select>\n {{#if error }}\n <div class=\"help-block\">{{ error }}<\/div>\n {{\/if}}\n <\/div>\n <\/div>\n {{\/is}}\n\n {{#is questionType \"===\" \"MultiSingleRadio\" }}\n <div class=\"form-group{{#if error }} has-error{{\/if}}\">\n <label class=\"col-sm-3 control-label\" for=\"short-text-{{ @index }}\">{{ questionText }}{{#is questionRequired \"===\" \"true\" }}<span class=\"text-danger form-required-marker\">*<\/span>{{\/is}}<\/label>\n <div class=\"col-sm-9\" id=\"question_{{ questionId }}\">\n {{#each questionTypeData.surveyQuestionData.availableAnswer }}\n <div class=\"radio\">\n <label><input type=\"radio\" name=\"question_{{ ..\/questionId }}\" value=\"{{ value }}\"{{#is ..\/value \"===\" value}} checked{{\/is}}>{{ label }}<\/label>\n <\/div>\n {{\/each}}\n {{#if error }}\n <div class=\"help-block\">{{ error }}<\/div>\n {{\/if}}\n <\/div>\n <\/div>\n {{\/is}}\n\n {{\/each}}\n\n\n <div class=\"form-group\">\n <div class=\"col-sm-9 col-sm-push-3\">\n <button type=\"submit\" class=\"btn btn-primary btn-submit\">{{ submitButtonLabel }}<\/button>\n <\/div>\n <\/div>\n <\/form>\n {{\/if}}\n<\/div>\n"</article></body></html>

Community Health Services