{"@context":{"ixo":"https://w3id.org/ixo/ns/protocol/","@id":"@type","type":"@type","@protected":true},"type":"ixo:entity#surveyTemplate","question":{"_namespaces":{"schema":"https://schema.org/","ixo":"https://w3id.org/ixo/vocab/","custom":"https://w3id.org/ixo/begreen/"},"title":"Enumerator Appointment Confirmation","description":"Fill this in before a BeGreen team member visits your business. It takes about 2 minutes.","showProgressBar":"top","progressBarType":"pages","showQuestionNumbers":"on","questionErrorLocation":"bottom","completeText":"Send","pageNextText":"Next","pagePrevText":"Back","pages":[{"name":"start","title":"Before you begin","elements":[{"type":"html","name":"dcterms:description_intro","html":"<div style='line-height:1.6'><p>A BeGreen team member will visit your business. This form tells us that you know about the visit and agree to it.</p><p>You will be asked for your name, your phone number, where your business is, who is visiting you, and the day of the visit.</p><p><b> </b></p></div>"}]},{"name":"aboutYou","title":"About you","elements":[{"type":"panel","name":"schema:Person","title":"The person who owns the business","elements":[{"type":"text","name":"schema:givenName","title":"What is your first name?","isRequired":true,"inputType":"text"},{"type":"text","name":"schema:familyName","title":"What is your last name?","isRequired":true,"inputType":"text"},{"type":"text","name":"schema:telephone","title":"What is your phone number?","isRequired":true,"inputType":"tel","description":"The number we can call about this visit. For example: 080 123 4567 (Nigeria) or 082 123 4567 (South Africa)."}]}]},{"name":"visitPlace","title":"Where the visit will happen","elements":[{"type":"dropdown","name":"schema:addressCountry","title":"Which country is your business in?","isRequired":true,"placeholder":"Choose your country","choices":[{"value":"NG","text":"Nigeria"},{"value":"ZA","text":"South Africa"}]},{"type":"map-grid-selector","name":"ixo:location","title":"Where is your business?","isRequired":true,"description":"Turn on your phone location. Zoom in on the map until you see small blocks. Tap the block your business is in. Check that the location shows under the map before you go on.","allowMultiple":false,"gridPrecision":9}]},{"name":"visitDetails","title":"The visit","elements":[{"type":"panel","name":"schema:Event","title":"Your booked visit","elements":[{"type":"dropdown","name":"schema:name_enumerator","title":"Who is coming to visit you?","isRequired":true,"description":"Pick the name of the BeGreen person who will visit you. They gave you their name when the visit was booked. Only names for your country are shown.","placeholder":"Choose a name","choices":[{"value":"","text":""},{"value":"Abdullahi Usama","text":"Abdullahi Usama","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Afo Cecilia Ukwin","text":"Afo Cecilia Ukwin","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Agbakwo Magnus Chidiebere","text":"Agbakwo Magnus Chidiebere","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Ajibike Abdulbasit Abiodun","text":"Ajibike Abdulbasit Abiodun","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Atsuku Msenhemba Mercy","text":"Atsuku Msenhemba Mercy","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Ayinpo Mercy Kiyani","text":"Ayinpo Mercy Kiyani","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Charles Chinwendu Nwaeze","text":"Charles Chinwendu Nwaeze","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Dare Tunde Damilola","text":"Dare Tunde Damilola","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Elizabeth Bitrus Rabson","text":"Elizabeth Bitrus Rabson","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Elujoba Esther","text":"Elujoba Esther","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Fatima Zannah","text":"Fatima Zannah","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Florence Yidma Hosea","text":"Florence Yidma Hosea","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Friday Praise","text":"Friday Praise","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Godwin Onaolapo Lasisi","text":"Godwin Onaolapo Lasisi","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Grace Olaleye Oluwakemi","text":"Grace Olaleye Oluwakemi","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Habiba Yakubu","text":"Habiba Yakubu","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Hakimat Abdulkadir","text":"Hakimat Abdulkadir","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Ibrahim Murtala Muhammad","text":"Ibrahim Murtala Muhammad","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Iremide Olaleye","text":"Iremide Olaleye","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Irewole Solomon Faturoti","text":"Irewole Solomon Faturoti","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Life Dumbari","text":"Life Dumbari","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Micah Yohana","text":"Micah Yohana","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Mustapha Shehu Abdullahi","text":"Mustapha Shehu Abdullahi","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Nduneri Udodirim U","text":"Nduneri Udodirim U","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Nnorom Amarachi Maryann","text":"Nnorom Amarachi Maryann","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Nwankwo Praise Chidiebube","text":"Nwankwo Praise Chidiebube","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Nwugo Uzhiekachi Merit","text":"Nwugo Uzhiekachi Merit","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Oluwaferanmi Esther Afolabi","text":"Oluwaferanmi Esther Afolabi","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Saifullah Safiyanu","text":"Saifullah Safiyanu","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Sani Mustapha Jani","text":"Sani Mustapha Jani","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Sanni Biola","text":"Sanni Biola","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Solomon John","text":"Solomon John","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Temiloluwa Bolawole","text":"Temiloluwa Bolawole","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Theresa Tolulope Gbenro","text":"Theresa Tolulope Gbenro","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Uche Nwosu","text":"Uche Nwosu","visibleIf":"{schema:addressCountry} = 'NG'"},{"value":"Alwande Msweli","text":"Alwande Msweli","visibleIf":"{schema:addressCountry} = 'ZA'"},{"value":"Famanda Patricia Lala","text":"Famanda Patricia Lala","visibleIf":"{schema:addressCountry} = 'ZA'"},{"value":"Fannie Thabo Mazibuko","text":"Fannie Thabo Mazibuko","visibleIf":"{schema:addressCountry} = 'ZA'"},{"value":"Gedija Tshwelesa","text":"Gedija Tshwelesa","visibleIf":"{schema:addressCountry} = 'ZA'"},{"value":"Lacidia Ramasenya","text":"Lacidia Ramasenya","visibleIf":"{schema:addressCountry} = 'ZA'"},{"value":"Lefagahlele Makotanyane","text":"Lefagahlele Makotanyane","visibleIf":"{schema:addressCountry} = 'ZA'"},{"value":"Mpilenhle Buthelezi","text":"Mpilenhle Buthelezi","visibleIf":"{schema:addressCountry} = 'ZA'"},{"value":"Ponagatso Mdhlalose","text":"Ponagatso Mdhlalose","visibleIf":"{schema:addressCountry} = 'ZA'"},{"value":"Portia Puseletso Choane","text":"Portia Puseletso Choane","visibleIf":"{schema:addressCountry} = 'ZA'"},{"value":"Samkelisiwe Mhlungu","text":"Samkelisiwe Mhlungu","visibleIf":"{schema:addressCountry} = 'ZA'"},{"value":"Simamkele Ngonyama","text":"Simamkele Ngonyama","visibleIf":"{schema:addressCountry} = 'ZA'"},{"value":"Siphesihle Dlamini","text":"Siphesihle Dlamini","visibleIf":"{schema:addressCountry} = 'ZA'"},{"value":"Thulani Khumalo","text":"Thulani Khumalo","visibleIf":"{schema:addressCountry} = 'ZA'"}]},{"type":"text","name":"schema:startDate","title":"What day is the visit?","isRequired":true,"inputType":"date"}]},{"type":"radiogroup","name":"custom:appointmentConfirmed","title":"I confirm the details are correct","isRequired":true,"choices":[{"value":"yes","text":"Yes"}]}]}]}}