<form>
<div class="form-group field-s06" data-id="will_the_work_involve">
<fieldset>
<legend class="control-label">Will the work involve any of the following?</legend>
<div class="field-wrapper">
<label>
<input type="checkbox" value="foundation" data-formtype="s06" name="work_involves[]">
<span class="inline-label">Repairing or replacing the building's foundation</span>
</label>
<label>
<input type="checkbox" value="driveway" data-formtype="s06" name="work_involves[]">
<span class="inline-label">Building a driveway or auto runway</span>
</label>
<label>
<input type="checkbox" value="street-space" data-formtype="s06" name="work_involves[]">
<span class="inline-label">Using street space</span>
</label>
<label>
<input type="checkbox" value="facade" data-formtype="s06" name="work_involves[]">
<span class="inline-label">Changing the front facade</span>
</label>
<label>
<input type="checkbox" value="sidewalk" data-formtype="s06" name="work_involves[]">
<span class="inline-label">Repairing or changing the sidewalk above a basement</span>
</label>
<div class="help-block with-errors"></div>
</div>
</fieldset>
</div>
</form>
<form>
<div class="form-group field-s06" data-id="{{ id }}">
<fieldset>
<legend class="control-label">{{ title }}</legend>
<div class="field-wrapper">
{% for option in options %}
<label>
<input type="checkbox" value="{{ option.value | default(option.title) }}" data-formtype="s06" name="{{ option.name | default(name) | default(id) }}">
<span class="inline-label">{{ option.title }}</span>
</label>
{% endfor %}
<div class="help-block with-errors"></div>
</div>
</fieldset>
</div>
</form>
{
"id": "will_the_work_involve",
"title": "Will the work involve any of the following?",
"name": "work_involves[]",
"options": [
{
"title": "Repairing or replacing the building's foundation",
"value": "foundation"
},
{
"title": "Building a driveway or auto runway",
"value": "driveway"
},
{
"title": "Using street space",
"value": "street-space"
},
{
"title": "Changing the front facade",
"value": "facade"
},
{
"title": "Repairing or changing the sidewalk above a basement",
"value": "sidewalk"
}
]
}
There are no notes for this item.