{
  "fields": {
    "delivery_location": {
      "label": "Location of delivery",
      "type": "select"
    },
    "delivery_mode": {
      "label": "Mode of delivery",
      "type": "select"
    },
    "prenatal_problems": {
      "label": "Prenatal problems",
      "type": "checkbox"
    },
    "childbirth_complications": {
      "label": "Childbirth complications",
      "type": "checkbox"
    }
  }
}