{
    "form": {
        "settings": {
            "title": "Feedback Form"
        },
        "fields": [
            {
                "name": "heading_1",
                "heading_text": "Personal Information",
                "subheading_text": "This information will not be shared.",
                "heading_type": "h3",
                "type": "heading"
            },
            {
                "name": "your_name",
                "title": "Name",
                "description": "",
                "default": "",
                "required": "1",
                "type": "text",
                "placeholder": ""
            },
            {
                "name": "email",
                "title": "Email",
                "description": "",
                "default": "",
                "required": "1",
                "type": "email",
                "placeholder": ""
            },
            {
                "name": "phone",
                "title": "Phone",
                "description": "",
                "default": "",
                "required": "0",
                "type": "phone",
                "placeholder": ""
            },
            {
                "name": "heading_2",
                "heading_text": "Rate Your Experience",
                "subheading_text": "Please rate each aspect of your experience, on a scale from 1-10, with 1 being the worst and 10 being the best.",
				"heading_type": "h3",
                "type": "heading"
            },
            {
                "name": "rating_overall",
                "title": "Overall Experience",
                "description": "",
                "default": "",
                "max": "10",
                "required": "1",
                "type": "rating",
                "placeholder": ""
            },
            {
                "name": "rating_staff",
                "title": "Friendliness of Staff",
                "description": "",
                "default": "",
                "max": "10",
                "required": "1",
                "type": "rating",
                "placeholder": ""
            },
            {
                "name": "rating_quality",
                "title": "Quality of the product",
                "description": "",
                "default": "",
                "max": "10",
                "required": "1",
                "type": "rating",
                "placeholder": ""
            },
            {
                "name": "rating_value",
                "title": "Value for the money",
                "description": "",
                "default": "",
                "max": "10",
                "required": "1",
                "type": "rating",
                "placeholder": ""
            },
            {
                "name": "rating_facilities",
                "title": "Cleanliness of the facilities",
                "description": "",
                "default": "",
                "max": "10",
                "required": "1",
                "type": "rating",
                "placeholder": ""
            },
            {
                "name": "rating_recommend",
                "title": "How likely are you to recommend us to a friend or colleague?",
                "description": "",
                "default": "",
                "max": "10",
                "required": "1",
                "type": "rating",
                "placeholder": ""
            },
            {
                "name": "comments",
                "title": "Other Comments",
                "description": "Please share any other comments you may have:",
                "default": "",
                "required": "0",
                "type": "textarea",
                "placeholder": ""
            }
        ]
    },
    "goal": {
        "title": "Collect User Feedback",
		"after_action": "free_text",
        "after_values": {
			"free_text": "Thank you! We will contact you shortly."
		}
    }
}