Buckeye ALS Transport
[date name="variable_1" default="02/01/2019"] Dispatched Unit [radio name="Dispatched Unit" value="Unit 21-01|Unit 22-01|Unit 23-01"] Was this scheduled? [select name="pre_scheduled" value="|Pre-Scheduled|Non Scheduled"] Origin Facility [select name="Origin Facility Name" value="|Clinton Memorial Hospital (Wilmington)|Highland District Hospital (Hillsboro)|Adena Greenfield Medical Center (Greenfield)|Adena Regional Medical Center (Chillicothe)|Miami Valley Hospital (Dayton)|UC Hospital (Cincinnati)|Bethesda North (Cincinnati)"] Origin Department [select name="Origin Facility Department" value="|Emergency Room|Telemetry Unit|Cardiac Unit"]
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 1, 5 form elements, 9 boilerplate words, 1 dates, 1 radio buttons, 3 drop downs, 5 total clicks
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