Lead Screening
Routine blood lead screening: [select name="Q1" value="no|YES"] <-- moving from a foreign country within last 12 months [select name="Q2" value="no|YES"] <-- moving from a major metropolitan area within last 12 months [select name="Q3" value="no|YES"] <-- receiving MA (Medical Assistance) [select name="Q4" value="no|YES"] <-- receiving WIC (Supplemental Food Program for Women, Infants, and Children) [select name="Q5" value="no|YES"] <-- receiving Medicaid [select name="Q6" value="no|YES"] <-- living in a home built before 1950 [select name="Q7" value="no|YES"] <-- visiting a home built before 1950 in past 6 months [select name="Q8" value="no|YES"] <-- attending day care in a home built before 1950 in past 6 months [select name="Q9" value="no|YES"] <-- sibling or housemate diagnosed with blood lead poisoning [select name="Q10" value="no|YES"] <-- playmate diagnosed with blood lead poisoning [select name="Q11" value="no|YES"] <-- living in or regularly visiting a building built before 1978 with recent repair, remodeling, or damage
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 1, 1 form elements, 162 boilerplate words, 1 drop downs, 1 total clicks
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