OBS Initial Eval

The    patient    is    a    [text name="variable_1" default="sample text"][comment memo="age"]year    old   [select name="variable_1" value="male|female"]    who    arrived    to    UPC    via    [select name="variable_1" value="Police|Crisis|lobby"]    [checklist name="variable_1" value="on    an    A/B    petition|Voluntarily|ACOT|PAD"]    for    [textarea name="variable_1" default="sample text"]
A/B    Petition   :
According    to    the    allegations   in    the    petition: "[textarea name="variable_1" default="sample text"]    "   
The    patient    is    [checklist name="variable_1" value="cooperative|partially    cooperative|partially    cooperative|engaged
agitated| aggressive| timid|fearful| antsy| guarded| suspicious| confident| restless| indifferent/unmotivated, suspicious, childlike, flirtatious/seductive| Catatonic|acutely    psychotic|disorganized|paranoid    of    staff"][text name="variable_1" default="sample text"][comment memo="other/describe"]
[checklist name="variable_1" value="The    patient    is    able    to    participate    in    the    assessment.|The    patient    is    refusing    to    engage    in    the    assessment.|The    patients    psychosis    is    limiting    the    patients    ability    to    participate    meaningfully   in    the    assessment."]
The patient is a ageyear old who arrived to UPC via for

A/B Petition :
According to the allegations in the petition: "
The patient is other/describe

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.56, 11 form elements, 26 boilerplate words, 2 text boxes, 2 text areas, 3 check lists, 2 drop downs, 2 comments, 30 total clicks
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