RE-ENGAGEMENT ATTEMPT Writer attempted call to re-engage client to treatment due to [select name="variable_1" value="24 hour|72 hour|7 day| "] absence from program. [checkbox name="variable_2" value="Call could not be completed due to number not being on file.|Call could not be completed due to number being out of service.|Call was connected, was not answered, and a message was left for client to call clinic.|Call was connected but message could not be left due to voicemail box.|Call connected and was answered by"][comment memo="Add information here if call was answered or leave blank"][textarea name="variable_3" default=""] FOLLOW-UP: [checkbox name="variable_4" value="Writer will attempt re-engagement x2 more.|Writer will attempted re-engagement x1 more.|Writer will prepare and send re-engagement letter to address on file.|Writer will staff client to determine if contact information is accurate."] [comment memo="If other follow-up is needed use text box to explain, or leave blank if not needed"][text name="variable_5" default=""]
There are 7 form elements.
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 0.6, 7 form elements, 16 boilerplate words, 1 text boxes, 1 text areas, 2 checkboxes, 1 drop downs, 2 comments, 12 total clicks
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