Question Types
Authorization
- Authorization labels are not shown to the participant on the front end, but are visible to the provider when running reports. We recommend you use a Form header or list the name of the authorization as the first line within the authorization text so the authorization has a title visible in the participant’s view.
- Hide Default Authorization Text: When adding a new authorization, under Authorization Options, there is a checkbox for Hide Default Authorization Text. This text will be hidden by default. The Default Authorization Text is, ‘I hereby accept and abide by the provisions of the following statement:’
- By default, users have to sign the required authorization, but may decline if Parent Can Decline Authorization is checked.
- If Relationship Field Required is checked, users will have to input their relationship to the participant.
- The standard authorization signature header is ‘Your Name’ by default, so we often add in the signature header as text as the last line of the authorization (e.g. ‘Parent/Guardian Signature’). If using a standard Authorization and there is a need for more than one signature, you can create a second authorization underneath with the text listing another signature header only (e.g. 'Participant Signature').
Authorizations are markdown friendly.
Download
Encrypted
Expanded Authorization
- Unlike Authorization labels, section labels in Expanded Authorizations are visible to the participant.
- Use ‘Section Can be Declined' for things that participants do not have to accept (e.g. media releases).
- Use ‘Add Signature' to add additional signatures.
- Signature lines are not required by default. Select ‘Signature Required’ if you want to require signatures.
- Signature labels can be customized for Expanded Authorizations.
Form
Instructions
Select
- States: Includes all 50 states and the District of Columbia.
- States/Provinces: Includes the 13 provinces of Canada, as well as the 50 U.S. states and the District of Columbia.
- Countries: Includes the widely accepted 240 nations and principalities around the globe.
- Grades (K-12): Includes a list of grades, from Preschool all the way up to the options graduate, college, and adult.
- Phone Types: Includes Cell, Home, Other, or Work phone types.
- Numeric Scale: 0-5 Scale.
- Marital Status: Single, Married, Separated, Divorced, Widowed
- Relationships: Mother, Father, Aunt, Uncle, Grandmother, Grandfather, Guardian, Sister, Brother, Other
- Clothing Sizes: Youth Small, Youth Medium, Youth Large, Adult Small, Adult Medium, Adult Large, Adult X-Large
- Agreement Scale: Standard questionnaire agreement scale, offering the options Strongly Disagree, Disagree, Unsure, Agree, and Strongly Agree.
- Race/Ethnicity: Offers 17 different options for race/ethnicity including ‘Other.' If using 'Other,’ be sure to include a follow-up question.
Text
- Short Answer: Default option that allows participants to input one line of text. This is suitable for questions like City, Address, or Parent Name.
- Large Text: Option that gives participants more space to enter more in-depth answers and expand the text entry box. This option should be selected on question that require more than a few words of explanation, such as questions that contain ‘Please explain:,’ ‘Details,’ or essay-type questions).
- Date: Option for that requires participants to enter a specific date, such as questions like ‘Date of last physical’ or ‘Date of departure.’ This option will automatically be in DD/MM/YYYY format.
- Phone: Option that requires participants to enter in at least 10 numbers, and only allows numeric inputs and 'x' (for extensions).
- Number: Option that only allows for numeric inputs, that includes a toggle on the right-hand-side to increase or decrease the amount. This is suitable for questions like, ‘How many years have you attended camp?’ or ‘How many years at your current job?’
- Email: Option that requires participants to enter a valid email address.
Upload
Yes/No
Yes/No + Details
Modules
Allegies
The Allergies Module collects allergic reactions from participants by asking the following three questions:
- Does [participant’s first name] have food allergies?
- Does [participant’s first name] have drug allergies?
- Does [participant’s first name] have environmental allergies?
If a participant answers 'Yes' to having an allergy, they will be asked follow-up questions such as, ‘Risk for Anaphylaxis?’. Additionally, their MedKit icon will turn red and the allergy information will display when you hover over their MedKit icon.
Important: The questions within the Allergies Module cannot be customized. However, you are able to add conditional sub-questions based on the participant’s response to the module questions. You can also add instructions to be displayed for participants (markdown/HTML friendly), set expirations, and set Sex, Age, and Subgroup Restrictions.
Dimensions
The Dimensions Module collects a participant’s height and weight information. Units can be selected to be in either English or Metric.
This information will appear in their MedKit as well as in the Health Log and eMAR.
Immunizations
The Immunizations Module collects participant immunization dates, either via an upload or manual input.
By default, this module contains both the web form and upload options, but this can be set to one or the other. The default input displayed when both web form and upload are enabled can also be set.
The individual immunizations can be set as required/not required, and the number of doses can also be changed in the web form.
Important: The Immunizations Module cannot be expired, and returning participants' records will automatically carry over. As a workaround, you may opt to use a custom Upload field instead of the Immunizations Module to collect immunization records. Please note that opting for the custom upload field removes the manual entry option.
Tip: Did you know that we have an automated option for retrieving immunization records in several states? Reach out to your Client Success Team or check out our Immunization Lookup Feature support article to learn more!
Medications
The Medications Module collects details about the participant’s medications by asking a series of questions. This module starts with a Yes/No question so that it can be required for all participants:
- Does [participant’s first name] take medications?
From there, if the participant answers ‘Yes’ to taking medications, additional fields will appear:
- Medication Name: The participant can choose from a list of standard medications (brands and generics). If their medication is not displayed, they have the option of free text to list any medication as needed.
- Strength: This refers to the amount of medication in a standard dose. If a standard medication from the list was selected, the Strength field will populate with a list of standard strengths for that medication .
- Dose Quantity: This refers to the amount of medication administered at one time (e.g. 2 capsules) or any other quantity. This field is always free text.
- Dose Form: A list of every type of physical dose form (e.g. capsules, drops, etc.) that can be given to a participant.
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Frequency: There are three options a participant can choose for frequency, which impacts how these medications appear on the eMAR:
- Daily: Medication will appear every day for the session dates for which that profile is registered
- Interval: Medication will appear every X days from the given date.
- Schedule: Medication can be set to specific days (e.g. every Tuesday, Thursday, Saturday).
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Times Given: The participant selects what time the medication should be given from the following options (these options can be toggled on/off):
- Overnight
- Early Morning
- Breakfast
- Late Morning
- Lunch
- Afternoon
- Dinner
- Bedtime
- As Needed
- Dates to Give: The participant selects whether a medication should be given continuously (every day of the session) or on specific dates (e.g. a 10 day range for an antibiotic course).
- Why does [participant's first name] take this medication?: The participant indicates what specific condition for which they are taking the medication (e.g. diabetes).
- Will [participant's first name] be taking this medication at [organization name]?: A Yes/No question that determines whether or not this medication will display in the eMAR.
- Specific Instructions: Any other specific details regarding the medications (e.g. keep refrigerated).
- Download medication confirmation form: This form generates based on the medications a participant enters and by default requires a physician’s signature confirming these medications.
If a participant answers 'Yes' to taking medications while at the program, the medication information will display when you hover over the MedKit icon, as well as in the Health Log and eMAR.
Over-the-Counter (OTC) Medications
The OTC Module collects a participant-approved selection of OTC medications via a series of Yes/No questions.
A participant’s approved OTC medications will appear in the Health Log so that a provider may chart administering an OTC medication. The OTC medications do not appear in the eMAR, as they are not regularly scheduled to be administered.