2929 placeholder =" 0"
3030 min =" 0"
3131 ></b-form-input >
32+ </b-form-group >
33+ <h6 >Part C</h6 >
34+ <b-form-group
35+ id =" check-in-input-question-1c"
36+ v-bind:label =" newCheckIn.questionnaire.questions[0].parts[2].label"
37+ >
38+ <b-form-input
39+ id =" question-1c"
40+ type =" number"
41+ v-model =" newCheckIn.questionnaire.questions[0].parts[2].value[0]"
42+ placeholder =" 0"
43+ min =" 0"
44+ ></b-form-input >
3245 </b-form-group >
3346
3447 <h5 >Question 2</h5 >
7184 <b-form-radio
7285 v-model =" newCheckIn.questionnaire.questions[1].parts[1].value[0]"
7386 name =" question-2b-radio"
74- value =" BCHD Mobile"
75- >BCHD Mobile</b-form-radio >
76- <b-form-radio
77- v-model =" newCheckIn.questionnaire.questions[1].parts[1].value[0]"
78- name =" question-2b-radio"
79- value =" Hospital System"
80- >Hospital System</b-form-radio >
81- <b-form-radio
82- v-model =" newCheckIn.questionnaire.questions[1].parts[1].value[0]"
83- name =" question-2b-radio"
84- value =" Lord Baltimore Hotel"
85- >Lord Baltimore Hotel</b-form-radio >
86- <b-form-radio
87- v-model =" newCheckIn.questionnaire.questions[1].parts[1].value[0]"
88- name =" question-2b-radio"
89- value =" Rite Aid"
90- >Rite Aid</b-form-radio >
91- <b-form-radio
92- v-model =" newCheckIn.questionnaire.questions[1].parts[1].value[0]"
93- name =" question-2b-radio"
94- value =" Safeway"
95- >Safeway</b-form-radio >
96- <b-form-radio
97- v-model =" newCheckIn.questionnaire.questions[1].parts[1].value[0]"
98- name =" question-2b-radio"
99- value =" Giant"
100- >Giant</b-form-radio >
101- <b-form-radio
102- v-model =" newCheckIn.questionnaire.questions[1].parts[1].value[0]"
103- name =" question-2b-radio"
104- value =" National Guard"
105- >National Guard</b-form-radio >
106- <b-form-radio
107- v-model =" newCheckIn.questionnaire.questions[1].parts[1].value[0]"
108- name =" question-2b-radio"
109- value =" Facility itself will organize vaccine clinic"
110- >* Facility itself will organize vaccine clinic *</b-form-radio >
111- <b-form-radio
112- v-model =" newCheckIn.questionnaire.questions[1].parts[1].value[0]"
113- name =" question-2b-radio"
114- value =" Other"
115- >Other</b-form-radio >
87+ value =" Not Applicable"
88+ >Not Applicable</b-form-radio >
11689 </b-form-group >
11790 <h6 >Part C</h6 >
11891 <b-form-group
135108 rows =" 1"
136109 ></b-form-textarea >
137110 </b-form-group >
138- <h6 >Part D</h6 >
139- <b-form-group
140- id =" check-in-input-question-2d"
141- v-bind:label =" newCheckIn.questionnaire.questions[1].parts[3].label"
142- >
143- <b-form-radio
144- v-model =" newCheckIn.questionnaire.questions[1].parts[3].value[0]"
145- name =" question-2d-radio"
146- value =" MedStar"
147- >MedStar</b-form-radio >
148- <b-form-radio
149- v-model =" newCheckIn.questionnaire.questions[1].parts[3].value[0]"
150- name =" question-2d-radio"
151- value =" Lifebridge"
152- >Lifebridge</b-form-radio >
153- <b-form-radio
154- v-model =" newCheckIn.questionnaire.questions[1].parts[3].value[0]"
155- name =" question-2d-radio"
156- value =" Hopkins"
157- >Hopkins</b-form-radio >
158- <b-form-radio
159- v-model =" newCheckIn.questionnaire.questions[1].parts[3].value[0]"
160- name =" question-2d-radio"
161- value =" Mercy"
162- >Mercy</b-form-radio >
163- <b-form-radio
164- v-model =" newCheckIn.questionnaire.questions[1].parts[3].value[0]"
165- name =" question-2d-radio"
166- value =" St Agnes"
167- >St Agnes</b-form-radio >
168- <b-form-radio
169- v-model =" newCheckIn.questionnaire.questions[1].parts[3].value[0]"
170- name =" question-2d-radio"
171- value =" Other"
172- >Other</b-form-radio >
173- </b-form-group >
174-
175-
176- <h6 >Part E</h6 >
177- <b-form-group
178- id =" check-in-input-question-2e"
179- v-bind:label =" newCheckIn.questionnaire.questions[1].parts[4].label"
180- >
181- <b-form-radio
182- v-model =" newCheckIn.questionnaire.questions[1].parts[4].value[0]"
183- name =" question-2e-radio"
184- value =" Walgreens"
185- >Walgreens</b-form-radio >
186- <b-form-radio
187- v-model =" newCheckIn.questionnaire.questions[1].parts[4].value[0]"
188- name =" question-2e-radio"
189- value =" CVS"
190- >CVS</b-form-radio >
191- <b-form-radio
192- v-model =" newCheckIn.questionnaire.questions[1].parts[4].value[0]"
193- name =" question-2e-radio"
194- value =" BCHD Mobile"
195- >BCHD Mobile</b-form-radio >
196- <b-form-radio
197- v-model =" newCheckIn.questionnaire.questions[1].parts[4].value[0]"
198- name =" question-2e-radio"
199- value =" Hospital System"
200- >Hospital System</b-form-radio >
201- <b-form-radio
202- v-model =" newCheckIn.questionnaire.questions[1].parts[4].value[0]"
203- name =" question-2e-radio"
204- value =" Lord Baltimore Hotel"
205- >Lord Baltimore Hotel</b-form-radio >
206- <b-form-radio
207- v-model =" newCheckIn.questionnaire.questions[1].parts[4].value[0]"
208- name =" question-2e-radio"
209- value =" Rite Aid"
210- >Rite Aid</b-form-radio >
211- <b-form-radio
212- v-model =" newCheckIn.questionnaire.questions[1].parts[4].value[0]"
213- name =" question-2e-radio"
214- value =" Safeway"
215- >Safeway</b-form-radio >
216- <b-form-radio
217- v-model =" newCheckIn.questionnaire.questions[1].parts[4].value[0]"
218- name =" question-2e-radio"
219- value =" Giant"
220- >Giant</b-form-radio >
221- <b-form-radio
222- v-model =" newCheckIn.questionnaire.questions[1].parts[4].value[0]"
223- name =" question-2e-radio"
224- value =" National Guard"
225- >National Guard</b-form-radio >
226- <b-form-radio
227- v-model =" newCheckIn.questionnaire.questions[1].parts[4].value[0]"
228- name =" question-2e-radio"
229- value =" Facility itself will organize vaccine clinic"
230- >* Facility itself will organize vaccine clinic *</b-form-radio >
231- <b-form-radio
232- v-model =" newCheckIn.questionnaire.questions[1].parts[4].value[0]"
233- name =" question-2e-radio"
234- value =" Other"
235- >Other</b-form-radio >
236- </b-form-group >
237- <h6 >Part F</h6 >
238- <b-form-group
239- id =" check-in-input-question-2f"
240- v-bind:label =" newCheckIn.questionnaire.questions[1].parts[5].label"
241- label-for =" question-2f"
242- >
243- <p class =" pi-alert" >
244- <span v-if =" elementFocus === 'question-2f'" >
245- <img alt =" Alert Icon" src =" ../assets/exclamation-triangle-solid.svg" />
246- <strong >Remember:</strong > Do not include any personal information
247- </span >
248- </p >
249- <b-form-textarea
250- id =" question-2f"
251- v-model =" newCheckIn.questionnaire.questions[1].parts[5].value[0]"
252- placeholder =" Response"
253- @focus =" elementFocus = 'question-2f'"
254- @blur =" elementFocus = 'null'"
255- rows =" 1"
256- ></b-form-textarea >
257- </b-form-group >
258- <h6 >Part G</h6 >
259- <b-form-group
260- id =" check-in-input-question-2g"
261- v-bind:label =" newCheckIn.questionnaire.questions[1].parts[6].label"
262- >
263- <b-form-radio
264- v-model =" newCheckIn.questionnaire.questions[1].parts[6].value[0]"
265- name =" question-2g-radio"
266- value =" MedStar"
267- >MedStar</b-form-radio >
268- <b-form-radio
269- v-model =" newCheckIn.questionnaire.questions[1].parts[6].value[0]"
270- name =" question-2g-radio"
271- value =" Lifebridge"
272- >Lifebridge</b-form-radio >
273- <b-form-radio
274- v-model =" newCheckIn.questionnaire.questions[1].parts[6].value[0]"
275- name =" question-2g-radio"
276- value =" Hopkins"
277- >Hopkins</b-form-radio >
278- <b-form-radio
279- v-model =" newCheckIn.questionnaire.questions[1].parts[6].value[0]"
280- name =" question-2g-radio"
281- value =" Mercy"
282- >Mercy</b-form-radio >
283- <b-form-radio
284- v-model =" newCheckIn.questionnaire.questions[1].parts[6].value[0]"
285- name =" question-2g-radio"
286- value =" St Agnes"
287- >St Agnes</b-form-radio >
288- <b-form-radio
289- v-model =" newCheckIn.questionnaire.questions[1].parts[6].value[0]"
290- name =" question-2g-radio"
291- value =" Other"
292- >Other</b-form-radio >
293- </b-form-group >
294111 <h5 >Question 3</h5 >
295112 <h6 >Part A</h6 >
296113 <b-form-group
355172 value =" I don't know"
356173 >I don't know</b-form-radio >
357174 </b-form-group >
358-
359- <h5 >Question 4</h5 >
360- <h6 >Part A</h6 >
361- <b-form-group
362- id =" check-in-input-question-4a"
363- v-bind:label =" newCheckIn.questionnaire.questions[3].parts[0].label"
364- >
365- <b-form-radio
366- v-model =" newCheckIn.questionnaire.questions[3].parts[0].value[0]"
367- name =" question-4a-radio"
368- value =" Yes"
369- >Yes</b-form-radio >
370- <b-form-radio
371- v-model =" newCheckIn.questionnaire.questions[3].parts[0].value[0]"
372- name =" question-4a-radio"
373- value =" No"
374- >No</b-form-radio >
375- <b-form-radio
376- v-model =" newCheckIn.questionnaire.questions[3].parts[0].value[0]"
377- name =" question-4a-radio"
378- value =" I don't know"
379- >I don't know</b-form-radio >
380- </b-form-group >
381- <h6 >Part B</h6 >
382- <b-form-group
383- id =" check-in-input-question-4b"
384- v-bind:label =" newCheckIn.questionnaire.questions[3].parts[1].label"
385- >
386- <b-form-input
387- id =" question-4b"
388- type =" number"
389- v-model =" newCheckIn.questionnaire.questions[3].parts[1].value[0]"
390- placeholder =" 0"
391- min =" 0"
392- ></b-form-input >
393- </b-form-group >
394- <h6 >Part C</h6 >
395- <b-form-group
396- id =" check-in-input-question-4c"
397- v-bind:label =" newCheckIn.questionnaire.questions[3].parts[2].label"
398- >
399- <b-form-input
400- id =" question-4c"
401- type =" number"
402- v-model =" newCheckIn.questionnaire.questions[3].parts[2].value[0]"
403- placeholder =" 0"
404- min =" 0"
405- ></b-form-input >
406- </b-form-group >
407-
408175 <h5 >Comments</h5 >
409176 <b-form-group
410177 id =" check-in-input-comments"
@@ -529,13 +296,18 @@ export default {
529296 parts: [
530297 {
531298 label:
532- ' How many residents or clients are currently at this factility?' ,
299+ ' How many residents are currently at this factility?' ,
533300 value: [null ]
534301 },
535302 {
536303 label:
537304 ' How many staff currently work at this factility?' ,
538305 value: [null ]
306+ },
307+ {
308+ label:
309+ ' Of those residents and staff, how many still need a Covid-19 vaccine?' ,
310+ value: [null ]
539311 }
540312 ]
541313 },
@@ -547,29 +319,11 @@ export default {
547319 value: [null ]
548320 },
549321 {
550- label: ' Please select the name of the federal or hospital partner. Note: If you have two contacts, you can specify the second contact on the next question.' ,
551- value: [null ]
552- },
553- {
554- label: ' If you selected "Other" please specify the name here:' ,
555- value: [null ]
556- },
557- {
558- label:
559- ' If you selected "Hospital System" please specify the name here:' ,
560- value: [null ]
561- },
562- {
563- label: ' Please select the name of the second interested federal or hospital partner.' ,
322+ label: ' Please select the name of the federal partner. Note: If you have two contacts, you can specify the second contact on the next question.' ,
564323 value: [null ]
565324 },
566325 {
567- label: ' If you selected "Other" please specify the name here:' ,
568- value: [null ]
569- },
570- {
571- label:
572- ' If you selected "Hospital System" please specify the name here:' ,
326+ label: ' Please indicate any other ways that residents and staff have received vaccines, or any information about issues with obtaining enough vaccines.' ,
573327 value: [null ]
574328 }
575329 ]
@@ -585,23 +339,7 @@ export default {
585339 value: [null ]
586340 },
587341 {
588- label: ' Are you interested in onsite vaccination thru BCHD mobile team?' ,
589- value: [null ]
590- }
591- ]
592- },
593- {
594- parts: [
595- {
596- label: ' Have any residents/clients or staff been vaccinated, or already scheduled for vaccine?' ,
597- value: [null ]
598- },
599- {
600- label: ' How many residents/clients have been vaccinated, or already scheduled for vaccine?' ,
601- value: [null ]
602- },
603- {
604- label: ' How many staff have been vaccinated, or already scheduled for vaccine?' ,
342+ label: ' If available, are you interested in onsite vaccination thru BCHD mobile team?' ,
605343 value: [null ]
606344 }
607345 ]
@@ -633,17 +371,14 @@ export default {
633371 },
634372 resetCheckin () {
635373 this .newCheckIn .questionnaire .questions [0 ].parts [0 ].value [0 ] = null ;
374+ this .newCheckIn .questionnaire .questions [0 ].parts [1 ].value [0 ] = null ;
375+ this .newCheckIn .questionnaire .questions [0 ].parts [2 ].value [0 ] = null ;
636376 this .newCheckIn .questionnaire .questions [1 ].parts [0 ].value [0 ] = null ;
637377 this .newCheckIn .questionnaire .questions [1 ].parts [1 ].value [0 ] = null ;
638378 this .newCheckIn .questionnaire .questions [1 ].parts [2 ].value [0 ] = null ;
639- this .newCheckIn .questionnaire .questions [1 ].parts [3 ].value [0 ] = null ;
640- this .newCheckIn .questionnaire .questions [1 ].parts [4 ].value [0 ] = null ;
641379 this .newCheckIn .questionnaire .questions [2 ].parts [0 ].value [0 ] = null ;
642- this .newCheckIn .questionnaire .questions [3 ].parts [0 ].value [0 ] = null ;
643- this .newCheckIn .questionnaire .questions [4 ].parts [0 ].value [0 ] = null ;
644- this .newCheckIn .questionnaire .questions [4 ].parts [0 ].value [1 ] = null ;
645- this .newCheckIn .questionnaire .questions [4 ].parts [0 ].value [2 ] = null ;
646- this .newCheckIn .questionnaire .questions [4 ].parts [1 ].value [0 ] = null ;
380+ this .newCheckIn .questionnaire .questions [2 ].parts [1 ].value [0 ] = null ;
381+ this .newCheckIn .questionnaire .questions [2 ].parts [2 ].value [0 ] = null ;
647382 this .newCheckIn .comments .value = null ;
648383 this .newCheckIn .status = null ;
649384 },
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