Women in Physics Evening
{"elements":[{"isDiscrete":false,"hidden":false,"name":"Full Name:","readOnly":false,"id":615102671,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Date of Birth","readOnly":false,"id":621617209,"type":"dateTimeElement"},{"isDiscrete":false,"hidden":false,"name":"Email Address: (preferably your personal email address - not your school)","readOnly":false,"id":615102779,"type":"emailElement"},{"isDiscrete":false,"hidden":false,"name":"Telephone Number:","readOnly":false,"id":622621856,"type":"numberElement"},{"isDiscrete":false,"hidden":false,"name":"6th Form/College Name:","readOnly":false,"id":615102847,"type":"textFieldElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"}],"name":"I am happy to be contacted via email about the Women in Physics Evening:","readOnly":false,"id":615102974,"type":"radioElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"}],"name":"I would like to hear about other outreach opportunities that XMaS has to offer:","readOnly":false,"id":615108409,"type":"radioElement"}]}