BAME Mentee Form

{"elements":[{"isDiscrete":false,"hidden":false,"name":"Name","readOnly":false,"id":535340563,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"University ID","readOnly":false,"id":535340568,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Which cohort are you in","readOnly":false,"id":535341493,"type":"numberElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"21-24","value":"0-2124"},{"text":"25-30","value":"1-2530"},{"text":"31-35","value":"2-3135"},{"text":"36+","value":"3-36"}],"name":"Age","readOnly":false,"id":535340729,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"Undergraduate degree","readOnly":false,"id":535341490,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"What support would you be looking for from your mentor (e.g. exam technique skills/ transitioning from non-science degree to medicine etc.) ","readOnly":false,"id":535341530,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Daily","value":"0-daily"},{"text":"Regularly","value":"1-regularly"},{"text":"Once a fortnight","value":"2-onceafortnight"},{"text":"Once a month","value":"3-onceamonth"},{"text":"Termly","value":"4-termly"},{"text":"Bi-annually","value":"5-biannually"}],"name":"How often would you like to meet up or have contact with your mentor","readOnly":false,"id":535341557,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"What are your main Non-Medical Interests","readOnly":false,"id":535340892,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Male","value":"0-male"},{"text":"Female","value":"1-female"},{"text":"No preference","value":"2-nopreference"}],"name":"Do you have a preference on the gender of your mentor","readOnly":false,"id":535340917,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"Is there anything else you would like your mentor to know about you","readOnly":false,"id":535340930,"type":"textBoxElement"}]}