BAME Mentor Form

{"elements":[{"isDiscrete":false,"hidden":false,"name":"Name","readOnly":false,"id":535341832,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"University ID","readOnly":false,"id":535341833,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Which cohort are you in","readOnly":false,"id":535341834,"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":535341835,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"Undergraduate degree","readOnly":false,"id":535341836,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"How could you support your mentee (e.g. exam technique skills/transitioning from non-science degree to medicine etc)","readOnly":false,"id":535341837,"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 mentee","readOnly":false,"id":535341838,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"What are your main Non-Medical Interests","readOnly":false,"id":535341839,"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 mentee","readOnly":false,"id":535341840,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"Is there anything else you would like your mentee to know about you","readOnly":false,"id":535341841,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"},{"text":"Maybe","value":"2-maybe"}],"name":"Would you be prepared to mentor more than one mentee","readOnly":false,"id":535341145,"type":"radioElement"}]}