Unconscious Bias - Booking form

{"elements":[{"isDiscrete":false,"hidden":false,"name":"Name:","readOnly":false,"id":149836738,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Department:","readOnly":false,"id":149836739,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Email:","readOnly":false,"id":149836740,"type":"emailElement"},{"isDiscrete":false,"hidden":false,"name":"Tel:","readOnly":false,"id":149836741,"type":"phoneNumber"},{"isDiscrete":false,"hidden":false,"name":"1405623574860_0.06396386157024969_0.18686105212405257","readOnly":false,"id":149836742,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Please register my interest in future workshops.","value":"0-pleaseregistermyinterestinfutureworkshops."}],"name":"Booking/Register","readOnly":false,"id":149836743,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"1405623574866_0.3392421021061641_0.7557900200916573","readOnly":false,"id":149836744,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"reason","readOnly":false,"id":149836745,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"1405623574866_0.7090462368445026_0.07008130631352605","readOnly":false,"id":149836747,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"special requirements","readOnly":false,"id":149836750,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"1405623574877_0.2630888566490319_0.7465246072258654","readOnly":false,"id":149836751,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"}],"name":"terms","readOnly":false,"id":149836754,"type":"checkboxElement"}]}