Opt-In Form-Get Free Email Updates!

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Form title

Opt-In Form-Get Free Health Updates!

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Form description

Join us for FREE to get instant Health updates!

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Email*

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Full Name

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Full Name

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Short answer

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Rating

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Checkbox grid

Date

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Description

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Phone Number

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Phone Number

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Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

New

Multiple choice grid

Checkbox grid

Date

Time

Description

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Short answer text

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Number

Text

Length

Regular expression

Greater than

Greater than or equal to

Less than

Less than or equal to

Equal to

Not equal to

Between

Not between

Is number

Whole number

Number

and

Number

Custom error text

Answer key

(0 points)

Require a response in each rowRequiredRequired

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E-mail

Question

E-mail

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Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

New

Multiple choice grid

Checkbox grid

Date

Time

Description

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



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





Loading image…

Caption

Short answer text

Response validation has been added.

Remove

Number

Text

Length

Regular expression

Greater than

Greater than or equal to

Less than

Less than or equal to

Equal to

Not equal to

Between

Not between

Is number

Whole number

Number

and

Number

Custom error text

Answer key

(0 points)

Require a response in each rowRequiredRequired

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Full Name

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Phone Number

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E-mail

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Settings

Make this a quiz

Assign point values, set answers, and automatically provide feedback

Release grades

Immediately after each submission

Later, after manual review

Turns on Responses → Collect email addresses

Respondent settings

Missed questions

Respondents can see which questions were answered incorrectly

Correct answers

Respondents can see correct answers after grades are released

Point values

Respondents can see total points and points received for each question

Global quiz defaults

Default question point value

Point values for every new question

points

Responses

Manage how responses are collected and protected

Collect email addresses

Required by Locked mode

Required to send response copies

Respondents will be required to sign in to Google

Do not collect

Verified

Responder input

Send responders a copy of their response

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Requires Collect email addresses

Off

When requested

Always

Allow response editing

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Responses can be changed after being submitted

Requires sign in

Limit to 1 response

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Respondents will be required to sign in to Google.

File upload

Total size limit for all uploaded files

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Presentation

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Form presentation

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After submission

Confirmation message

Thank you for Subscribing to latest Health updates from Jv-Scan. Click on the Link below to access your Bonus - Download Jv-scan App-Register-Login-Record a voice sample and get access to your full body report https://play.google.com/store/apps/details?id=com.jvscan&hl=en-US

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Your response has been recorded

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View results summary

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Share results summary with respondents. Important details

Restrictions:

Disable autosave for all respondents

Respondents will lose their progress if their browser closes or refreshes

Defaults

Form defaults

Settings applied to this form and new forms

Collect email addresses by default

Required by Locked mode

Do not collect

Verified

Responder input

Question defaults

Settings applied to all new questions

Make questions required by default