{
	"fillkite": 1,
	"exported": "2026-10-07T00:00:00+00:00",
	"forms": [
		{
			"title": "Treatment cost estimator",
			"status": "published",
			"schema": {
				"schemaVersion": 1,
				"fields": [
					{
						"id": "f_your_name",
						"type": "name",
						"label": "Your name",
						"placeholder": "",
						"helpText": "",
						"required": true,
						"width": "full"
					},
					{
						"id": "f_email",
						"type": "email",
						"label": "Email",
						"placeholder": "",
						"helpText": "",
						"required": true,
						"width": "full"
					},
					{
						"id": "f_fill",
						"type": "number",
						"label": "Fillings needed",
						"placeholder": "",
						"helpText": "",
						"required": true,
						"width": "full",
						"min": 0,
						"max": 10
					},
					{
						"id": "f_crown",
						"type": "number",
						"label": "Crowns needed",
						"placeholder": "",
						"helpText": "",
						"required": true,
						"width": "full",
						"min": 0,
						"max": 10
					},
					{
						"id": "f_clean",
						"type": "radio",
						"label": "Hygienist clean?",
						"placeholder": "",
						"helpText": "",
						"required": true,
						"width": "full",
						"options": [
							{
								"label": "Yes",
								"value": "Yes"
							},
							{
								"label": "No",
								"value": "No"
							}
						]
					},
					{
						"id": "f_cost",
						"type": "calculation",
						"label": "Estimated cost",
						"placeholder": "",
						"helpText": "",
						"required": false,
						"width": "full",
						"formula": "{f_fill} * 90 + {f_crown} * 650",
						"decimals": 0,
						"prefix": "$",
						"suffix": ""
					},
					{
						"id": "f_ins",
						"type": "radio",
						"label": "Do you have dental insurance?",
						"placeholder": "",
						"helpText": "",
						"required": false,
						"width": "full",
						"options": [
							{
								"label": "Yes",
								"value": "Yes"
							},
							{
								"label": "No",
								"value": "No"
							}
						]
					},
					{
						"id": "f_insurance_provider",
						"type": "text",
						"label": "Insurance provider",
						"placeholder": "",
						"helpText": "",
						"required": false,
						"width": "full",
						"logic": {
							"action": "show",
							"match": "all",
							"rules": [
								{
									"field": "f_ins",
									"operator": "is",
									"value": "Yes"
								}
							]
						}
					}
				],
				"submit": {
					"label": "Send my estimate",
					"align": "left"
				}
			},
			"settings": {
				"confirmation": {
					"type": "message",
					"message": "Thanks! We will confirm the price.",
					"redirectUrl": "",
					"downloadUrl": "",
					"downloadLabel": ""
				}
			}
		}
	]
}