Jotform | Headache and Pain Doctor

Source Code test

Test source code
Name

First Name Last Name
MICHAEL~DATA
TextBox1 (Data here automatically populat into HiddenQuestion 1)
HiddenQuestion1
For testing purposes I added 1 empty visible question (LongTextField) followed by 2 hidden fields (MedicalConditions & Medications)
LongTestField
The two hidden text fields should serve as the destination of the two custom questions we created, if we use javascript to populate the textboxes from the custom questions.
MedicalConditions
Medications
Should be Empty:

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Test source code

For testing purposes I added 1 empty visible question (LongTextField) followed by 2 hidden fields (MedicalConditions & Medications)

The two hidden text fields should serve as the destination of the two custom questions we created, if we use javascript to populate the textboxes from the custom questions.

Morgenstern Medical.

Policies

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