Submission Form

[KatjaRademacher]

Input Data: R= Required

• Type of Home #R
  Options:
• location (pick from map) #R
• Grass Overgrown (Yes / No)
• Blocked Windows (Yes / No)
• Any Visible Activity (Yes / No)
• Comment [Text]
• Photo [file upload] #R

Requirements:
Create the form fields with labels
Read data on submit and create a json object

Output:
JSON object:
- Type of Home [String]

• latitude [number]
• longitude [number]
• Grass Overgrown [Boolean]
• Blocked Windows [Boolean]
• Any Visible Activity [Boolean]
• Comment [String]
• Photo [file]