test.json

[
    {
        "name": "insurance_check",
        "type": "checkbox",
        "value": true
    },
    {
        "name": "insurance_name",
        "type": "selection",
        "value": "Health Providers"
    },
    {
        "name": "insurance_date",
        "type": "date",
        "value": "2023-10-18"
    },
    {
        "name": "insurance_state",
        "type": "selection",
        "value": "North Carolina"
    },
    {
        "name": "notes",
        "type": "text",
        "value": "Additional notes"
    }
]