<!-- BEGIN outreach/questionnaire.tt -->

  <form method="post"
    action="[% app_url %]/outreach/do_questionnaire/[% request_data.id || c.param('id') %]">    
  [%
    questionnaire = outreach.questionnaire;
        # PROCESS dumper.tt dump = questionnaire;
    INCLUDE outreach/questionnaire/general.tt;
    INCLUDE outreach/questionnaire/pain.tt;
    INCLUDE outreach/questionnaire/swelling.tt;
    INCLUDE outreach/questionnaire/service.tt;
    INCLUDE outreach/questionnaire/eq5d.tt;
  %]
    <p align="center">[% INCLUDE outreach_submit require_reset = 1 %]</p>
  </form>
<!-- BEGIN outreach/questionnaire.tt -->