Black and white meal preference survey
Contents
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Request dietary restrictions or preferences from your attendees or residents and adjust the menu accordingly.
Source code
Text markup
?image=logo.jpg
x=300
y=180
width=200
height=200
?text=Aspose Regional Hospital
align=left
font_style=bold
?empty_line=
height=50
?container=breakfast_header
columns_count=1
?block=main
border=rounded
?content=Breakfast
font_style=Italic, Bold
font_size=18
align=center
&block
&container
?container=breakfast_content
columns_count=4
?block=
column=1
?content=Juices
font_style=bold
font_size=12
align=center
?vertical_choicebox=Juices
?answer=Orange
?content=Orange
&answer
?answer=Apple
?content=Apple
&answer
?answer=Cranberry
?content=Cranberry
&answer
?answer=Prune
?content=Prune
&answer
&vertical_choicebox
&block
?block=
column=2
?content=Fruits
font_style=bold
font_size=12
align=center
?vertical_choicebox=Fruits
?answer=Banana
?content=Banana
&answer
?answer=Apple
?content=Apple
&answer
?answer=Orange
?content=Orange
&answer
?answer=Fruit Yogurt
?content=Fruit Yogurt
&answer
&vertical_choicebox
&block
?block=
column=3
?content=Bakery
font_style=bold
font_size=12
align=center
?vertical_choicebox=Bakery
?answer=Banana Bread
?content=Banana Bread
&answer
?answer=Bran Muffin
?content=Bran Muffin
&answer
?answer=Bagel
?content=Bagel
&answer
?answer=Cinnamon Roll
?content=Cinnamon Roll
&answer
&vertical_choicebox
&block
?block=
column=4
?content=Condiments
font_style=bold
font_size=12
align=center
?vertical_choicebox=Condiments
?answer=Lemon
?content=Lemon
&answer
?answer=Sugar
?content=Sugar
&answer
?answer=Honey
?content=Honey
&answer
?answer=Jelly
?content=Jelly
&answer
&vertical_choicebox
&block
?block=
column=1
?content=Milk
font_style=bold
font_size=12
align=center
?vertical_choicebox=Milk
?answer=2% Milk
?content=2% Milk
&answer
?answer=NonFat Milk
?content=NonFat Milk
&answer
?answer=Whole Milk
?content=Whole Milk
&answer
&vertical_choicebox
&block
?block=
column=2
?content=Tea
font_style=bold
font_size=12
align=center
?vertical_choicebox=Tea
?answer=Decaf
?content=Decaf
&answer
?answer=Regular
?content=Regular
&answer
?answer=Iced
?content=Iced
&answer
&vertical_choicebox
&block
?block=
column=3
?content=Coffee
font_style=bold
font_size=12
align=center
?vertical_choicebox=Coffee
?answer=Decaf
?content=Decaf
&answer
?answer=Regular
?content=Regular
&answer
?answer=Iced
?content=Iced
&answer
&vertical_choicebox
&block
?block=
column=4
?content=Hot Chocolate
font_style=bold
font_size=12
align=center
?vertical_choicebox=Hot Chocolate
?answer=Sugar-free
?content=Sugar-free
&answer
?answer=Regular
?content=Regular
&answer
?answer=Mocha Mix
?content=Mocha Mix
&answer
&vertical_choicebox
&block
&container
?container=specials
columns_count=1
?block=
column=1
border=rounded
?content=Daily Specials
font_style=italic, bold
font_size=12
align=center
?empty_line=
height=25
?content=Soup of the Day: Creamy Cheddar Cheese Soup. Entrée of the Day: Steak
align=center
&block
&container
?container=lunch_header
columns_count=1
?block=
border=rounded
?content=Lunch
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font_size=18
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&block
&container
?container=lunch_content
columns_count=4
?block=
column=1
?content=Soup
font_style=bold
font_size=12
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?vertical_choicebox=Soup
?answer=Soup of the Day
?content=Soup of the Day
&answer
?answer=Chicken Noodle
?content=Chicken Noodle
&answer
?answer=Beef Broth
?content=Beef Broth
&answer
&vertical_choicebox
&block
?block=
column=2
?content=Bakery
font_style=bold
font_size=12
align=center
?vertical_choicebox=Bakery
?answer=White Roll
?content=White Roll
&answer
?answer=Wheat Roll
?content=Wheat Roll
&answer
?answer=Melba Toast
?content=Melba Toast
&answer
?answer=Flour Tortilla
?content=Flour Tortilla
&answer
&vertical_choicebox
&block
?block=
column=3
?content=Salads
font_style=bold
font_size=12
align=center
?vertical_choicebox=Salads
?answer=Garden Patch Greens
?content=Garden Patch Greens
&answer
?answer=Gelatin Fruit Salad
?content=Gelatin Fruit Salad
&answer
?answer=Fruit Yogurt
?content=Fruit Yogurt
&answer
&vertical_choicebox
&block
?block=
column=4
?content=Condiments
font_style=bold
font_size=12
align=center
?vertical_choicebox=Condiments
?answer=Non-Dairy Creamer
?content=Non-Dairy Creamer
&answer
?answer=Thousand Island
?content=Thousand Island
&answer
?answer=Honey
?content=Honey
&answer
&vertical_choicebox
&block
&container
?text=Entrées
align=center
font_style=bold
font_size=12
?container=Entrées
columns_count=3
?block=
column=1
?vertical_choicebox=Entrées
?answer=Roast Beef Sandwich
?content=Roast Beef Sandwich
&answer
?answer=3 Cheese Sandwich
?content=3 Cheese Sandwich
&answer
?answer=Egg Salad Sandwich
?content=Egg Salad Sandwich
&answer
&vertical_choicebox
&block
?block=
column=2
?vertical_choicebox=Entrées
?answer=Fiesta Fruit Plate
?content=Fiesta Fruit Plate
&answer
?answer=Cold Meat Platter with White Roll
?content=Cold Meat Platter with White Roll
&answer
?answer=Vegetable & Cream Cheese Wrap
?content=Vegetable & Cream Cheese Wrap
&answer
&vertical_choicebox
&block
?block=
column=3
?vertical_choicebox=Entrées
?answer=Baked Chicken w/ Stuffing
?content=Baked Chicken w/ Stuffing
&answer
?answer=Oriental Beef
?content=Oriental Beef
&answer
?answer=Garden Vegetable Lasagna
?content=Garden Vegetable Lasagna
&answer
&vertical_choicebox
&block
&container
?text=Dessert
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font_style=bold
font_size=12
?container=Deserts
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?block=
column=1
?vertical_choicebox=Dessert
?answer=Gelatin
?content=Gelatin
&answer
&vertical_choicebox
&block
?block=
column=2
?vertical_choicebox=Dessert
?answer=Peaches
?content=Peaches
&answer
&vertical_choicebox
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?block=
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?answer=Custard
?content=Custard
&answer
&vertical_choicebox
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?block=
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?vertical_choicebox=Dessert
?answer=Sherbet
?content=Sherbet
&answer
&vertical_choicebox
&block
?block=
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?answer=Angel Food
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&answer
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?container=drinks
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?block=
column=1
?content=Milk
font_style=bold
font_size=12
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?vertical_choicebox=Milk
?answer=2% Milk
?content=2% Milk
&answer
?answer=NonFat Milk
?content=NonFat Milk
&answer
?answer=Whole Milk
?content=Whole Milk
&answer
&vertical_choicebox
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?block=
column=2
?content=Tea
font_style=bold
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?answer=Decaf
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&answer
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?content=Regular
&answer
?answer=Iced
?content=Iced
&answer
&vertical_choicebox
&block
?block=
column=3
?content=Coffee
font_style=bold
font_size=12
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?vertical_choicebox=Condiments
?answer=Decaf
?content=Decaf
&answer
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&answer
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&answer
&vertical_choicebox
&block
?block=
column=4
?content=Hot Chocolate
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?answer=Sugar-free
?content=Sugar-free
&answer
?answer=Regular
?content=Regular
&answer
?answer=Mocha Mix
?content=Mocha Mix
&answer
&vertical_choicebox
&block
&container
?barcode=RoomId
codetext=true
barcode_type=Code128
value=578
JSON markup
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"font_family": "Calibri",
"font_style": "Regular",
"font_size": 9,
"content_type": "Normal",
"align": "Left",
"element_type": "Content"
}
],
"bubble_type": "Round",
"element_type": "Answer"
}
],
"element_type": "VerticalChoiceBox",
"threshold": 0,
"top_padding": 0
}
],
"column": 3,
"border": "None",
"border_size": 3,
"border_color": "Black",
"is_clipped": false,
"element_type": "Block"
},
{
"name": "",
"children": [
{
"name": "Hot Chocolate",
"font_family": "Calibri",
"font_style": "Bold",
"font_size": 12,
"content_type": "Normal",
"align": "Center",
"element_type": "Content"
},
{
"name": "Condiments",
"children": [
{
"name": "Sugar-free",
"children": [
{
"name": "Sugar-free",
"font_family": "Calibri",
"font_style": "Regular",
"font_size": 9,
"content_type": "Normal",
"align": "Left",
"element_type": "Content"
}
],
"bubble_type": "Round",
"element_type": "Answer"
},
{
"name": "Regular",
"children": [
{
"name": "Regular",
"font_family": "Calibri",
"font_style": "Regular",
"font_size": 9,
"content_type": "Normal",
"align": "Left",
"element_type": "Content"
}
],
"bubble_type": "Round",
"element_type": "Answer"
},
{
"name": "Mocha Mix",
"children": [
{
"name": "Mocha Mix",
"font_family": "Calibri",
"font_style": "Regular",
"font_size": 9,
"content_type": "Normal",
"align": "Left",
"element_type": "Content"
}
],
"bubble_type": "Round",
"element_type": "Answer"
}
],
"element_type": "VerticalChoiceBox",
"threshold": 0,
"top_padding": 0
}
],
"column": 4,
"border": "None",
"border_size": 3,
"border_color": "Black",
"is_clipped": false,
"element_type": "Block"
}
],
"columns_count": 4,
"columns_proportions": null,
"container_type": "Normal",
"block_right_margin": 40,
"block_bottom_margin": 20,
"block_top_padding": 20,
"element_type": "Container"
},
{
"name": "RoomId",
"value": "578",
"barcode_type": "Code128",
"qr_version": "Auto",
"align": "Center",
"height": -1,
"codetext": true,
"X": -1,
"Y": -1,
"element_type": "Barcode"
}
],
"element_type": "Page"
}
],
"element_type": "Template"
}
Page settings
This template was generated using the following paper size, orientation, font, and other layout settings:
GlobalPageSettings settings = new GlobalPageSettings
{
PaperSize = PaperSize.Letter,
Orientation = Orientation.Vertical,
BubbleColor = Color.Black,
BubbleSize = BubbleSize.Normal,
FontStyle = FontStyle.Regular,
FontSize = 9,
FontFamily = "Calibri",
};
Recognition results
Element Name,Value,
Bakery,"White Roll"
Bakery,"Bran Muffin"
Coffee,"Iced"
Condiments,"Iced"
Condiments,""
Condiments,""
Condiments,"Sugar"
Condiments,""
Dessert,""
Dessert,""
Dessert,""
Dessert,"Custard"
Dessert,""
Entrees,""
Entrees,""
Entrees,"Cold Meat Platter with White Roll"
Fruits,"Apple"
Hot Chocolate,""
Juices,"Orange"
Milk,""
Milk,""
RoomId,"578"
Saladas,"Gelatin Fruit Salad"
Soup,"Chicken Noodle"
Tea,""
Download
Click here to download full template sources and related files.
Package structure:
| File | Description |
|---|---|
| hospital-breakfast.csv | recognition results based on the filled form available in this package |
| hospital-breakfast.json | source code in JSON markup |
| hospital-breakfast.omr | recognition pattern |
| hospital-breakfast.png | printable form |
| hospital-breakfast.txt | source code in text markup |
| hospital-breakfast-recognized.png | filled form |
| logo.jpg | company logo |
| settings.json | page settings |