{"status":"success","response":"<div id=\"custom_forms\">\n\n<div class=\"report_row\" id=\"custom_field_row_1\"><h4>Status of the site\/exposure <\/h4><input type=\"text\" name=\"custom_field[1]\" value=\"\" id=\"custom_field_1\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_2\"><h4>County or district <\/h4><input type=\"text\" name=\"custom_field[2]\" value=\"\" id=\"custom_field_2\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_3\"><h4>Ordnance Survey Sheet no <\/h4><input type=\"text\" name=\"custom_field[3]\" value=\"\" id=\"custom_field_3\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_16\"><h4>National Grid Reference(s) <\/h4><input type=\"text\" name=\"custom_field[16]\" value=\"\" id=\"custom_field_16\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_4\"><h4>BGS 1:50k sheet no <\/h4><input type=\"text\" name=\"custom_field[4]\" value=\"\" id=\"custom_field_4\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_5\"><h4>Date of record <\/h4><input type=\"text\" name=\"custom_field[5]\" value=\"\"  id=\"custom_field_5\" class=\"text\" \/><script type=\"text\/javascript\">\n\t\t\t\t$(document).ready(function() {\n\t\t\t\t$(\"#custom_field_5\").datepicker({\n\t\t\t\tshowOn: \"both\",\n\t\t\t\tbuttonImage: \"https:\/\/c683652.ssl.cf2.rackcdn.com\/media\/img\/icon-calendar.gif\",\n\t\t\t\tbuttonImageOnly: true\n\t\t\t\t});\n\t\t\t\t});\n\t\t\t<\/script><\/div><div class=\"report_row\" id=\"custom_field_row_17\"><h4>Additional information link <\/h4><input type=\"text\" name=\"custom_field[17]\" value=\"\" id=\"custom_field_17\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_7\"><h4>Contact details of the site owner (if applicable) <span class=\"private\">(Private)<\/span><\/h4><textarea name=\"custom_field[7]\" id=\"custom_field_7\" class=\"textarea custom_text\" rows=\"3\"><\/textarea><\/div><div class=\"report_row\" id=\"custom_field_row_6\"><h4>If a GeoExposure, until when will it be available? <\/h4><input type=\"text\" name=\"custom_field[6]\" value=\"\"  id=\"custom_field_6\" class=\"text\" \/><script type=\"text\/javascript\">\n\t\t\t\t$(document).ready(function() {\n\t\t\t\t$(\"#custom_field_6\").datepicker({\n\t\t\t\tshowOn: \"both\",\n\t\t\t\tbuttonImage: \"https:\/\/c683652.ssl.cf2.rackcdn.com\/media\/img\/icon-calendar.gif\",\n\t\t\t\tbuttonImageOnly: true\n\t\t\t\t});\n\t\t\t\t});\n\t\t\t<\/script><\/div><div class=\"report_row\" id=\"custom_field_row_8\"><h4>System\/Period of rocks\/sediments <\/h4><input type=\"text\" name=\"custom_field[8]\" value=\"\" id=\"custom_field_8\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_9\"><h4>Group\/Formation\/Bed name <\/h4><input type=\"text\" name=\"custom_field[9]\" value=\"\" id=\"custom_field_9\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_14\"><h4>Width of observation (m) <\/h4><input type=\"text\" name=\"custom_field[14]\" value=\"\" id=\"custom_field_14\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_13\"><h4>Describe any damage caused by the event you are recording <\/h4><input type=\"text\" name=\"custom_field[13]\" value=\"\" id=\"custom_field_13\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_15\"><h4>Height of observation (m) <\/h4><input type=\"text\" name=\"custom_field[15]\" value=\"\" id=\"custom_field_15\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_18\"><h4>Submitted by <\/h4><input type=\"text\" name=\"custom_field[18]\" value=\"\" id=\"custom_field_18\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_10\"><h4>Are you a trained geoscientist? <span class=\"private\">(Private)<\/span><\/h4><input type=\"text\" name=\"custom_field[10]\" value=\"\" id=\"custom_field_10\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_29\"><h4>Accept our terms and conditions?<span class='required'> *<\/span> <\/h4><span class=\"custom-field-option\"><label for=\"custom_field[29]\" > Yes <\/label><input type=\"radio\" name=\"custom_field[29]\" value=\"Yes\" id=\"custom_field_29\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[29]\" > No <\/label><input type=\"radio\" name=\"custom_field[29]\" value=\"No\" id=\"custom_field_29\" \/><\/span><\/div><\/div>"}