{
  "@context": {
    "ixo": "https://w3id.org/ixo/ns/protocol/",
    "@id": "@type",
    "type": "@type",
    "@protected": true
  },
  "type": "ixo:entity#surveyTemplate",
  "question": {
    "title": "Payment Claim Form",
    "description": "Submit evidence of your payment",
    "completedHtml": "\u003Ch3\u003EThank you for submitting your payment information.\u003C/h3\u003E",
    "pages": [
      {
        "name": "paymentDetails",
        "elements": [
          {
            "type": "dropdown",
            "name": "payment:paymentMethod",
            "title": "Payment Method",
            "isRequired": true,
            "choices": [
              {
                "value": "stripe",
                "text": "Stripe (Credit Card)"
              },
              {
                "value": "bank_transfer",
                "text": "Bank Transfer"
              },
              {
                "value": "usdc",
                "text": "USDC (Crypto)"
              }
            ]
          },
          {
            "type": "dropdown",
            "name": "payment:paymentType",
            "title": "Type of Payment",
            "isRequired": true,
            "choices": [
              {
                "value": "subscription",
                "text": "Subscription Payment"
              },
              {
                "value": "topup",
                "text": "Points Top-up Payment"
              }
            ]
          },
          {
            "type": "text",
            "name": "schema:amount",
            "title": "Payment Amount",
            "isRequired": true,
            "inputType": "number",
            "placeholder": "Enter the payment amount"
          },
          {
            "type": "dropdown",
            "name": "schema:currency",
            "title": "Currency",
            "isRequired": true,
            "choices": [
              "USD",
              "USDC"
            ],
            "showOtherItem": true
          },
          {
            "type": "text",
            "name": "schema:paymentDate",
            "title": "Payment Date",
            "isRequired": true,
            "inputType": "date"
          },
          {
            "type": "text",
            "name": "payment:bankReference",
            "visibleIf": "{payment:paymentMethod} = 'bank_transfer'",
            "title": "Bank Transfer Reference",
            "description": "Only for bank transfers. Enter the reference or confirmation number."
          },
          {
            "type": "text",
            "name": "crypto:transactionHash",
            "visibleIf": "{payment:paymentMethod} = 'usdc'",
            "title": "Transaction Hash",
            "description": "For crypto transactions only"
          },
          {
            "type": "file",
            "name": "schema:associatedMedia",
            "visibleIf": "{payment:paymentMethod} != 'usdc'",
            "title": "Upload Proof of Payment",
            "maxSize": 5242880,
            "needConfirmRemoveFile": true
          },
          {
            "type": "comment",
            "name": "schema:description",
            "title": "Additional Notes (optional)"
          }
        ]
      }
    ],
    "progressBarShowPageTitles": true,
    "progressBarShowPageNumbers": true
  }
}