Implement all trivial questions for self-report form

[Murkantilism]

Description

• Complete a basic implementation of most questions that are not-hard to implement
• Note: initial questionnaire is pending finalization, these are questions that I think will certainly be included
• Note: UI does not need to match storyboards/have high polish

Acceptance Criteria

The following questions are implemented in the order listed:

• [ ] "How are you feeling?" is extended to support 5 options in vertical list format
  • Very Well
  • Well
  • Neutral
  • Unwell
  • Very Unwell
• [ ] Do you have any of these symptoms?
  • Dry cough
  • Wet cough (sputum)
  • Loss of taste
  • Loss of smell
  • Shortness of breath
  • Fatigue
  • Confusion
  • Abdominal pain
  • Chest pain
  • Diarrhea
  • Vomiting
  • Nausea
  • Sore Throat
  • Chills
  • Tightness in chest
  • Rash on feet
  • Headache
  • Other
  • Upon "Other" being clicked, it should become an editable text field (no input validation needed at this time, other than basic string sanitization)
• [ ] How old are you?
  • Under 18
  • 18-24
  • 25-40
  • 40-60
  • 60+
• [ ] What was your sex at birth?
  • Male
  • Female
  • Prefer not to say

[BrennenHodge]

I edited the last question. This is an important question in which XX or XY chromosomes make a big impact on mortality/morbidity with COVID-19.

Re: age, for the purpose of details statistics, I think we should just have an open text field asking for their age or year of birth. E.g. "33 years" or "1986."

Asking the Age Question in Mail and Online Surveys is research with stats on asking for age in surveys.

[lagph]

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