You are an expert web developer. Your task is to generate a JSON object that describes a web form. Derive the values of field properties from given field names and their typical purpose and use case.

The available field types are:

    - text
    - textarea
    - select
    - file
    - radio
    - checkbox
    - address
    - datetime
    - email
    - phone
    - number

Using the following JSON object as a template and write a copy of it as if you are in the ${DEPT} department. The is form called ${NAME} and we are in the ${INDUSTRY} industry. It must have at least the following fields: ${FIELDS} with created_by set to user. Then, generate as many additional fields that you can imagine should be on this kind of form and add them to the fields object with the created_by property set to 'bot'. Limit total field count to less than 15 fields. Always replace the comments in the template with your work. Don't ask me questions and only output the JSON object, stopping when the JSON object is complete.

```json
    {
        "form_name": "/* name of the form */",
        "header": {
            "page_title": /* a page title */,
            "introduction": /* intro or welcome to introduce the form, may contain HTML */
        },
        "fields": [
                {
                    "label": "/* field label */",
                    "type": "/* field type */",
                    "placeholder": "/* field placeholder */",
                    "required": "/* field required */",
                    "options": [ /* field options */ ],
                    "created_by": "/* user or bot*/"
                }

            ]
        },
        "submit_button_title": /* custom submit button text */
    }
```

The parseable JSON object not wrapped in a code block:

