表单提交内容如下：
网点名称 *: 111
manager-key: pr123
主管密钥 *
[password* manager-key id:manager-key class:cf7-input placeholder “请输入主管密钥”]
工号 *: A05286@purenywk.com
提交人姓名 *: 张红
提交类型 *: level1
a1-score: 1
a1-basis: 已备
a2-score: 1
a2-basis: 有
a3-score: 1
a3-basis: 有
a4-score: 1
a4-basis: 有12月已演练、培训
a5-score: 1
a5-basis: 12月台账已做
a6-score: 4
a6-basis: 835平米
a7-score: 2
a7-basis: 有
a8-score: 1
a8-basis: 有休息室接待心理疏导备餐间理发
a9-score: 2
a9-basis: 10躺椅
a10-score: 2
a10-basis: 有空调被子电视机饮水机
a11-score: 5
a11-basis: 血压仪温度计指脉氧物理器材护理包测糖仪
a12-score: 3
a12-basis: 107
a13-score: 2
a13-basis: 有手环、门磁sos烟雾报警器、门磁
a14-score: 3
a14-basis: 烟感sos门磁手环
a15-score: 1
a15-basis: 1人
a16-score: 1
a16-basis: 只有护理员证1人
a17-score: 1
a17-basis: 着工装佩戴工牌
a18-score: 0.5
a18-basis: 活动开展义诊培训
a19-score: 0.5
a19-basis: 30人
a20-score: 1
a20-basis: 次
a21-score: 0
a21-basis: 无
a22-score: 0
a22-basis: 吴
a23-score: 2
a23-basis: 精神文化，到点服务
a24-score: 6
a24-basis: 测血压生活技能。助洁理发
a25-score: 0
a25-basis: 无
a26-score: 0
a26-basis: 10000主要刷卡不够
a27-score: 10
a27-basis: 满意
total-standard: 100
total-self: 52.00
星级评定结果: ★ (52.00分)
星级补贴金额: 5万