diff --git a/resources/views/form/rapport-zenova/1788239728-6f7f3c27-c5dc-4e6e-a042-aefd5681af3a.blade.php b/resources/views/form/rapport-zenova/1788239728-6f7f3c27-c5dc-4e6e-a042-aefd5681af3a.blade.php
index ee129cca..77ffdf7f 100644
--- a/resources/views/form/rapport-zenova/1788239728-6f7f3c27-c5dc-4e6e-a042-aefd5681af3a.blade.php
+++ b/resources/views/form/rapport-zenova/1788239728-6f7f3c27-c5dc-4e6e-a042-aefd5681af3a.blade.php
@@ -275,14 +275,12 @@
                         $('#field-rtm_dr').val($('option:selected', this).attr('rtm_dr'))
         })
 
-        $('#field-contact_id').change(function() {
+        /*$('#field-contact_id').change(function() {
             $('#field-rtm_dr').val($('option:selected', this).attr('rtm_dr'))
-        })
+        })*/
 
         $('#field-contact_id').change(function() {
-            $('#field-absi_camp').val(
-                $('option:selected', this).attr('absi_camp') || ''
-            );
+            $('#field-absi_camp').val($('option:selected', this).attr('absi_camp'));
         });
 
             
@@ -331,6 +329,12 @@
                     else if(value==='Existing Prescriber'){
                         $('#report-form input[name="glipiq_existing_conversion"]').val(1);
 
+                    }
+                    else{
+                        $('#report-form input[name="glipiq_new_conversion"]').val(0);
+                        $('#report-form input[name="glipiq_existing_conversion"]').val(0);
+                        
+
                     }
                 });
 
@@ -340,13 +344,51 @@
                 $('#report-form').append('<input type="hidden" name="sitazit_new_conversion">');
                 $('#report-form').append('<input type="hidden" name="sitazit_existing_conversion">');
 
+                
+               		    $('#field-sankalp_lead_received_penvial').val("")
+                
+                        $('#field-sankalp_lead_enrolled_penvial').val("")
+        
+        
+                        $('#field-pmos_dr').val("")
+        
+                        $('#field-qbs_dr').val("")
+    
+                        $('#field-adboard_dr').val("")
+    
+                        $('#field-fb_live_dr').val("")
+        
+                        $('#field-ecme_dr').val("")
+        
+                        $('#field-rtm_dr').val("")
+                    
+                        $('#field-absi_camp').val("");
+                        $('#report-form input[name="glipiq_new_conversion"]').val(0);
+                        $('#report-form input[name="glipiq_existing_conversion"]').val(0);
+                        
+
+
+
                 $('#field-conversion_status').on('change',function(){
                     let value=$(this).val();
                     if(value==='New Conversion'){
                         $('#report-form input[name="sitazit_new_conversion"]').val(1);
+                        $('#report-form input[name="glipiq_new_conversion"]').val(0);
+                        $('#report-form input[name="glipiq_existing_conversion"]').val(0);
                     }
                     else if(value==='Existing Prescriber'){
                         $('#report-form input[name="sitazit_existing_conversion"]').val(1);
+                        $('#report-form input[name="glipiq_new_conversion"]').val(0);
+                        $('#report-form input[name="glipiq_existing_conversion"]').val(0);
+
+                    }
+                    else{
+                        $('#report-form input[name="sitazit_new_conversion"]').val(0);
+                        $('#report-form input[name="sitazit_existing_conversion"]').val(0);
+
+                        $('#report-form input[name="glipiq_new_conversion"]').val(0);
+                        $('#report-form input[name="glipiq_existing_conversion"]').val(0);
+                        
 
                     }
                 });