sex_birth
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What sex were you assigned at birth?, type: esriFieldTypeString
, Coded Values:
[Female_2: Female]
, [Male_2: Male]
, [Prefer_not_2: Prefer not to answer]
)
gender_describe
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: How do you describe yourself?, type: esriFieldTypeString
, Coded Values:
[Female_3: Female]
, [Trans_Female: Trans Female/Woman]
, [Genderqueer: Genderqueer]
, ...6 more...
)
language_group
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What is the primary language spoken in your home?, type: esriFieldTypeString
)
consumer_mhs
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you a consumer of mental health services?, type: esriFieldTypeString
)
consumer_substances
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you a consumer of alcohol and/or drug services?, type: esriFieldTypeString
)
family_friend_consumer
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you a friend, family member, or loved one of a consumer of mental health services and/or alcohol and drug services?, type: esriFieldTypeString
, Coded Values:
[YES_8: Yes]
, [NO_8: No]
, [Prefer_not_8: Prefer not to answer]
)
field_work
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you connected to any of the following stakeholder groups (Employed, Affiliated, Represent, Lived Experience)?, type: esriFieldTypeString
)
disability
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Do you have a disability or other impairment that is expected to last longer than 6 months and substantially limits a significant life activity, which is not the result of a severe mental illness?, type: esriFieldTypeString
, Coded Values:
[YES_13: Yes]
, [NO_13: No]
, [Prefer_not_13: Prefer not to answer]
)
zipcode
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Do you live or work in San Bernardino County? If both, enter the ZIP code or City you live in:, type: esriFieldTypeString
)
live_work
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Do you live in one of the following cities: San Bernardino, Fontana, Ontario, Rancho Cucamonga, or Victorville?, type: esriFieldTypeString
, Coded Values:
[YES: Yes]
, [NO: No]
, [Prefer_not: Prefer not to answer]
)
neighbor
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: I live and work in a neighboring California County., type: esriFieldTypeString
, Coded Values:
[prefer: Prefer not to answer]
)
mhsa
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: In the future how would you like to receive MHSA updates?, type: esriFieldTypeString
)
options
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Should the Department of Behavioral Health (DBH) consider options to continue Innovation projects within the three new funding categories (Housing Interventions, Full Service Partnership, and Behavioral Health Services and Supports)?, type: esriFieldTypeString
)
component
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: If so, in which BHSA component do you feel an innovation project would have the greatest impact: Housing Interventions, Full Service Partnership, and Behavioral Health Services and Supports?, type: esriFieldTypeString
)
partner
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Thinking about the Innovation Partnership Fund and the potential to join with other organizations to create an innovation project, who do you think would make a good partner for San Bernardino County DBH to work with, and why?, type: esriFieldTypeString
)
satisfied
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Were you satisfied that this meeting met its objectives?, type: esriFieldTypeString
, Coded Values:
[Very_Satisfied: Very Satisfied]
, [Satisfied: Satisfied]
, [Neutral: Neutral]
, ...2 more...
)