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...
)
consumer_mhs
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you a consumer of mental health services?, type: esriFieldTypeString
, Coded Values:
[YES_currently_6: YES (currently)]
, [YES_previously_6: YES (previously)]
, [NO_6: NO]
, ...1 more...
)
consumer_substances
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you a consumer of alcohol and/or drug services?, type: esriFieldTypeString
, Coded Values:
[YES_currently_6: YES (currently)]
, [YES_previously_6: YES (previously)]
, [NO_6: NO]
, ...1 more...
)
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]
)
military
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Have you ever served in the military?, type: esriFieldTypeString
, Coded Values:
[YES_currently_6: YES (currently)]
, [YES_previously_6: YES (previously)]
, [NO_6: NO]
, ...1 more...
)
race
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Which category best describes your race (i.e., physical/ancestral characteristics)?, type: esriFieldTypeString
)
employer
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Which best describes your employer:, type: esriFieldTypeString
, Coded Values:
[Community_based: Community Based Service Provider]
, [Govt: Federal, State, County, or City Government]
, [Nonprofit: Nonprofit]
, ...6 more...
)
field_work
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Do you work in any of the following areas/fields?, 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 major 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]
)
live_work
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Do you live or work in San Bernardino County? If both, list the region you live in:, type: esriFieldTypeString
, Coded Values:
[YES: YES]
, [NO: NO]
, [Prefer_not: Prefer not to answer]
)
yes_live_work
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: If yes, in which San Bernardino County do you live in or work?, type: esriFieldTypeString
, Coded Values:
[Central: Central Valley Region (e.g., Bloomington, Fontana, Grand Terrace, Rialto)]
, [Desert_mt: Desert/Mountain Region (e.g., Adelanto, Amboy, Apple Valley, Baker, Barstow, Big Bear City, Cima, Earp, Fort Irwin, Hesperia, Hinkley, Joshua Tree, Landers, Lucerne Valley, Ludlow, Morongo Valley, Mountain Pass, Needles, Nipton, Parker Dam, Phelan, Pioneertown, Sky Forest, Sugarloaf, 29 Palms, Wrightwood, Yermo, Yucca Valley)]
, [East: East Valley (e.g., Green Valley Lake, Highland, Lake Arrowhead, Loma Linda, Lytle Creek, Mentone, Patton, Redlands, Rimforest, Running Springs, San Bernardino, Yucaipa)]
, ...1 more...
)
zip_code
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: I live and work in a neighboring California County (Please list Zip Code):, type: esriFieldTypeString
)
future_mhsa
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: In the future how would you like to receive MHSA updates?, type: esriFieldTypeString
)
most_needed
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What programs do you feel are the most needed in our community?, type: esriFieldTypeString
)
bhsa_funding
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Knowing that the Behavioral Health Services Act (BHSA) budget will not be able to fund Prevention, what do you see happening to the Prevention aspect of our programs?, type: esriFieldTypeString
)
crisis_services
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Do you feel that you have a better understanding of MHSA Crisis Services and how they are accessed?, type: esriFieldTypeString
)
additional
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Is there anything additional you would like to learn about Mental Health Services Act (MHSA) Crisis Services?, type: esriFieldTypeString
)
topics
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are there specific topics that you want to learn about during the Behavioral Health Services Act (BHSA) transition?, type: esriFieldTypeString
)
satisfied
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Were you satisfied that this meeting met its goals and/or objectives?, type: esriFieldTypeString
, Coded Values:
[Very_Satisfied: Very Satisfied]
, [Satisfied: Satisfied]
, [Neutral: Neutral]
, ...2 more...
)
pei_services
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What Prevention and Early Intervention services do you feel are the most essential in our communities?, type: esriFieldTypeString
)
strategies
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What Prevention strategies are most effective for our diverse county?, type: esriFieldTypeString
)
populations
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What populations have the greatest need for Early Intervention services?, type: esriFieldTypeString
)