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 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]
)
zipcode
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Do you live or work in San Bernardino County? If both, list 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
)
concerns
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: What early signs of behavorial health concerns do you see most often in childbirth, youth, or adults?, type: esriFieldTypeString
)
intervention
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Where do you believe early intervention services should be located (schools, community centers, clinics, mobile services)?, type: esriFieldTypeString
)
support
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: How can the County better identify individuals who may need support before a crisis occurs?, type: esriFieldTypeString
)
sudrs
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: After today's presentation do you have a better understanding of the adolescent services provided by Substance Use Disorder Recovery Services? If not, what do you think would help you understand better?, type: esriFieldTypeString
)
greatest
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: What areas within our county do you feel are in greatest need of our services?, 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...
)
theme
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What theme/topic would you like to see presented at future CPAC meetings?, type: esriFieldTypeString
)
feedback
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Any additional comments or feedback?, type: esriFieldTypeString
)