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]
)
military
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Have you ever served in the military?, type: esriFieldTypeString
)
race
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Which category best describes your race (i.e., physical/ancestral characteristics)?, type: esriFieldTypeString
)
field_work
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you connected to any of the following stakeholder groups (Employed, Affiliated, Represent)?, 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, 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
)
mhsa
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: In the future how would you like to receive MHSA updates?, type: esriFieldTypeString
)
satisfied_mhsa
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Were you satisfied that the MHSA Annual Update presentation met its goals and/or objectives?, type: esriFieldTypeString
, Coded Values:
[Very_Satisfied: Very Satisfied]
, [Satisfied: Satisfied]
, [Neutral: Neutral]
, ...2 more...
)
learn_update
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: What did you learn about the MHSA Annual Plan Update?, type: esriFieldTypeString
)
learn_process
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: What else would you like to learn about the MHSA process?, type: esriFieldTypeString
)
concerns
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Do you have other concerns not addressed in this discussion?, type: esriFieldTypeString
)
additional
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Any additional comments or feedback?, type: esriFieldTypeString
)
programs
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What other programs would you like to learn more about?, type: esriFieldTypeString
)
yes_no2
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Do you support Eating Disorder Collaborative (EDC) continuing as a program under Community Services and Support funding? (YES OR NO), type: esriFieldTypeString
, Coded Values:
[YES_2: Yes]
, [NO_2: No]
)
edc_project
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: What are your thoughts on the EDC project as it transitions out of Innovation funding?, type: esriFieldTypeString
)
feedback_edc
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Do you have any feedback or comments regarding the EDC program?, type: esriFieldTypeString
)
satisfied_cpac
(
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...
)