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, 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
)
assessment
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: How important do you think it is for Foster Children to receive a mental health assessment when they initially come under the care of Child and Family Services?, type: esriFieldTypeString
, Coded Values:
[extremely_unimp: Extremely unimportant]
, [very_unimp: Very unimportant]
, [somewhat_unimp: Somewhat unimportant]
, ...4 more...
)
focused
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: How important do you think it is for us to have programs focused on very young children (ages 0-8)?, type: esriFieldTypeString
, Coded Values:
[extremely_unimp: Extremely unimportant]
, [very_unimp: Very unimportant]
, [somewhat_unimp: Somewhat unimportant]
, ...4 more...
)
wraparound
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Wraparound and other current FSP programs are almost 100% home and community based; how important is it to provide services in the home for these populations?, type: esriFieldTypeString
, Coded Values:
[extremely_unimp: Extremely unimportant]
, [very_unimp: Very unimportant]
, [somewhat_unimp: Somewhat unimportant]
, ...4 more...
)
surprised
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Was there any information presented that surprised you?, type: esriFieldTypeString
)
concerned
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Was there any information presented that concerned you?, type: esriFieldTypeString
)
happy
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Was there any information presented that you were happy to hear about?, type: esriFieldTypeString
)
engage
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: What would encourage you to stop by and engage with our table at an event?, type: esriFieldTypeString
)
skills
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: What information or skills would help your community most right now?, type: esriFieldTypeString
)
topic
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: If DBH could present on any topic, what would you choose?, type: esriFieldTypeString
)
mhsa_satisfied
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: How satisfied are you with the MHSA Innovation Plan?, type: esriFieldTypeString
, Coded Values:
[Very_Satisfied: Very Satisfied]
, [Satisfied: Satisfied]
, [Neutral: Neutral]
, ...2 more...
)
additional
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Is there any additional information you would like to share regarding this project?, type: esriFieldTypeString
)
not_addressed
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Do you have a concern that has not been addressed regarding this project?, 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...
)
feedback
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Any additional comments or feedback., type: esriFieldTypeString
)