instruction
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Thank you for taking the Clubhouse survey. Remember all responses will be kept confidential. If you have any questions feel free to reach out to your survey lead., type: esriFieldTypeString
)
first_visit
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: If no, month/year of first visit, type: esriFieldTypeString
)
last_visit
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: AND month/year of last visit prior to today, type: esriFieldTypeString
)
ch_length
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: How long have you been attending clubhouse?, type: esriFieldTypeString
)
dbh_term
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: At Clubhouse you are a Member, but what term do you like when receiving DBH services outside of the Clubhouse?, type: esriFieldTypeString
, Coded Values:
[Consumer: Consumer]
, [Patient: Patient]
, [Client: Client]
, ...1 more...
)
life_satisfaction
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 1. On the whole, I am satisfied with myself, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
have_respect
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 2. I have respect for myself and others, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
hopeful
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 3. I am hopeful about my own future, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
help
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 4. I ask for help when I need it, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
learn
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 5. I can learn from my mistakes, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
try
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 6. If I keep trying, I will continue to get better, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
goals
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 7. I have goals in life that I want to reach, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
recognize_positive_things
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 8. I can recognize the positive things I have done, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
experiences
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 9. My experiences have changed me for the better, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
past
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 10. I have been able to come to terms with things that have happened to me in the past, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
move_forward
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 11. I have been able to move forward with my life, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
understand_myself
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 12. I am able to understand myself better, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
positive_relationships
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 13. I am able to develop positive relationships with other people, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
trust
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 14. I have someone I trust to give me good advice even in a crisis, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
confide
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 15. I have someone to confide in or talk to about myself or my problems, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
belonging
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 16. I feel a sense of belonging to a group or community, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
possible_to_change
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 17. I believe that it is possible to change, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
concentrate
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 18. I have the ability to concentrate, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
peace_tranquil
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 19. I maintain peace of mind and tranquility, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
forgive
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 21. I have the ability to forgive myself and others, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
growth
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 22. My experiences with challenges have enabled me to grow, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
talk_openly
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 23. I am able to talk openly in a group, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
cleanliness
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 24. I make every effort allowable to take care of and keep myself and my space clean, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
positive_coping
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 26. When I feel unwell, I am able to use positive coping skills to help with this, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
change_community
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 27. I feel I can positively connect with the community, type: esriFieldTypeString
, Coded Values:
[S_Agree: Strongly Agree]
, [Agree: Agree]
, [SW_Agree: Somewhat Agree]
, ...4 more...
)
social_support
(
nullable: true, editable: true, defaultValue: null, length: 2500, alias: 28. Do you have any social support or connections outside of clubhouse?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
clubhouse_support
(
nullable: true, editable: true, defaultValue: null, length: 2500, alias: 30. What can clubhouse do for you? How can we best support you moving forward?, type: esriFieldTypeString
)
no_weekly_groups
(
nullable: true, editable: true, defaultValue: null, length: 2500, alias: 31. How many groups/activities per week do you usually attend?, type: esriFieldTypeString
)
impact_of_groups
(
nullable: true, editable: true, defaultValue: null, length: 2500, alias: 32. Did being a member of any of these groups/activities significantly impact you and if so, which ones?, type: esriFieldTypeString
)
other_comments
(
nullable: true, editable: true, defaultValue: null, length: 2500, alias: 33. Is there anything else that you would like to share with us at this time?, type: esriFieldTypeString
)
submit_instructions
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Please let your survey lead know when you are done with the survey so you can submit it together! Thank you!, type: esriFieldTypeString
)
pre_post_survey
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Is this a Pre or Post Survey?, type: esriFieldTypeString
, Coded Values:
[pre_survey: Pre-Survey]
, [post_survey: Post-Survey]
)
group_count
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 31. How many groups/activities per week do you usually attend?, type: esriFieldTypeString
)
group_impact
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: 32. Did being a member of any of these groups/activities significantly impact you, and, if so, which ones?, type: esriFieldTypeString
)
support_staff
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: CEC Member or Supporting Staff Name:, type: esriFieldTypeString
)