intro
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: As a direct result of experiencing the "Illusiong of I" show:, type: esriFieldTypeString
)
unique_strengths
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: I now feel that people experiencing mental health challenges often have unique strengths., type: esriFieldTypeString
, Coded Values:
[strongly_agree: Strongly Agree]
, [agree: Agree]
, [neutral: Neutral]
, ...2 more...
)
perspectives_wisdom
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: I now feel that people experiencing mental health challenges, have valuable perspectives and wisdom to share., type: esriFieldTypeString
, Coded Values:
[strongly_agree: Strongly Agree]
, [agree: Agree]
, [neutral: Neutral]
, ...2 more...
)
contribute_value
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: I now feel that people experiencing mental health challenges contribute valuable and important things to our community and neighborhood., type: esriFieldTypeString
, Coded Values:
[strongly_agree: Strongly Agree]
, [agree: Agree]
, [neutral: Neutral]
, ...2 more...
)
part_of_community
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: I now feel that people experiencing mental health challenges are a valuable and important part of my community and neighborhood., type: esriFieldTypeString
, Coded Values:
[strongly_agree: Strongly Agree]
, [agree: Agree]
, [neutral: Neutral]
, ...2 more...
)
relate
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: I now can relate to people experiencing mental health challenges., type: esriFieldTypeString
, Coded Values:
[strongly_agree: Strongly Agree]
, [agree: Agree]
, [neutral: Neutral]
, ...2 more...
)
age_group
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What is your age?, type: esriFieldTypeString
, Coded Values:
[0_15: 0-15 years old]
, [16_25: 16-25 years old]
, [26_59: 26-59 years old]
, ...1 more...
)
assigned_sex
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What sex were you assigned at birth?, type: esriFieldTypeString
, Coded Values:
[female: Female]
, [male: Male]
)
gender_identity
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: How do you describe yourself?, type: esriFieldTypeString
, Coded Values:
[female_gi: Female]
, [male_gi: Male]
, [trans_female: Trans Female/Woman]
, ...6 more...
)
mh_consumer
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you a consumer of mental health services?, type: esriFieldTypeString
, Coded Values:
[yes_currently: Yes (Currently)]
, [yes_previously: Yes (Previously)]
, [no: No]
, ...1 more...
)
sud_consumer
(
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: Yes (Currently)]
, [yes_previously: Yes (Previously)]
, [no: No]
, ...1 more...
)
friend_family
(
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: Yes]
, [no: No]
)
military
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Have you ever served in the military?, type: esriFieldTypeString
, Coded Values:
[yes_currently: Yes (Currently)]
, [yes_previously: Yes (Previously)]
, [no: 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
, Coded Values:
[am_indian: American Indian or Alaskan Native]
, [asian: Asian]
, [black: African American/Black]
, ...5 more...
)
employer
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Which best describes your employer:, type: esriFieldTypeString
, Coded Values:
[self: Self]
, [private_business: Private Business]
, [comm_prov: Community Based Service Provider]
, ...4 more...
)
areas_fields
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Do you work in any of the following areas/fields (Check all that apply), 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_dis: Yes]
, [no_dis: No]
, [decline_dis: Decline to Answer]
)
sb_living
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Do you live or work in San Bernardino County?, type: esriFieldTypeString
, Coded Values:
[sb_yes: Yes]
, [sb_no: No, I live and work in a neighboring California County]
)
sb_region
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: If yes, which San Bernardino County Region do you live in?, type: esriFieldTypeString
, Coded Values:
[central_valley: Central Valley Region (e.g. Bloomington, Fontana, Grand Terrace, Rialto)]
, [deser_mountain: Desert/Mountain Region
(e.g. Adelanto, Amboy, Apple Valley, Baker, Big Bear City, Cima, Earp, Fort Irwin, Hesperia, Hinkley, Joshua Tree, Landers, Ludlow, Morongo Valley, Mountain Pass, Needles, Nipton, Parker Dam, Phelan, Pioneertown, Sky Forest, Sugarloaf, 29 Palms, Wrightwood, Yermo, Yucca Valley)]
, [east_valley: East Valley
(e.g. Green Valley Lake, Highland, Lake Arrowhead, Loma Linda, Lytle Creek, Mentone, Patton, Redlands, Rimforest, Running Springs, San Bernardino, Yucapia)]
, ...1 more...
)
mhsa_updates
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: In the future how would you like to receive MHSA updates? (Check all that apply), type: esriFieldTypeString
)
note2
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Thank you again for taking the time to review and provide feedback., type: esriFieldTypeString
)