where_are_you_staying_tonight (type: esriFieldTypeString, alias: Where are you staying tonight?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
you_said_your_name_was_could_yo (type: esriFieldTypeString, alias: You said your name was _________. Is that your given first name? Could you spell that for me?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_9 (type: esriFieldTypeString, alias: Are you the head of your family unit? , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
what_is_your_relationship_to_th (type: esriFieldTypeString, alias: If you are not the HOH, what is your relationship to the head of household?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [C - Child: C - Child], [S - Spouse or partner: S - Spouse or partner], [OR - Other family relation: OR - Other family relation], ... 2 more ...)
how_many_members_do_you_have_in (type: esriFieldTypeString, alias: How many members do you have in your household including yourself?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
what_is_your_date_of_birth (type: esriFieldTypeString, alias: What is your date of birth?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
what_is_your_gender (type: esriFieldTypeString, alias: What is your gender? , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [M - Man (Boy if Child): M - Man (Boy if Child)], [W - Woman (Girl if Child): W - Woman (Girl if Child)], [CS - Culturally Specific Identi: CS - Culturally Specific Identity], ... 6 more ...)
my_next_question_is_about_race (type: esriFieldTypeString, alias: My next question is about race and ethnicity. Which of these would best describe you?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [A - American Indian, Alaskan Na: A - American Indian, Alaskan Native, or Indigenous], [B - Asian or Asian American: B - Asian or Asian American], [C - Black, African American, or: C - Black, African American, or African], ... 5 more ...)
are_you_a_survivor_of_domestic (type: esriFieldTypeString, alias: Are you a survivor of domestic violence?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
are_you_currently_fleeing_from (type: esriFieldTypeString, alias: Are you currently fleeing from a domestic violence situation?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Choice 1: Choice 1], [Choice 2: Choice 2], [Choice 3: Choice 3])
what_is_the_approximate_date_th (type: esriFieldTypeString, alias: What is the approximate date that your current episode of homelessness started?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
how_many_different_times_have_y (type: esriFieldTypeString, alias: How many different times have you been homeless since then?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
in_the_last_three_years_how_man (type: esriFieldTypeString, alias: In the last three years, how many months have you been homeless?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
do_you_have_a_long_term_disabil (type: esriFieldTypeString, alias: Do you have a long-term disability?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
do_any_of_the_following_apply (type: esriFieldTypeString, alias: If you answered yes to the previous question, do any of the following apply? , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [AA - Autism Spectrum Disorder: AA - Autism Spectrum Disorder], [SA - Sensory Impairment (such a: SA - Sensory Impairment (such as visual or hearing impairment) ], [HIV - Human Immunodeficiency Vi: HIV - Human Immunodeficiency Virus], ... 2 more ...)
are_you_a_veteran (type: esriFieldTypeString, alias: Are you a veteran?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
are_you_currently_serving_in_th (type: esriFieldTypeString, alias: Are you currently serving in the military active duty, National Guard, or Reserves? , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Choice 1: Choice 1], [Choice 2: Choice 2], [Choice 3: Choice 3])
name_of_surveyor (type: esriFieldTypeString, alias: Name of Surveyor, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
what_is_your_last_name_i_want_t (type: esriFieldTypeString, alias: What is your last name? I want to make sure I don't double count when we go to tally up all the answers., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
enter_any_additional_identifyin (type: esriFieldTypeString, alias: Enter any additional identifying information you would like to include here , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
are_you_currently_fleeing_from_ (type: esriFieldTypeString, alias: Are you currently fleeing from a domestic violence situation?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_31 (type: esriFieldTypeString, alias: Are you currently serving in the military?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
my_next_question_is_about_race_ (type: esriFieldTypeString, alias: My next question is about race and ethnicity. Which of these would best describe you?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [A - American Indian, Alaskan Na: A - American Indian, Alaskan Native, or Indigenous], [B - Asian or Asian American: B - Asian or Asian American], [C - Black, African American, or: C - Black, African American, or African], ... 5 more ...)
enter_approximate_location_if_n (type: esriFieldTypeString, alias: Enter approximate location if needed, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
Templates:
Name: New Feature
Description:
Drawing Tool: esriFeatureEditToolNone
Prototype: