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HTML Popup Type: esriServerHTMLPopupTypeAsHTMLText
field_0 (type: esriFieldTypeString, alias: What is your first name?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_1 (type: esriFieldTypeString, alias: What is your last name?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_5 (type: esriFieldTypeDate, alias: What is your date of birth?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_6 (type: esriFieldTypeString, alias: What is your gender?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: Male], [choice1: Female], [choice2: Transgender], ... 1 more ...)
field_6_other (type: esriFieldTypeString, alias: Other - What is your gender?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_15 (type: esriFieldTypeString, alias: Are you currently pregnant?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_14 (type: esriFieldTypeString, alias: Did you give birth in the previous year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_13 (type: esriFieldTypeString, alias: What is your race?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_10 (type: esriFieldTypeString, alias: Are you Hispanic?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not Sure], ... 1 more ...)
field_16 (type: esriFieldTypeString, alias: Are you a veteran?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not Sure], ... 1 more ...)
field_17 (type: esriFieldTypeString, alias: What was your discharge status?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: Honorable], [choice1: Dishonorable], [choice2: Not Sure], ... 1 more ...)
field_67 (type: esriFieldTypeString, alias: Do you currently have a cell phone?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_68 (type: esriFieldTypeString, alias: Is your cell phone a smart phone?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_18 (type: esriFieldTypeString, alias: Were you born in Philadelphia?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not Sure ], ... 1 more ...)
field_20 (type: esriFieldTypeString, alias: In what neighborhood were you born?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: Kensington], [choice2: Not sure], [choice3: Refused], ... 1 more ...)
field_20_other (type: esriFieldTypeString, alias: Other - In what neighborhood were you born?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_21 (type: esriFieldTypeString, alias: Where were you born?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_25 (type: esriFieldTypeString, alias: Are you currently living in Philadelphia?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_26 (type: esriFieldTypeDouble, alias: How long have you lived in Philadelphia since your most recent move to Philadelphia?, SQL Type: sqlTypeOther, nullable: true, editable: true)
field_27 (type: esriFieldTypeString, alias: In what neighborhood are you living today?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: Kensington], [choice1: Not sure], [choice2: Refused], ... 1 more ...)
field_27_other (type: esriFieldTypeString, alias: Other - In what neighborhood are you living today?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_28 (type: esriFieldTypeString, alias: Where do you currently live?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_30 (type: esriFieldTypeString, alias: What brought you to Kensington today?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_30_other (type: esriFieldTypeString, alias: Other - What brought you to Kensington today?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_32 (type: esriFieldTypeString, alias: Since your most recent move to Kensington, how long have you been living in Kensington?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: <1 week], [choice1: 1 to <2 weeks], [choice2: 2 weeks to <1 month], ... 6 more ...)
field_47 (type: esriFieldTypeString, alias: Have you ever spent the night in a shelter in Philadelphia?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_48 (type: esriFieldTypeString, alias: In the future, are you willing to spend the night in a shelter?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_49 (type: esriFieldTypeString, alias: If there was a shelter with minimal rules, would you go?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_33 (type: esriFieldTypeString, alias: Where did you sleep last night?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: Street/bridge/encampment], [choice1: Shelter], [choice2: Safe Haven/ Journey of Hope (JOH)], ... 5 more ...)
field_33_other (type: esriFieldTypeString, alias: Other - Where did you sleep last night?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_34 (type: esriFieldTypeString, alias: Do you currently live on the street or in a shelter?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_35 (type: esriFieldTypeString, alias: How long have you been living on the street/ in a shelter?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: <1 week], [choice1: 1 to <2 weeks], [choice2: 2 weeks to <1 month], ... 5 more ...)
field_39 (type: esriFieldTypeString, alias: Did you live in El Camapmento also known as Gurney Street?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_36 (type: esriFieldTypeString, alias: Did you live in one of the encampments closed by the city?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_38 (type: esriFieldTypeString, alias: What encampment did you live in?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_40 (type: esriFieldTypeString, alias: Do you currently live in an encampment?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_41 (type: esriFieldTypeString, alias: What encampment do you currently live in?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_41_other (type: esriFieldTypeString, alias: Other - What encampment do you currently live in?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_42 (type: esriFieldTypeString, alias: What brought you to Kensington initially?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_42_other (type: esriFieldTypeString, alias: Other - What brought you to Kensington initially?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_43 (type: esriFieldTypeString, alias: What keeps you in Kensington?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: Social services (Prevention Point, treatment access)], [choice1: Access to Drugs], [choice2: Community], ... 3 more ...)
field_43_other (type: esriFieldTypeString, alias: Other - What keeps you in Kensington?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_45 (type: esriFieldTypeString, alias: Do you currently have family, friends, or other support where you are from?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_46 (type: esriFieldTypeString, alias: If able to, would you be willing to return to where you are from?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_44 (type: esriFieldTypeString, alias: What services do you currently access in Kensington?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_52 (type: esriFieldTypeString, alias: In the past 12 months, have you been incarcerated in prison or jail?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_53 (type: esriFieldTypeString, alias: How many times have you been incarcerated in the previous 12 months?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: 1 time], [choice1: 2 times], [choice2: 3 to 5 times], ... 3 more ...)
field_54 (type: esriFieldTypeString, alias: For your most recent incarceration, for how long were you incarcerated?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: <1 week], [choice1: 1 to <2 weeks], [choice2: 2 weeks to <1 month], ... 7 more ...)
field_56 (type: esriFieldTypeString, alias: When were you released from your most recent incarceration?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: <1 week ago], [choice1: 1 to <2 weeks ago], [choice2: 2 weeks to <1 month ago], ... 5 more ...)
field_57 (type: esriFieldTypeString, alias: Have you ever drunk alcohol in your lifetime?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_59 (type: esriFieldTypeDouble, alias: How old were you when you first started drinking alcohol?, SQL Type: sqlTypeOther, nullable: true, editable: true)
field_58 (type: esriFieldTypeString, alias: Have you drunk alcohol in the past 3 months?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_60 (type: esriFieldTypeString, alias: Have you ever used drugs other than those prescribed to you in your lifetime?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_62 (type: esriFieldTypeDouble, alias: How old were you when you first started using drugs other than those prescribed to you?, SQL Type: sqlTypeOther, nullable: true, editable: true)
field_61 (type: esriFieldTypeString, alias: Have you used drugs in the past 3 months other than those prescribed to you?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_63 (type: esriFieldTypeString, alias: What drugs have you knowingly used in the past 3 months?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_63_other (type: esriFieldTypeString, alias: Other - What drugs have you knowingly used in the past 3 months?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_64 (type: esriFieldTypeString, alias: Do you take precautions to prevent overdose?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_66 (type: esriFieldTypeString, alias: What precautions do you take?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_66_other (type: esriFieldTypeString, alias: Other - What precautions do you take?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_69 (type: esriFieldTypeString, alias: Have you ever been tested for HIV?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not Sure], ... 1 more ...)
field_70 (type: esriFieldTypeString, alias: Have you been tested for HIV in the past 6 months?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_71 (type: esriFieldTypeString, alias: Where was your last HIV test?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: Mobile/ walk in site (i.e. Prevention Point, Preventing HIV Project/ Get Up)], [choice1: Healthcare provider (i.e. Philadelphia FIGHT, primary care provider, hospital, emergency room)], [choice2: Drug treatment program], ... 4 more ...)
field_71_other (type: esriFieldTypeString, alias: Other - Where was your last HIV test?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_75 (type: esriFieldTypeDouble, alias: How old are you?, SQL Type: sqlTypeOther, nullable: true, editable: true)
field_74 (type: esriFieldTypeString, alias: What keeps you in Kensington?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_74_other (type: esriFieldTypeString, alias: Other - What keeps you in Kensington?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_76 (type: esriFieldTypeString, alias: What drugs have you knowingly used in the past 3 months? , SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_76_other (type: esriFieldTypeString, alias: Other - What drugs have you knowingly used in the past 3 months? , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_77 (type: esriFieldTypeString, alias: Have you been tested for Hepatitis C in the previous 6 months?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_44_other (type: esriFieldTypeString, alias: Other - What services do you currently access in Kensington?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_78 (type: esriFieldTypeString, alias: In the past 12 months, did you participate in an inpatient drug treatment program? , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_79 (type: esriFieldTypeString, alias: During your most recent inpatient drug treatment, did you leave treatment early against medical advice?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: No], [choice1: Yes], [choice2: Not sure], ... 1 more ...)
field_82 (type: esriFieldTypeString, alias: When were you discharged from your most recent inpatient drug treatment program?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: <1 week ago], [choice1: 1 to <2 weeks ago], [choice2: 2 weeks to <1 month ago], ... 5 more ...)
field_81 (type: esriFieldTypeString, alias: Where did you sleep immediately following your most recent drug treatment stay?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [choice0: Street/bridge/encampment], [choice1: Shelter], [choice2: Car], ... 8 more ...)
field_81_other (type: esriFieldTypeString, alias: Other - Where did you sleep immediately following your most recent drug treatment stay?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
Templates:
Name: New Feature
Description:
Drawing Tool: esriFeatureEditToolPoint
Prototype: