how_many_people_live_in_your_ho (type: esriFieldTypeDouble, alias: How many people live in your household?, SQL Type: sqlTypeOther, nullable: true, editable: true)
does_at_least_one_of_the_childr (type: esriFieldTypeString, alias: Does at least one of the children in your household attend school or daycare outside of the home?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Unsure: Unsure])
field_47 (type: esriFieldTypeString, alias: Are you familiar with the emergency plan of the school that the children attend?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [choice_3: Choice])
field_48 (type: esriFieldTypeString, alias: What is the primary language spoken in your household?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [English: English], [Spanish: Spanish], [Chinese_(Simplified): Chinese (Simplified)], ... 8 more ...)
untitled_question_48_other (type: esriFieldTypeString, alias: Other - What is the primary language spoken in your household?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
how_many_people_in_your_househo (type: esriFieldTypeDouble, alias: How many people in your household speak English proficiently?, SQL Type: sqlTypeOther, nullable: true, editable: true)
do_you_or_anyone_in_your_househ (type: esriFieldTypeString, alias: Do you or anyone in your household have a physical disability or a health condition that might affect your capacity to respond to an emergency situation?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_45 (type: esriFieldTypeString, alias: Do you or anyone in your household currently live with or have primary responsibility for caring for an elderly person or someone with a disability who requires assistance?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Unsure: Unsure])
field_10 (type: esriFieldTypeString, alias: Are you or anyone in your household immunocompromised?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_58 (type: esriFieldTypeString, alias: Do you or anyone in your household use medications that require refrigeration?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Unsure: Unsure])
field_59 (type: esriFieldTypeString, alias: Do you or anyone in your household rely on medical equipment that requires electricity?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Unsure: Unsure])
what_is_your_employment_status (type: esriFieldTypeString, alias: What is your employment status?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Employed full time: Employed full time], [Employed part time: Employed part time], [Unemployed for less than a mont: Unemployed for less than a month], ... 7 more ...)
what_is_your_employment_status_ (type: esriFieldTypeString, alias: Other - What is your employment status?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
are_you_or_anyone_in_your_house (type: esriFieldTypeString, alias: Are you or anyone in your household any of the following?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
do_you_rent_or_own_you_home (type: esriFieldTypeString, alias: Do you rent or own you home?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Rent: Rent], [Own: Own], [Unsure: Unsure], ... 1 more ...)
do_you_rent_or_own_you_other (type: esriFieldTypeString, alias: Other - Do you rent or own you home?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_50 (type: esriFieldTypeString, alias: What best describes the type of home you live in?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Multi-unit apartment complex or: Multi-unit apartment complex or condo with a basement], [choice_2: Multi-unit apartment complex or condo without a basement], [Single-unit home with a basemen: Single-unit home with a basement], ... 4 more ...)
field_50_other (type: esriFieldTypeString, alias: Other - What best describes the type of home you live in?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_15 (type: esriFieldTypeString, alias: Do you or anyone in your household live in a basement residence?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
has_your_household_experienced (type: esriFieldTypeString, alias: Has your household experienced utility shut offs in the last year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Unsure: Unsure])
which_of_the_following_does_you (type: esriFieldTypeString, alias: Which of the following does your household have access to within the home?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
which_is_your_households_primar (type: esriFieldTypeString, alias: Which is your household's primary mode of transportation?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Public transportation: Public transportation], [Private vehicle: Private vehicle], [Biking: Biking], ... 2 more ...)
what_is_your_households_primary (type: esriFieldTypeString, alias: Other - Which is your household's primary mode of transportation?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
does_your_household_rely_on_pub (type: esriFieldTypeString, alias: Does your household rely on public transportation to access groceries?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Unsure: Unsure])
field_17 (type: esriFieldTypeString, alias: Do you or anyone in your household have access to the following near or inside of your home?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
do_you_consider_yourself_affili (type: esriFieldTypeString, alias: Do you consider yourself affiliated with or a member of an organized religion or spiritual practice?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Unsure: Unsure], ... 1 more ...)
field_52_other (type: esriFieldTypeString, alias: Other - Do you consider yourself affiliated with or a member of an organized religion or spiritual practice?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
do_you_receive_emergency_prepar (type: esriFieldTypeString, alias: Do you receive emergency preparedness information or resources from your faith-based institution?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [No: No], [Yes, at least once: Yes, at least once], [Yes, but not regularly: Yes, but not regularly], ... 2 more ...)
would_you_be_willing_to_let_oth (type: esriFieldTypeString, alias: Would you be willing to let other community members utilize these resources during a community emergency?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
a_disaster_is_an_event_that_cou (type: esriFieldTypeString, alias: A disaster is an event that could threaten lives, damage infrastructure and property, and cut of access to food, water, electricity, and shelter. Have you ever considered preparing for a disaster?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes, and I have taken steps to: Yes, and I have taken steps to prepare], [Yes: Yes], [No: No], ... 1 more ...)
which_of_the_following_represen (type: esriFieldTypeString, alias: Which of the following represents you and your households current level of preparedness for a disaster?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [I am NOT prepared and have no i: I am NOT prepared and have no intentions to prepare in the next year], [I am NOT prepared but intend to: I am NOT prepared but intend to prepare within the next year], [I am prepared and have been for: I am prepared and have been for less a year], ... 1 more ...)
how_confident_are_you_that_you (type: esriFieldTypeString, alias: How confident are you that you and your household could take steps to prepare for a disaster in your area?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Extremely confident: Extremely confident], [Moderately confident: Moderately confident], [Somewhat confident: Somewhat confident], ... 2 more ...)
have_you_and_you_household_ever (type: esriFieldTypeString, alias: Have you and you household ever experienced a disaster?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
what_kind_of_disasters_have_you (type: esriFieldTypeString, alias: What kind of disasters have your household experienced?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
how_prepared_was_your_household (type: esriFieldTypeString, alias: How prepared was your household for the disaster(s)?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Extremely prepared: Extremely prepared], [Moderately prepared: Moderately prepared], [Somewhat prepared: Somewhat prepared], ... 2 more ...)
what_have_you_done_to_prepare_f (type: esriFieldTypeString, alias: What have you done to prepare for disaster within the last year?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
does_your_emergency_plan_includ (type: esriFieldTypeString, alias: Does your emergency plan include any of the following?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
what_is_included_in_your_supply (type: esriFieldTypeString, alias: What is included in your supply stores?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
what_is_included_in_your_other (type: esriFieldTypeString, alias: Other - What is included in your supply stores?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
how_long_would_your_assembled_s (type: esriFieldTypeString, alias: How long would your assembled supplies last in the case of a disaster?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Less than a day: Less than a day], [1 to 3 days: 1 to 3 days], [3 days to 1 week: 3 days to 1 week], ... 5 more ...)
how_long_could_your_household_l (type: esriFieldTypeString, alias: How long could your household live in your home without power?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Less than a day: Less than a day], [1 to 3 days: 1 to 3 days], [3 days to 1 week: 3 days to 1 week], ... 5 more ...)
field_30 (type: esriFieldTypeString, alias: How long could your household live in your home without running water?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Less than a day: Less than a day], [1 to 3 days: 1 to 3 days], [3 days to 1 week: 3 days to 1 week], ... 5 more ...)
are_you_familiar_with_the_emerg (type: esriFieldTypeString, alias: Are you familiar with the emergency plans of your workplace(s), school(s), and community center(s)?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Unsure: Unsure])
would_your_household_need_to_re (type: esriFieldTypeString, alias: Would your household need to rely on public transportation or local authorities for evacuation?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Unsure: Unsure])
if_governmental_agencies_called (type: esriFieldTypeString, alias: If governmental agencies called for an evacuation of your area would your household be able to evacuate?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Unsure: Unsure])
field_35 (type: esriFieldTypeString, alias: In the event of a disaster, what kind of aid would you expect?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_35_other (type: esriFieldTypeString, alias: Other - In the event of a disaster, what kind of aid would you expect?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
in_the_event_of_a_disaster_who (type: esriFieldTypeString, alias: In the event of a disaster, who would you expect and seek out aid and resources from?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
in_the_event_of_a_disaster_who_ (type: esriFieldTypeString, alias: Other - In the event of a disaster, who would you expect and seek out aid and resources from?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
do_you_have_homeowners_or_rente (type: esriFieldTypeString, alias: Do you have homeowners or renters insurance for your home?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Unsure: Unsure])
field_41 (type: esriFieldTypeString, alias: What kind of hazard specific insurance do you have?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_41_other (type: esriFieldTypeString, alias: Other - What kind of hazard specific insurance do you have?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_44 (type: esriFieldTypeString, alias: What do you think are the primary barriers for emergency preparedness in your household?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_44_other (type: esriFieldTypeString, alias: Other - What do you think are the primary barriers for emergency preparedness in your household?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
Templates:
Name: New Feature
Description:
Drawing Tool: esriFeatureEditToolNone
Prototype: