the_information_gathered_will_b (type: esriFieldTypeString, alias: The information gathered will be in the strictest confidence and will not be used for any other purposes. , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [i_am_happy_to_proceed_with_this: I am happy to proceed with this survey])
are_you_male_or_female (type: esriFieldTypeString, alias: Q1. Are you male or female?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [male: Male], [female: Female])
in_what_council_area_do_you_liv (type: esriFieldTypeString, alias: In what Council area do you live?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [ballymoney: Ballymoney], [coleraine: Coleraine], [limavady: Limavady], ... 1 more ...)
which_of_the_following_groups_i (type: esriFieldTypeString, alias: Q4. Which of the following groups includes your age?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [55_59: 55-59], [60_64: 60-64], [65_74: 65-74], ... 2 more ...)
how_is_you_health_in_general_th (type: esriFieldTypeString, alias: Q5, How is you health in general the past year?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [excellent: Excellent], [very_good: Very Good], [good: Good], ... 2 more ...)
i_do_not_leave_the_house (type: esriFieldTypeString, alias: Q6. I do not leave the house, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_enjoy_walking_outdoors_and_i_ (type: esriFieldTypeString, alias: Q7. I enjoy walking outdoors and I exercise regularly, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
there_are_enough_public_safe_pl (type: esriFieldTypeString, alias: Q8. There are enough public safe places to walk and meet family outside while social distancing, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
there_are_enough_toilets_seatin (type: esriFieldTypeString, alias: Q12. There are enough toilets/ seating areas in the outside areas I visit, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
field_17 (type: esriFieldTypeString, alias: Note any comments or strongly expressed feelings on this topic:, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
i_drive_and_use_my_own_car_to_g (type: esriFieldTypeString, alias: Q13. I drive and use my own car to get out and about, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
my_family_friends_help_me_with_ (type: esriFieldTypeString, alias: Q14. My family/ friends help me with transport, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_use_public_transport_to_meet_ (type: esriFieldTypeString, alias: Q15. I use public transport to meet friends, visit doctors, social activities, church, parks, museums, shopping, volunteer etc, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
there_is_enough_information_on_ (type: esriFieldTypeString, alias: Q16. There is enough information on Public Transport changes/ alterations, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_feel_safe_to_travel_on_public (type: esriFieldTypeString, alias: Q17. I feel safe to travel on Public transport, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_live_with_family_friend_lodge (type: esriFieldTypeString, alias: Q20. I live with family/ friend / lodger, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_live_in_sheltered_accommodati (type: esriFieldTypeString, alias: Q21. I live in sheltered accommodation / shared community housing/ fold, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
my_home_is_safe_and_adequate_ad (type: esriFieldTypeString, alias: Q22. My home is safe and adequate / adapted for my needs, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_am_aware_of_the_support_servi (type: esriFieldTypeString, alias: Q23. I am aware of the support services available for any home maintenance or adaptions required, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
there_are_sufficient_and_afford (type: esriFieldTypeString, alias: Q24. There are sufficient and affordable home maintenance support services available for any adaptions required, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
field_36 (type: esriFieldTypeString, alias: Please select all those that apply, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_36_other (type: esriFieldTypeString, alias: Other - Please select all those that apply, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
i_have_improved_the_energy_effi (type: esriFieldTypeString, alias: Q26. I have improved the energy efficiency of my house to reduce my fuel bills, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
field_39 (type: esriFieldTypeString, alias: Please select all those that apply, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_39_other (type: esriFieldTypeString, alias: Other - Please select all those that apply, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
i_have_improved_my_safety_in_my (type: esriFieldTypeString, alias: Q27. I have improved my safety in my home, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
field_41 (type: esriFieldTypeString, alias: Please select all those that apply, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_41_other (type: esriFieldTypeString, alias: Other - Please select all those that apply, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_34 (type: esriFieldTypeString, alias: Note any comments or strongly expressed feelings on this topic:, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
i_belong_to_a_group_and_very_we (type: esriFieldTypeString, alias: Q28. I belong to a group and very well engaged in my community, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_regularly_take_part_in_activi (type: esriFieldTypeString, alias: Q29. I regularly take part in activities: , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
field_49 (type: esriFieldTypeString, alias: Please select all those that apply, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_49_other (type: esriFieldTypeString, alias: Other - Please select all those that apply, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
there_is_a_wide_variety_of_acti (type: esriFieldTypeString, alias: Q30. There is a wide variety of activities are available to appeal to a diverse population of older people to come out safely, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
venues_for_events_and_activitie (type: esriFieldTypeString, alias: Q31. Venues for events and activities are accessible, well promoted and well organised with transport options provided, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
we_have_community_organisations (type: esriFieldTypeString, alias: Q32. We have community organisations and activities – encouraging safe participation of people at different ages and cultural backgrounds, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
arts_and_culture_programmes_are (type: esriFieldTypeString, alias: Q33. Arts and culture programmes are accessible and affordable, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_do_not_take_part_in_social_ac (type: esriFieldTypeString, alias: Q34. I do not take part in social activities and there are barriers preventing me from doing so, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
please_select_all_that_apply (type: esriFieldTypeString, alias: Please select all that apply, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
please_select_all_that_apply_other (type: esriFieldTypeString, alias: Other - Please select all that apply, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
i_have_good_contact_and_visitor (type: esriFieldTypeString, alias: Q35. I have good contact and visitors/ family who come to my home regularly, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_take_part_in_civic_activities (type: esriFieldTypeString, alias: Q43. I take part in civic activities that benefit the community (charity, community, church, forums, U3A etc), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_feel_valued_and_i_have_a_purp (type: esriFieldTypeString, alias: Q44. I feel valued and I have a purpose in life, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_am_connected_to_a_local_forum (type: esriFieldTypeString, alias: Q45. I am connected to a local forum / age sector network to voice my views and local decisions, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_have_time_and_can_make_a_diff (type: esriFieldTypeString, alias: Q46. I have time and can make a difference , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_used_to_volunteer_but_i_am_re (type: esriFieldTypeString, alias: Q47. I used to volunteer but I am reluctant now because of my safety during the pandemic , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_would_volunteer_if_i_felt_saf (type: esriFieldTypeString, alias: Q48. I would volunteer if I felt safe, supported and parking/ petrol was reimbursed, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
there_is_good_employment_suppor (type: esriFieldTypeString, alias: Q49. There is good employment support available for older workers?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
retraining_opportunities_such_a (type: esriFieldTypeString, alias: Q50. Retraining opportunities, such as training in new technologies, is available to older people, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_am_interested_in (type: esriFieldTypeString, alias: Q52. I am interested in, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
i_am_interested_in_other (type: esriFieldTypeString, alias: Other - Q52. I am interested in, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_83 (type: esriFieldTypeString, alias: Note any comments or strongly expressed feelings on this topic:, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
i_use_my_local_community_facili (type: esriFieldTypeString, alias: Q53. I use my local community facility for information on services, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
there_is_an_e_ective_communicat (type: esriFieldTypeString, alias: Q54. There is an effective communication system that reaches community residents , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
a_coordinated_group_approach_to (type: esriFieldTypeString, alias: Q55. A coordinated group approach to signposting to services is needed, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_have_access_to_the_internet (type: esriFieldTypeString, alias: Q56. I have access to the internet, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
field_104 (type: esriFieldTypeString, alias: Note any comments or strongly expressed feelings on this topic:, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
within_the_last_3_months_i_have (type: esriFieldTypeString, alias: Q58. Within the last 3 months, I have taken steps to improve my health and wellbeing, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_take_good_care_of_myself_and_ (type: esriFieldTypeString, alias: Q59. I take good care of myself and rate my health and well-being as good , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_eat_well_and_have_nutritional (type: esriFieldTypeString, alias: Q60. I eat well and have nutritional meals, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
an_adequate_range_of_health_and (type: esriFieldTypeString, alias: Q61. An adequate range of health and community support services is offered for promoting, maintaining and restoring my health , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
health_and_social_services_are_ (type: esriFieldTypeString, alias: Q62. Health and social services are conveniently located and accessible by all means of transport, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
health_and_community_service_fa (type: esriFieldTypeString, alias: Q63. Health and community service facilities are safe and fully accessible for older people, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
community_covid_19_emergency_pl (type: esriFieldTypeString, alias: Q64. Community COVID-19 emergency planning takes into account the vulnerabilities and capacities of older people, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_am_prepared_if_i_have_a_healt (type: esriFieldTypeString, alias: Q66. I am prepared if I have a health crisis and know who to contact if I need help, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_know_what_the_symptoms_of_cov (type: esriFieldTypeString, alias: Q68. I know what the symptoms of Covid-19 are, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_know_how_to_book_a_test_shoul (type: esriFieldTypeString, alias: Q69. I know how to book a test should I display the symptoms of Covid-19, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_know_where_to_find_updates_an (type: esriFieldTypeString, alias: Q70. I know where to find updates and new information in relation to Covid-19, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_know_what_the_current_covid_1 (type: esriFieldTypeString, alias: Q71. I know what the current Covid-19 regulations are in Northern Ireland, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_feel_confident_to_leave_the_h (type: esriFieldTypeString, alias: Q72. I feel confident to leave the house for shopping, appointments and general day to day duties, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_feel_anxious_lonely_or_depres (type: esriFieldTypeString, alias: Q73. I feel anxious, lonely or depressed during the current Covid pandemic , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_understand_what_services_are_ (type: esriFieldTypeString, alias: Q74. I understand what services are available throughout the Borough and my community should I need assistance during this period, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
i_have_assistance_with_regards_ (type: esriFieldTypeString, alias: Q75. I have assistance with regards shopping etc from a family member or carer, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [agree: Agree], [disagree: Disagree], [don't_know: Don't Know], ... 1 more ...)
can_you_tell_me_what_you_think_ (type: esriFieldTypeString, alias: Q76. Can you tell me what you think your town/village does best for older people?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
what_priority_areas_needs_bette (type: esriFieldTypeString, alias: Q77. What priority areas needs better attention over the next 12 months?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
would_you_like_to_find_out_more (type: esriFieldTypeString, alias: Would you like to find out more information?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
would_you_like_further_mailing_ (type: esriFieldTypeString, alias: Would you like further mailing on information in your area?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
what_do_you_think_are_the_top_4 (type: esriFieldTypeString, alias: What do you think are the top 4 most important issues for older people today?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_170 (type: esriFieldTypeString, alias: Would you prefer this to be:, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [in_person: In Person], [virtual_zoom_etc: Virtual/Zoom etc], [mixture_of_both: Mixture of Both])
do_you_allow_us_to_give_your_co (type: esriFieldTypeString, alias: Do you allow us to give your contact details to Age NI to follow up on this?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
for_any_202223_event_what_do_yo (type: esriFieldTypeString, alias: For any 2022/23 event what do you think are the top 4 most important issues for older people today?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
Templates:
Name: New Feature
Description:
Drawing Tool: esriFeatureEditToolPoint
Prototype: