date_time_needed (type: esriFieldTypeDate, alias: Date / Time Needed:, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
no_later_than (type: esriFieldTypeDate, alias: When will you run out of your current supply?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
as_of_the_request_date_what_is_ (type: esriFieldTypeString, alias: As of the request date, what is your current supply of each of the items, in individual units, you requested?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
for_each_item_you_requested_how (type: esriFieldTypeString, alias: For each item you requested, how many do you use each day when caring for emergent and urgent patients?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
are_the_items_requested_being_u (type: esriFieldTypeString, alias: Are the items requested being used for emergent or urgent care only?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
what_conservation_measures_have (type: esriFieldTypeString, alias: What conservation measures have you put into place?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
do_you_have_access_to_a_cache_o (type: esriFieldTypeString, alias: Do you have access to a cache of supplies, including the requested items?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
number_of_staff_in_your_organiz (type: esriFieldTypeDouble, alias: Number of Staff in your Organization:, SQL Type: sqlTypeOther, nullable: true, editable: true)
patients_clients_served (type: esriFieldTypeDouble, alias: Number of Patients/Clients Served:, SQL Type: sqlTypeOther, nullable: true, editable: true)
patients_clients_served_descr (type: esriFieldTypeString, alias: Number of patients/clients served weekly or daily?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [weekly: Weekly], [daily: Daily])