Layer: Registration_Survey (ID:0)

View In: Map Viewer

Name: Registration_Survey

Display Field: objectid

Type: Feature Layer

Geometry Type: esriGeometryPoint

Description:

Copyright Text:

Min. Scale: 0

Max. Scale: 0

Default Visibility: true

Max Record Count: 1000

Supported query Formats: JSON, geoJSON, PBF

Use Standardized Queries: True

Extent:

Drawing Info:

{"labelingInfo":null,"renderer":{"description":"Survey Data Locations","label":"Form 3","symbol":{"angle":0,"color":[255,0,0,255],"outline":{"color":[255,255,0,255],"width":1},"size":8,"style":"esriSMSCircle","type":"esriSMS","xoffset":0,"yoffset":0},"type":"simple"},"transparency":0}
HasZ: false

HasM: false

Has Attachments: true

Has Geometry Properties: false

HTML Popup Type: esriServerHTMLPopupTypeAsHTMLText

Object ID Field: objectid

Unique ID Field:

Global ID Field: globalid

Type ID Field:

Fields:

objectid (type: esriFieldTypeOID, alias: ObjectID, SQL Type: sqlTypeOther, length: 0, nullable: false, editable: false)
globalid (type: esriFieldTypeGlobalID, alias: GlobalID, SQL Type: sqlTypeGUID, length: 38, nullable: false, editable: false)
first_name (type: esriFieldTypeString, alias: First Name, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
last_name (type: esriFieldTypeString, alias: Last Name, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
dob (type: esriFieldTypeDate, alias: Date of Birth, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
age_group (type: esriFieldTypeString, alias: Age Group, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [1_under_eighteen: 0-18], [2_eighteen_twentynine: 18 - 29], [3_thirty_fourtyfour: 30 - 44], ... 5 more ...)
phone (type: esriFieldTypeString, alias: Phone Number, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
patient_id (type: esriFieldTypeString, alias: PatientID, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
mental_treatment_start (type: esriFieldTypeDate, alias: Mental Health Start Date, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
mental_treatment_end (type: esriFieldTypeDate, alias: Mental Health End Date, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
genetic_testing_start (type: esriFieldTypeDate, alias: Genetic Testing Start Date, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
genetic_testing_end (type: esriFieldTypeDate, alias: Genetic Testing End Date, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
hiv_aids_start (type: esriFieldTypeDate, alias: HIV/Aids Diagnosis Start Date, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
hiv_aids_end (type: esriFieldTypeDate, alias: HIV/Aids Diagnosis End Date, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
alcohol_drug_start (type: esriFieldTypeDate, alias: Alcohol/Drug Start Date, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
alcohol_drug_end (type: esriFieldTypeDate, alias: Alcohol/Drug End Date, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
disclosure_use_authorization (type: esriFieldTypeString, alias: Select the Riverside County agencies authorized to disclose your information. I authorize the following Riverside County agencies to disclose my information to each other:, SQL Type: sqlTypeOther, length: 500, nullable: true, editable: true)
contractors_authorization (type: esriFieldTypeString, alias: I also authorize the Riverside County agencies checked above to disclose my information to:, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
do_not_disclose (type: esriFieldTypeString, alias: I DO NOT authorize the Riverside County agencies to disclose and use my information:, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
send_email (type: esriFieldTypeString, alias: Would you like a copy of this form emailed to you?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
email (type: esriFieldTypeString, alias: E-mail, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
permanent_address (type: esriFieldTypeString, alias: Do you have a permanent address?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
address (type: esriFieldTypeString, alias: Enter Permanent Address:, SQL Type: sqlTypeOther, length: 500, nullable: true, editable: true)
city (type: esriFieldTypeString, alias: City, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
st (type: esriFieldTypeString, alias: State, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
zip (type: esriFieldTypeString, alias: Zip Code, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
longitude (type: esriFieldTypeDouble, alias: longitude, SQL Type: sqlTypeOther, nullable: true, editable: true)
latitude (type: esriFieldTypeDouble, alias: latitude, SQL Type: sqlTypeOther, nullable: true, editable: true)
riverside_check (type: esriFieldTypeString, alias: county check, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
witness (type: esriFieldTypeString, alias: Witness, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
submission_date (type: esriFieldTypeDate, alias: Date Signed, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
expiration_date (type: esriFieldTypeDate, alias: Expiration Date, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
guardian_name (type: esriFieldTypeString, alias: PRINT NAME:, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
guardian_relation (type: esriFieldTypeString, alias: Relationship:, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
department (type: esriFieldTypeString, alias: What department is helping you with this form?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [adult_services: Adult Services - Department of Public Social Services], [behavioral_health: Behavioral Health - Riverside University Health System], [children_services: Children Services - Department of Public Social Services], ... 12 more ...)
survey_location (type: esriFieldTypeString, alias: At what location are you filling this form out?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [temecula: Temecula], [riverside: Riverside], [jurupa_valley: Jurupa Valley], ... 7 more ...)
survey_location_other (type: esriFieldTypeString, alias: If other, please list your location, SQL Type: sqlTypeOther, length: 50, nullable: true, editable: true)
current_benefits (type: esriFieldTypeString, alias: What benefits are you currently receiving?, SQL Type: sqlTypeOther, length: 500, nullable: true, editable: true)
current_benefits_other (type: esriFieldTypeString, alias: Specify other., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
medical_number (type: esriFieldTypeString, alias: Medi-Cal Benefits ID Number, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
probation_status (type: esriFieldTypeString, alias: Are you currently on probation?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No], [no_answer: Prefer not to asnwer])
probation_type (type: esriFieldTypeString, alias: What type of probation?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [formal: Formal Probation], [mandatory: Mandatory Supervision], [prcs: PRCS])
veteran_status (type: esriFieldTypeString, alias: Are you a veteran or a spouse or child of a veteran?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
years_service (type: esriFieldTypeInteger, alias: Years of Service, SQL Type: sqlTypeOther, nullable: true, editable: true)
disharge_status (type: esriFieldTypeString, alias: Discharge Status, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [honorable: Honorable], [under_honorable: Under Honorable Conditions], [under_other: Under Other than Honorable Conditions], ... 4 more ...)
relationship_status (type: esriFieldTypeString, alias: Relationship Status, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [divorced: Divorced], [domestic_partner: Domestic Partner], [married: Married], ... 4 more ...)
hh_count (type: esriFieldTypeInteger, alias: How many people live in your home right now?, SQL Type: sqlTypeOther, nullable: true, editable: true)
hh_income (type: esriFieldTypeInteger, alias: Monthly Income, SQL Type: sqlTypeOther, nullable: true, editable: true)
sex_birth (type: esriFieldTypeString, alias: What is your sex at birth?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [female_sex: Female], [male_sex: Male], [na_sex: Prefer not to answer])
gender (type: esriFieldTypeString, alias: What is your gender identity?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Male: Male], [Female: Female], [Prefer_not: Prefer not to answer], ... 1 more ...)
gender_other (type: esriFieldTypeString, alias: Specify other., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
ethnicity (type: esriFieldTypeString, alias: What is your ethnicity?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Hispanic: Hispanic or Latino], [Not_Hispanic: Not Hispanic or Latino], [Prefer_not: Prefer not to answer])
race (type: esriFieldTypeString, alias: What is your race?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
race_other (type: esriFieldTypeString, alias: Specify other., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
language (type: esriFieldTypeString, alias: What is your preferred language?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [English: English], [Spanish: Spanish], [Other: Something else])
other_language (type: esriFieldTypeString, alias: Please specify, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
basic (type: esriFieldTypeString, alias: Basic documentation, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
demographic (type: esriFieldTypeString, alias: Demographic Information, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
financial (type: esriFieldTypeString, alias: Financial Information, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
county_enrollment (type: esriFieldTypeString, alias: My enrollment in county programs, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
medical (type: esriFieldTypeString, alias: Medical Information, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
education (type: esriFieldTypeString, alias: Education Records, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
social_services_records (type: esriFieldTypeString, alias: Social Services Records, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
mental_health (type: esriFieldTypeString, alias: Mental Health Treatment Information, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
genetic_testing (type: esriFieldTypeString, alias: Genetic testing information, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
hiv_aids (type: esriFieldTypeString, alias: HIV/AIDS Diagnosis & Treatment Information, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
alcohol_drug (type: esriFieldTypeString, alias: Alcohol/Drug Treatment Information, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
adult_services (type: esriFieldTypeString, alias: Riverside University Health System, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
behavioral_health (type: esriFieldTypeString, alias: Behavioral Health, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
children_services (type: esriFieldTypeString, alias: Children Services, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
community_action (type: esriFieldTypeString, alias: Community Actions, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
community_health (type: esriFieldTypeString, alias: Community Health, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
dept_child_support (type: esriFieldTypeString, alias: Deparment of Child Support, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
family_resource_center (type: esriFieldTypeString, alias: Department of Public Social Services, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
first_5_riverside (type: esriFieldTypeString, alias: First 5 Riverside County, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
housing_workforce (type: esriFieldTypeString, alias: Housing Workforce, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
inhome_support (type: esriFieldTypeString, alias: In home support, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
office_on_aging (type: esriFieldTypeString, alias: Riverside County Office on Aging, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
probation_office (type: esriFieldTypeString, alias: First 5 Riverside County, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
self_sufficiency (type: esriFieldTypeString, alias: Self Sufficiency, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
veterans (type: esriFieldTypeString, alias: Veterans Services, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
wic (type: esriFieldTypeString, alias: Riverside County Probation, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
agency_list (type: esriFieldTypeString, alias: Agency List, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
dept_public_health (type: esriFieldTypeString, alias: Department of Public Health, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
ruhs_medical (type: esriFieldTypeString, alias: RUHS Medical Center, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
medical_benefit (type: esriFieldTypeInteger, alias: Medi-CAL, SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
calfresh (type: esriFieldTypeInteger, alias: CalFresh, SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
social_security (type: esriFieldTypeInteger, alias: Social Security, SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
capi (type: esriFieldTypeInteger, alias: California Cash Assistance for Immigrants (CAPI), SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
wic_benefit (type: esriFieldTypeInteger, alias: Women, Infants, and Children (WIC), SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
unemployment (type: esriFieldTypeInteger, alias: Unemployment, SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
veterans_benefits (type: esriFieldTypeInteger, alias: Veterans, SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
no_benefits (type: esriFieldTypeInteger, alias: None, SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
asian (type: esriFieldTypeInteger, alias: Asian, SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
black (type: esriFieldTypeInteger, alias: Black or African American, SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
nativeAmerican_Alaskan (type: esriFieldTypeInteger, alias: Native American or Alaskan Native, SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
hawaiian_pacific (type: esriFieldTypeInteger, alias: Native Hawaiin or Other Pacific Islander, SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
white (type: esriFieldTypeInteger, alias: White, SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
na_race (type: esriFieldTypeInteger, alias: Prefer not to answer, SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
hispanic_race (type: esriFieldTypeInteger, alias: Hispanic, SQL Type: sqlTypeOther, nullable: true, editable: true, Coded Values: [1: Yes], [0: No])
social_services_disclosure (type: esriFieldTypeString, alias: Department of Public Social Services Disclosure, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
aging_office_disclosure (type: esriFieldTypeString, alias: Riverside County Office on Aging Disclosure, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
first_5_disclosure (type: esriFieldTypeString, alias: First 5 Riverside County Disclosure, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
hws_disclosure (type: esriFieldTypeString, alias: Housing and Workforce Solutions Disclosure, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
child_support_disclosure (type: esriFieldTypeString, alias: Child Support Services Disclosure, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
veterans_services_disclosure (type: esriFieldTypeString, alias: Veterans Services Disclosure, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
probation_disclosure (type: esriFieldTypeString, alias: Riverside County Probation Disclosure, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
ruhs_disclosure (type: esriFieldTypeString, alias: Riverside University Health System Disclosure, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
consent (type: esriFieldTypeString, alias: consent, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [partial_consent: partial consent], [full_consent: full consent], [blank_consent: blank consent], ... 1 more ...)
CreationDate (type: esriFieldTypeDate, alias: CreationDate, SQL Type: sqlTypeOther, length: 8, nullable: true, editable: false)
Creator (type: esriFieldTypeString, alias: Creator, SQL Type: sqlTypeOther, length: 128, nullable: true, editable: false)
EditDate (type: esriFieldTypeDate, alias: EditDate, SQL Type: sqlTypeOther, length: 8, nullable: true, editable: false)
Editor (type: esriFieldTypeString, alias: Editor, SQL Type: sqlTypeOther, length: 128, nullable: true, editable: false)

Templates:

Relationships:

Form_3_Registration_hh_members (1) -- Related To: Registration_hh_members (1)

Is Data Versioned: false

Has Contingent Values: false

Supports Rollback On Failure Parameter: true

Last Edit Date: 11/21/2024 7:53:55 PM

Schema Last Edit Date: 11/21/2024 7:53:55 PM

Data Last Edit Date: 11/21/2024 7:31:12 PM

Supported Operations: Add Features Apply Edits Generate Renderer Validate SQL Get Estimates ConvertFormat