Layers:

Layer: Registration_Survey (0)


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:

XMin: -180
YMin: -90
XMax: 180
YMax: 90
Spatial Reference: 4326 (4326)


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:

Name : objectid

IsSystemMaintained : True


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:

Name: New Feature
Description:
Drawing Tool: esriFeatureEditToolPoint
Prototype:

Attributes:


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

Tables:

Registration_hh_members (1)


Name: Registration_hh_members

Display Field: objectid

Type: Table

Description:

Copyright Text:

Max Record Count: 1000

Supported query Formats: JSON, geoJSON, PBF

Use Standardized Queries: True

HasZ: false

HasM: false

Has Attachments: false

Has Geometry Properties: false

HTML Popup Type: esriServerHTMLPopupTypeNone

Object ID Field: objectid

Unique ID Field:

Name : objectid

IsSystemMaintained : True


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)
• hh_member_name (type: esriFieldTypeString, alias: Name, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
• hh_member_age (type: esriFieldTypeString, alias: Age, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
• hh_member_patient_id (type: esriFieldTypeString, alias: PatientID, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
• parentglobalid (type: esriFieldTypeGUID, alias: ParentGlobalID, SQL Type: sqlTypeGUID, length: 38, nullable: true, editable: true)
• 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)

Relationships:
• Form_3_Registration_hh_members (1) -- Related To: Registration_Survey (0)
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