_2_what_is_your_zip_code (type: esriFieldTypeString, alias: 2. What is your zip code?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_3_in_which_county_do_you_resid (type: esriFieldTypeString, alias: 3. In which county do you reside?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Bastrop: Bastrop], [Bell: Bell], [Blanco: Blanco], ... 27 more ...)
_4_what_is_your_gender (type: esriFieldTypeString, alias: 4. What is your gender?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Male: Male], [Female: Female], [Non-Binary/Third gender: Non-Binary/Third gender], ... 2 more ...)
_4what_is_your_gender_other (type: esriFieldTypeString, alias: Prefer to self-describe - 4. What is your gender?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_5_what_is_your_current_age (type: esriFieldTypeString, alias: 5. What is your current age?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [11 years or younger: 11 years or younger], [12 years: 12 years], [13 years_: 13 years ], ... 7 more ...)
_6_how_would_you_describe_yours (type: esriFieldTypeString, alias: 6. How would you describe yourself? (Select all that apply), SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_7_other (type: esriFieldTypeString, alias: Other (describe) - 6. How would you describe yourself? (Select all that apply), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_7_do_you_identify_as_hispanic (type: esriFieldTypeString, alias: 7. Do you identify as Hispanic or Latino?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [No: No], [Yes, Mexican, Mexican American,: Yes, Mexican, Mexican American, or Chicano], [Yes, Puerto Rican: Yes, Puerto Rican], ... 2 more ...)
do_you_identify_as_hispanic_or_ (type: esriFieldTypeString, alias: Yes, another Hispanic or Latino origin (please specify) - 7. Do you identify as Hispanic or Latino?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_8_what_is_the_primary_language (type: esriFieldTypeString, alias: 8. What is the primary language spoken in your home?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [English: English], [Spanish: Spanish], [Vietnamese: Vietnamese], ... 3 more ...)
what_is_the_primary_language_sp (type: esriFieldTypeString, alias: Another language (please specify) - 8. What is the primary language spoken in your home?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_9_what_grade_are_you_in (type: esriFieldTypeString, alias: 9. What grade are you in?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [6th: 6th], [7th: 7th], [8th: 8th], ... 4 more ...)
_10_what_are_your_grades_like (type: esriFieldTypeString, alias: 10. What are your grades like?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Mainly A's: Mainly A’s], [Mainly B's: Mainly B’s], [Mainly C's: Mainly C’s], ... 3 more ...)
_11_who_do_you_live_with_most_o (type: esriFieldTypeString, alias: 11. Who do you live with most of the time? (Select all that apply), SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_12_other (type: esriFieldTypeString, alias: Other - 11. Who do you live with most of the time? (Select all that apply), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_12_during_a_typical_week_do_yo (type: esriFieldTypeString, alias: 12. During a typical week, do you regularly stay in more than one home? (Exclude occasional sleepovers.), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
_13_in_the_past_30_days_how_oft (type: esriFieldTypeString, alias: 13. In the past 30 days, how often did you experience hunger due to a lack of food at home?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Never: Never], [Rarely: Rarely], [Occasionally: Occasionally], ... 2 more ...)
_14_in_the_last_7_days_on_how_m (type: esriFieldTypeString, alias: 14. In the last 7 days, on how many days did you engage in at least 60 minutes of physical activity? (Include all activities that raised your heart rate and made you breathe harder at times.), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [0 days: 0 days], [1 day: 1 day], [2 days: 2 days], ... 5 more ...)
_15_do_you_experience_significa (type: esriFieldTypeString, alias: 15. Do you experience significant difficulty with concentrating, remembering, or making decisions due to a physical, mental, or emotional condition?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
_16_do_you_feel_connected_or_in (type: esriFieldTypeString, alias: 16. Do you feel connected or involved with your school (e.g., through activities, relationships with teachers and peers)?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes, very connected_: Yes, very connected ], [Somewhat connected_: Somewhat connected ], [Not very connected_: Not very connected ], ... 1 more ...)
_17_how_often_do_you_spend_qual (type: esriFieldTypeString, alias: 17. How often do you spend quality time with your parents or family, such as having meals together, talking, or doing activities?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Daily_: Daily ], [A few times a week_: A few times a week ], [Occasionally_: Occasionally ], ... 2 more ...)
_18_do_you_feel_supported_by_yo (type: esriFieldTypeString, alias: 18. Do you feel supported by your family in making important decisions and facing challenges?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Always_: Always ], [Most of the time_: Most of the time ], [Sometimes_: Sometimes ], ... 2 more ...)
_19_how_often_do_your_parents_o (type: esriFieldTypeString, alias: 19. How often do your parents or guardians check in on your activities, such as knowing where you are, who you are with, or what you are doing?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Always_: Always ], [Most of the time_: Most of the time ], [Sometimes_: Sometimes ], ... 2 more ...)
_20_have_you_ever_used_any_of_t (type: esriFieldTypeString, alias: 20. Have you ever used any of the following substances? (Mark all that apply), SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_22_other (type: esriFieldTypeString, alias: Other (describe) - 20. Have you ever used any of the following substances? (Mark all that apply), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_21_how_old_were_you_when_you_f (type: esriFieldTypeString, alias: 21. How old were you when you first used any of the substances listed above?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_22_why_did_you_first_try_these (type: esriFieldTypeString, alias: 22. Why did you first try these substances? (Mark all that apply), SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_25_other (type: esriFieldTypeString, alias: Other (describe) - 22. Why did you first try these substances? (Mark all that apply), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_25_have_you_ever_tried_vaping (type: esriFieldTypeString, alias: 25. Have you ever tried vaping or using e-cigarettes, and if so, how often do you use them?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes, I use them regularly: Yes, I use them regularly], [Yes, I have tried them but don': Yes, I have tried them but don’t use them regularly], [No, I have never tried vaping o: No, I have never tried vaping or using e-cigarettes])
if_you_have_tried_vaping_or_usi (type: esriFieldTypeString, alias: "If you have tried vaping or using e-cigarettes, which flavor do you use most often?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Fruit flavors: Fruit flavors], [Menthol or Mint flavors: Menthol or Mint flavors], [Dessert flavors: Dessert flavors], ... 7 more ...)
untitled_question_30_other (type: esriFieldTypeString, alias: Other (please specify) - "If you have tried vaping or using e-cigarettes, which flavor do you use most often?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_26_have_you_ever_tried_delta_8 (type: esriFieldTypeString, alias: 26. Have you ever tried Delta-8-THC gummies or vapes, and if so, how often?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes, regularly_: Yes, regularly ], [Yes, I have tried it but not re: Yes, I have tried it but not regularly ], [No, I have never tried: No, I have never tried])
_27_what_was_the_first_substanc (type: esriFieldTypeString, alias: 27. What was the first substance (e.g., alcohol, tobacco, marijuana) you ever tried?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Alcohol_: Alcohol ], [Tobacco_: Tobacco ], [Marijuana_: Marijuana ], ... 4 more ...)
what_was_the_first_substance_eg (type: esriFieldTypeString, alias: Other (please specify) - 27. What was the first substance (e.g., alcohol, tobacco, marijuana) you ever tried?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_28_do_you_intend_to_quit_using (type: esriFieldTypeString, alias: 28. Do you intend to quit using any of these substances?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Not sure: Not sure])
_29_how_many_times_have_you_att (type: esriFieldTypeString, alias: 29. How many times have you attempted to quit using any of these substances?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Never: Never], [Once: Once], [2-3 times: 2-3 times], ... 2 more ...)
_30_have_you_experienced_any_of (type: esriFieldTypeString, alias: 30. Have you experienced any of the following due to substance use? (Mark all that apply), SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_43_other (type: esriFieldTypeString, alias: Other (please specify) - 30. Have you experienced any of the following due to substance use? (Mark all that apply), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_31_have_you_ever_sought_help_f (type: esriFieldTypeString, alias: 31. Have you ever sought help for substance use?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_46 (type: esriFieldTypeString, alias: If yes, where did you seek help? (Mark all that apply), SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_46_other (type: esriFieldTypeString, alias: Other (describe) - If yes, where did you seek help? (Mark all that apply), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_32_do_you_spend_time_with_frie (type: esriFieldTypeString, alias: 32. Do you spend time with friends or peers who use substances like alcohol, tobacco, or drugs?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes, often_: Yes, often ], [Yes, sometimes_: Yes, sometimes ], [No_: No ], ... 1 more ...)
_33_has_anyone_in_your_immediat (type: esriFieldTypeString, alias: 33. Has anyone in your immediate family (parents, siblings) had a history of substance use (e.g., alcohol, tobacco, or drugs)?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes, frequently: Yes, frequently], [Yes, occasionally_: Yes, occasionally ], [No: No], ... 2 more ...)
_34_do_your_parents_or_guardian (type: esriFieldTypeString, alias: 34. Do your parents or guardians have a lenient attitude towards using substances like alcohol, tobacco, or drugs?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes_: Yes ], [No: No], [Not sure: Not sure])
_35_in_the_past_30_days_have_yo (type: esriFieldTypeString, alias: 35. In the past 30 days, have you provided alcohol to someone under the legal drinking age?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes_: Yes ], [No_: No ], [Prefer not to say: Prefer not to say])
_36_are_substances_like_alcohol (type: esriFieldTypeString, alias: 36. Are substances like alcohol, tobacco, or drugs readily available within your community or social circles?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Always available_: Always available ], [Often available_: Often available ], [Sometimes available_: Sometimes available ], ... 2 more ...)
_37_how_easy_is_it_for_you_to_a (type: esriFieldTypeString, alias: 37. How easy is it for you to access substances like alcohol, tobacco, or drugs if you wanted to?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Very easy_: Very easy ], [Somewhat easy_: Somewhat easy ], [Difficult_: Difficult ], ... 2 more ...)
_38_have_you_seen_content_relat (type: esriFieldTypeString, alias: 38. Have you seen content related to substance use (e.g., alcohol, vaping, Delta-8-THC) on social media platforms?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes, frequently_: Yes, frequently ], [Yes, occasionally_: Yes, occasionally ], [No_: No ], ... 1 more ...)
_39_have_any_of_the_following_s (type: esriFieldTypeString, alias: 39. Have any of the following social media platforms helped you find or access drugs? (Select all that apply), SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_37_other (type: esriFieldTypeString, alias: Other (please specify) - 39. Have any of the following social media platforms helped you find or access drugs? (Select all that apply), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_40_which_social_media_platform (type: esriFieldTypeString, alias: 40. Which social media platform do you use the most?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Instagram: Instagram], [Snapchat: Snapchat], [TikTok: TikTok], ... 5 more ...)
which_social_media_platform_do_ (type: esriFieldTypeString, alias: Other (please specify) - 40. Which social media platform do you use the most?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_41_what_type_of_content_do_you (type: esriFieldTypeString, alias: 41. What type of content do you prefer to engage with on social media? (Select all that apply), SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_40_other (type: esriFieldTypeString, alias: Other (please specify) - 41. What type of content do you prefer to engage with on social media? (Select all that apply), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_42_how_often_do_you_feel_sad_e (type: esriFieldTypeString, alias: 42. How often do you feel sad, empty, hopeless, or anxious?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Never: Never], [Rarely: Rarely], [Sometimes: Sometimes], ... 2 more ...)
_43_when_you_feel_sad_empty_hop (type: esriFieldTypeString, alias: 43. When you feel sad, empty, hopeless, or anxious, how often do you get the kind of help you need?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Never: Never], [Rarely: Rarely], [Sometimes: Sometimes], ... 2 more ...)
_44_have_you_ever_talked_to_a_m (type: esriFieldTypeString, alias: 44. Have you ever talked to a mental health professional (e.g., counselor, psychologist) about your feelings?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
_45_in_the_past_year_have_you_e (type: esriFieldTypeString, alias: 45. In the past year, have you experienced any of the following? (Mark all that apply), SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_54_other (type: esriFieldTypeString, alias: Other (describe) - 45. In the past year, have you experienced any of the following? (Mark all that apply), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_46_how_would_you_rate_your_ove (type: esriFieldTypeString, alias: 46. How would you rate your overall mental health?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Excellent: Excellent], [Very good: Very good], [Good: Good], ... 2 more ...)
_47_have_you_ever_been_diagnose (type: esriFieldTypeString, alias: 47. Have you ever been diagnosed with a mental health condition?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
if_yes_which_conditions_were_yo (type: esriFieldTypeString, alias: If yes, which condition(s) were you diagnosed with?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_48_who_do_you_turn_to_for_supp (type: esriFieldTypeString, alias: 48. Who do you turn to for support and encouragement? (Mark all that apply), SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_59_other (type: esriFieldTypeString, alias: Other (please specify) - 48. Who do you turn to for support and encouragement? (Mark all that apply), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_49_how_safe_do_you_feel_in_you (type: esriFieldTypeString, alias: 49. How safe do you feel in your neighborhood?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Very safe: Very safe], [Somewhat safe: Somewhat safe], [Not very safe: Not very safe], ... 1 more ...)
_50_do_you_participate_in_any_c (type: esriFieldTypeString, alias: 50. Do you participate in any community or extracurricular activities?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_62 (type: esriFieldTypeString, alias: If yes, which activities do you participate in? (Mark all that apply), SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_62_other (type: esriFieldTypeString, alias: Other (describe) - If yes, which activities do you participate in? (Mark all that apply), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_51_how_safe_do_you_feel_at_sch (type: esriFieldTypeString, alias: 51. How safe do you feel at school?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Very safe: Very safe], [Somewhat safe: Somewhat safe], [Not very safe: Not very safe], ... 1 more ...)
_52_do_you_think_your_school_pr (type: esriFieldTypeString, alias: 52. Do you think your school provides enough resources for students struggling with substance use or mental health issues?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Not sure: Not sure])
_53_what_additional_resources_d (type: esriFieldTypeString, alias: 53. What additional resources do you think your school should provide? (Mark all that apply), SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_70_other (type: esriFieldTypeString, alias: Other (describe) - 53. What additional resources do you think your school should provide? (Mark all that apply), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_54_have_you_ever_used_any_scho (type: esriFieldTypeString, alias: 54. Have you ever used any school resources for substance use or mental health?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
if_yes_how_helpful_were_these_r (type: esriFieldTypeString, alias: If yes, how helpful were these resources?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Very helpful: Very helpful], [Somewhat helpful: Somewhat helpful], [Not very helpful: Not very helpful], ... 1 more ...)
_55_which_of_the_following_stat (type: esriFieldTypeString, alias: 55. Which of the following statements are true? (Mark all that apply), SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
_56_do_you_know_where_to_get_he (type: esriFieldTypeString, alias: 56. Do you know where to get help if you or someone you know is struggling with substance use?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Not sure: Not sure])
_57_have_you_ever_attended_a_su (type: esriFieldTypeString, alias: 57. Have you ever attended a substance use prevention program at school?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
if_yes_how_effective_do_you_thi (type: esriFieldTypeString, alias: If yes, how effective do you think the program was?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Very effective: Very effective], [Somewhat effective: Somewhat effective], [Not very effective: Not very effective], ... 1 more ...)
_58_what_topics_do_you_think_sh (type: esriFieldTypeString, alias: 58. What topics do you think should be included in a substance use prevention program? (Mark all that apply), SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_75_other (type: esriFieldTypeString, alias: Other (describe) - 58. What topics do you think should be included in a substance use prevention program? (Mark all that apply), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
_59_do_you_have_any_additional (type: esriFieldTypeString, alias: 59. Do you have any additional comments or suggestions regarding substance use and mental health support in your school?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
Templates:
Name: New Feature
Description:
Drawing Tool: esriFeatureEditToolNone
Prototype: