i_was_a_other (type: esriFieldTypeString, alias: Other - I was..., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
date_and_time_of_near_miss (type: esriFieldTypeDate, alias: Date and Time of Near Miss, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
would_you_like_to_subscribe_to_ (type: esriFieldTypeString, alias: Would you like to subscribe to NoVA FSS monthly information email?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
how_did_you_hear_about_us (type: esriFieldTypeString, alias: How did you hear about us?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
would_you_like_your_contact_inf (type: esriFieldTypeString, alias: Would you be willing to share your contact information with local authorities (i.e. police or street engineering staff) so they can contact you and keep you informed about corrective actions?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
would_you_be_willing_to_share_y (type: esriFieldTypeString, alias: Can NoVA FSS forward your contact information to the local authorities (police and transportation departments), who may contact you and keep you informed about corrective actions?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
do_you_want_to_use_the_same_con (type: esriFieldTypeString, alias: Do you want to use the same contact information as above? (If you did not enter your contact information above, select "No" and enter your information below):, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
full_name_copy (type: esriFieldTypeString, alias: Full Name , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)