field_119 (type: esriFieldTypeString, alias: What is your current marital status?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Single: Single], [Married: Married], [Separated: Separated], ... 3 more ...)
what_is_your_raceethnicity (type: esriFieldTypeString, alias: What is your race/ethnicity? , SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_3_other (type: esriFieldTypeString, alias: Other - What is your race/ethnicity? , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
what_is_your_five_digit_zip_cod (type: esriFieldTypeDouble, alias: What is your five-digit zip code (e.g. 78040)?, SQL Type: sqlTypeOther, nullable: true, editable: true)
what_is_the_highest_level_of_ed (type: esriFieldTypeString, alias: What is the highest level of education you have completed?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Some schooling, but did not com: Some schooling, but did not complete high school], [High school graduate/GED: High school graduate/GED], [Vocational / Technical school: Vocational / Technical school], ... 5 more ...)
which_of_the_following_is_close (type: esriFieldTypeString, alias: Which of the following is closest to your annual household income?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [$0 - $10,000: $0 - $10,000], [$10,001 - $20,000: $10,001 - $20,000], [$20,001 - $30,000: $20,001 - $30,000], ... 8 more ...)
what_month_and_year_was_your_ch (type: esriFieldTypeString, alias: What month and year was your child born?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
what_is_the_sex_of_your_child (type: esriFieldTypeString, alias: What is the sex of your child?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Male: Male], [Female: Female], [other: Other])
untitled_question_8_other (type: esriFieldTypeString, alias: Other - What is the sex of your child?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_4 (type: esriFieldTypeString, alias: What is the race/ethnicity of your child?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_4_other (type: esriFieldTypeString, alias: Other - What is the race/ethnicity of your child?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_117_other (type: esriFieldTypeString, alias: Other - What is your child's primary diagnosis?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
how_old_was_your_child_when_you (type: esriFieldTypeDouble, alias: How old was your child when you first became concerned about his/her development?, SQL Type: sqlTypeOther, nullable: true, editable: true)
how_many_siblings_does_your_chi (type: esriFieldTypeString, alias: How many siblings does your child with autism have?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [1: 1], [2: 2], [3: 3], ... 4 more ...)
how_many_of_those_siblings_have (type: esriFieldTypeString, alias: How many of those siblings have also been diagnosed with autism?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [1: 1], [2: 2], [3: 3], ... 4 more ...)
compared_to_12_months_ago_would (type: esriFieldTypeString, alias: Compared to 12 months ago, would you say the overall health of your child with autism is:, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Better: Better], [Worse: Worse], [The same: The same])
about_how_long_has_it_been_sinc (type: esriFieldTypeString, alias: About how long has it been since your child last saw the dentist?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Less than 6 months ago: Less than 6 months ago], [6 months to 1 year ago: 6 months to 1 year ago], [More than 1 year ago: More than 1 year ago])
field_15 (type: esriFieldTypeString, alias: About how long has it been since your child last visited a doctor for a routine checkup?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Less than 6 months ago: Less than 6 months ago], [6 months to 1 year ago: 6 months to 1 year ago], [More than 1 year ago: More than 1 year ago])
is_your_child_with_autism_curre (type: esriFieldTypeString, alias: Is your child with autism currently prescribed medication, other than vitamins?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Not sure: Not sure])
if_yes_please_list_the_medicati (type: esriFieldTypeString, alias: If yes, please list the medications currently prescribed to your child., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
getting_an_autism_diagnostic_ev (type: esriFieldTypeString, alias: Getting an autism diagnostic evaluation for your child was..., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Very easy: Very easy], [Somewhat easy: Somewhat easy], [Somewhat difficult: Somewhat difficult], ... 1 more ...)
field_19 (type: esriFieldTypeString, alias: What made getting an evaluation difficult?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_19_other (type: esriFieldTypeString, alias: Other - What made getting an evaluation difficult?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_20 (type: esriFieldTypeString, alias: Did your child receive any of the following diagnoses prior to receiving their autism diagnosis?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_20_other (type: esriFieldTypeString, alias: Other - Did your child receive any of the following diagnoses prior to receiving their autism diagnosis?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
does_your_child_with_autism_cur (type: esriFieldTypeString, alias: Does your child with autism currently have any of the following diagnoses?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_21_other (type: esriFieldTypeString, alias: Other - Does your child with autism currently have any of the following diagnoses?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_22 (type: esriFieldTypeString, alias: What type of professional first diagnosed your child with autism?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_22_other (type: esriFieldTypeString, alias: Other - What type of professional first diagnosed your child with autism?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
how_old_was_your_child_when_the (type: esriFieldTypeDouble, alias: How old was your child when they received an autism diagnosis?, SQL Type: sqlTypeOther, nullable: true, editable: true)
field_24 (type: esriFieldTypeString, alias: After receiving an autism diagnosis, what sort of follow-up and resources/services did you receive? , SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_24_other (type: esriFieldTypeString, alias: Other - After receiving an autism diagnosis, what sort of follow-up and resources/services did you receive? , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
did_your_child_receive_early_in (type: esriFieldTypeString, alias: Did your child receive Early Intervention services?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Not sure: Not sure])
field_27 (type: esriFieldTypeDouble, alias: What age did Early Intervention services start?, SQL Type: sqlTypeOther, nullable: true, editable: true)
does_your_child_have_any_of_the (type: esriFieldTypeString, alias: Does your child have any of the following plans?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_29_0 (type: esriFieldTypeString, alias: Are you satisfied that this plan meets all of your child's needs?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_29_1 (type: esriFieldTypeString, alias: Did you attend the latest IFSP meeting?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_29_2 (type: esriFieldTypeString, alias: Is your input included in this plan?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_30_0 (type: esriFieldTypeString, alias: Are you satisfied that this plan meets all of your child's needs?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_30_1 (type: esriFieldTypeString, alias: Did you attend the latest IEP meeting?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_30_2 (type: esriFieldTypeString, alias: Is your input included in this plan?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_31_0 (type: esriFieldTypeString, alias: Are you satisfied that this plan meets all of your child's needs?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_31_1 (type: esriFieldTypeString, alias: Did you attend the latest 504 plan meeting?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_31_2 (type: esriFieldTypeString, alias: Is your input included in this plan?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_32_0 (type: esriFieldTypeString, alias: Are you satisfied that this plan meets all of your child's needs?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_32_1 (type: esriFieldTypeString, alias: Did you attend the latest ISP meeting?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_32_2 (type: esriFieldTypeString, alias: Is your input included in this plan?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_33 (type: esriFieldTypeString, alias: Is your child now covered by any of the following kinds of health insurance?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_33_other (type: esriFieldTypeString, alias: Other - Is your child now covered by any of the following kinds of health insurance?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
is_your_child_currently_enrolle (type: esriFieldTypeString, alias: Is your child currently enrolled in Medical Assistance or Medicaid?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Not sure: Not sure])
field_35 (type: esriFieldTypeString, alias: Is your child currently enrolled in any of the following Medical Assistance or Medicaid Programs?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Texas Medicaid Waiver: Texas Medicaid Waiver], [Home and Community-based Servic: Home and Community-based Services (HCS)], [Community First Choice: Community First Choice], ... 2 more ...)
untitled_question_35_other (type: esriFieldTypeString, alias: Other - Is your child currently enrolled in any of the following Medical Assistance or Medicaid Programs?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
is_your_child_currently_on_the (type: esriFieldTypeString, alias: Is your child currently on the Waiting List or Interest List?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Waiting list for programs for c: Waiting list for programs for children and adults with disabilities ], [Interest List for programs for: Interest List for programs for children and adults with disabilities], [Both: Both], ... 2 more ...)
has_your_child_ever_used_drugs (type: esriFieldTypeString, alias: Has your child ever used drugs other than those required for medical reasons (excluding vitamins)?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Not sure: Not sure], ... 1 more ...)
has_your_child_ever_overdosed_o (type: esriFieldTypeString, alias: Has your child ever overdosed on drugs (prescription or illegal)?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Not sure: Not sure], ... 1 more ...)
in_the_past_year_have_you_taken (type: esriFieldTypeString, alias: In the past year, have you taken your child to the emergency room for behavioral or psychiatric reasons?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Prefer not to answer: Prefer not to answer])
how_many_times_in_the_past_year (type: esriFieldTypeDouble, alias: How many times in the past year?, SQL Type: sqlTypeOther, nullable: true, editable: true)
in_the_past_year_has_your_child (type: esriFieldTypeString, alias: In the past year, has your child been admitted to a hospital or hospital-like setting for behavioral or psychiatric reasons? , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Prefer not to answer: Prefer not to answer])
field_42 (type: esriFieldTypeDouble, alias: How many times in the past year? , SQL Type: sqlTypeOther, nullable: true, editable: true)
field_44 (type: esriFieldTypeString, alias: What was/were the reasons your child was admitted to a hospital or hospital-like setting?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_44_other (type: esriFieldTypeString, alias: Other - What was/were the reasons your child was admitted to a hospital or hospital-like setting?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_45_0 (type: esriFieldTypeString, alias: Quality of treatment, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Very satisfied: Very satisfied], [Satisfied: Satisfied], [Dissatisfied: Dissatisfied], ... 1 more ...)
field_45_2 (type: esriFieldTypeString, alias: Staff's inclusion of parent(s) in treatment planning, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Very satisfied: Very satisfied], [Satisfied: Satisfied], [Dissatisfied: Dissatisfied], ... 1 more ...)
how_was_your_child_admitted (type: esriFieldTypeString, alias: How was your child admitted?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [My child (under 14) was admitte: My child (under 14) was admitted by his / her parent(s) ], [My adolescent child (14 to 18): My adolescent child (14 to 18) was admitted by his / her parent(s) and agreed to admission], [choice_3: My adolescent child (14 to 18) was admitted by his / her parent(s) but did not agree to admission], ... 3 more ...)
how_long_was_your_child_s_stay (type: esriFieldTypeString, alias: How long was your child’s stay at the hospital or hospital-like setting?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Less than 24 hours: Less than 24 hours], [24-48 hours: 24-48 hours], [2+ days_: 2+ days ], ... 1 more ...)
untitled_question_47_other (type: esriFieldTypeString, alias: Other - How long was your child’s stay at the hospital or hospital-like setting?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
was_this_your_child_s_first_adm (type: esriFieldTypeString, alias: Was this your child’s first admission to a hospital or hospital-like setting for behavioral or psychiatric reasons?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Not sure: Not sure])
please_add_any_additional_detai (type: esriFieldTypeString, alias: Please add any additional detail about your child’s most recent hospital stay for behavioral or psychiatric reasons., SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_51 (type: esriFieldTypeString, alias: Has your child's behavior ever resulted in any of the following interactions with the police/justice system?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_51_other (type: esriFieldTypeString, alias: Other - Has your child's behavior ever resulted in any of the following interactions with the police/justice system?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
has_your_child_ever_been_victim (type: esriFieldTypeString, alias: Has your child ever been victim of a crime?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Prefer not to answer: Prefer not to answer])
if_you_feel_comfortable_please (type: esriFieldTypeString, alias: If you feel comfortable, please share more information on your child’s experience with police or other justice system personnel or as a victim of a crime., SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
are_you_a_foster_parent (type: esriFieldTypeString, alias: Are you a foster parent?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
in_the_past_year_did_you_receiv (type: esriFieldTypeString, alias: In the past year, did you receive support, training or resources for your role and responsibilities as a foster parent?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_58_0 (type: esriFieldTypeString, alias: Did you receive training, support, or resources from any agency?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_58_1 (type: esriFieldTypeString, alias: Did you feel prepared after this training?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_58_2 (type: esriFieldTypeString, alias: Was this training autism specific?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_59_0 (type: esriFieldTypeString, alias: Are you included as part of the treatment team for your child?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Almost never/never: Almost never/never], [Sometimes: Sometimes], [Usually: Usually], ... 1 more ...)
field_59_1 (type: esriFieldTypeString, alias: Are you included in other meetings about the care for your child?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Almost never/never: Almost never/never], [Sometimes: Sometimes], [Usually: Usually], ... 1 more ...)
field_59_2 (type: esriFieldTypeString, alias: Did you get help when you ask for it?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Almost never/never: Almost never/never], [Sometimes: Sometimes], [Usually: Usually], ... 1 more ...)
field_60 (type: esriFieldTypeString, alias: In the past year, has your child been placed in a residential facility?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No, but currently on waiting li: No, but currently on waiting list], [No, and not on a waiting list: No, and not on a waiting list], ... 1 more ...)
about_how_many_miles_is_this_re (type: esriFieldTypeString, alias: About how many miles is this residential facility away from your home?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [0-20 miles: 0-20 miles], [21-40 miles: 21-40 miles], [41-60 miles: 41-60 miles], ... 4 more ...)
why_was_your_child_placed_in_a_ (type: esriFieldTypeString, alias: Why was your child placed in a residential facility?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_63_other (type: esriFieldTypeString, alias: Other - Why was your child placed in a residential facility?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
how_long_iswas_your_childs_stay (type: esriFieldTypeString, alias: How long is/was your child's stay at the residential treatment facility?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Less than a week: Less than a week], [1-4 weeks: 1-4 weeks], [More than 4 weeks: More than 4 weeks])
field_65_quality_of_treatment (type: esriFieldTypeString, alias: Quality of treatment, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Very satisfied: Very satisfied], [Satisfied: Satisfied], [Dissatisfied: Dissatisfied], ... 1 more ...)
field_65_2 (type: esriFieldTypeString, alias: Staff’s inclusion of parent(s) in treatment planning, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Very satisfied: Very satisfied], [Satisfied: Satisfied], [Dissatisfied: Dissatisfied], ... 1 more ...)
was_information_about_community (type: esriFieldTypeString, alias: Was information about community-based services (recreational, sports, volunteer opportunities, or others) included in your discharge plan?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Not sure: Not sure])
was_the_treatmentdischarge_plan (type: esriFieldTypeString, alias: Was the treatment/discharge plan written in a way that was easily understood?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_68_0 (type: esriFieldTypeString, alias: Toileting, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Independently: Independently], [With help: With help], [Not capable: Not capable], ... 1 more ...)
field_68_9 (type: esriFieldTypeString, alias: Getting around via driving / public transportation / biking / walking, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Independently: Independently], [With help: With help], [Not capable: Not capable], ... 1 more ...)
is_your_child_currently_receivi (type: esriFieldTypeString, alias: Is your child currently receiving services or other support for any of the following?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
does_your_child_currently_recei (type: esriFieldTypeString, alias: Does your child currently receive Behavioral Health Rehabilitation Services (BHRS)?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes, in school_: Yes, in school ], [Yes, at home / community: Yes, at home / community], [Yes, both in school and at home: Yes, both in school and at home / community], ... 4 more ...)
if_yes_how_happy_are_you_with_t (type: esriFieldTypeString, alias: If yes, how happy are you with the support you received from the treatment team?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Very happy: Very happy], [Happy: Happy], [Unhappy: Unhappy], ... 1 more ...)
is_your_child_currently_employe (type: esriFieldTypeString, alias: Is your child currently employed? Please only include paid positions., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes, employed full time (35 hou: Yes, employed full time (35 hours per week or more)], [Yes, employed part time (fewer: Yes, employed part time (fewer than 35 hours per week)], [No, but currently looking for e: No, but currently looking for employment], ... 3 more ...)
field_73 (type: esriFieldTypeString, alias: If yes, what type of job does your child have?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Office / Administrative support: Office / Administrative support], [Sales positions (including reta: Sales positions (including retail)], [Food preparation/serving_: Food preparation/serving ], ... 3 more ...)
field_73_other (type: esriFieldTypeString, alias: Other - If yes, what type of job does your child have?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
is_your_child_currently_or_did (type: esriFieldTypeString, alias: Is your child currently or did they previously receive services through the Office of Vocational Rehabilitation (OVR)?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Not sure: Not sure], ... 1 more ...)
field_75 (type: esriFieldTypeString, alias: What types of supports do you think your child needs to find and keep a job?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_75_other (type: esriFieldTypeString, alias: Other - What types of supports do you think your child needs to find and keep a job?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_76 (type: esriFieldTypeString, alias: What is your child's current living situation?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [With parent(s) or other relativ: With parent(s) or other relatives in a family home], [In a residential facility (incl: In a residential facility (including state hospital or state center)], [In a group home: In a group home], ... 5 more ...)
field_76_other (type: esriFieldTypeString, alias: Other - What is your child's current living situation?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
how_long_has_your_child_been_in (type: esriFieldTypeString, alias: How long has your child been in this current living situation?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [All of child's life: All of child's life], [Less than 1 year: Less than 1 year], [1-2 years: 1-2 years], ... 2 more ...)
how_happy_are_you_with_your_chi (type: esriFieldTypeString, alias: How happy are you with your child's current living arrangement?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Very happy: Very happy], [Happy: Happy], [Unhappy: Unhappy], ... 1 more ...)
how_difficult_is_it_for_your_ch (type: esriFieldTypeString, alias: How difficult is it for your child to throw things away even if they don't use them?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Very difficult: Very difficult], [Somewhat difficult: Somewhat difficult], [Not difficult at all: Not difficult at all])
how_often_does_clutter_in_your_ (type: esriFieldTypeString, alias: How often does clutter in your child's areas get in the way of their daily activities?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Always: Always], [Most of the time: Most of the time], [Sometimes: Sometimes], ... 1 more ...)
is_your_child_currently_in_scho (type: esriFieldTypeString, alias: Is your child currently in school?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
if_yes_where_are_they_currently (type: esriFieldTypeString, alias: If yes, where are they currently in school?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Pre-k_: Pre-k ], [Kindergarten: Kindergarten], [Elementary School: Elementary School], ... 7 more ...)
if_yes_where_ar_other (type: esriFieldTypeString, alias: Other - If yes, where are they currently in school?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
if_not_what_is_your_childs_high (type: esriFieldTypeString, alias: If not, what is your child's highest level of education?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [No schooling completed: No schooling completed], [Some schooling, but did not com: Some schooling, but did not complete high school], [High school graduate / GED or a: High school graduate / GED or alternative credential], ... 6 more ...)
in_the_last_year_has_your_child (type: esriFieldTypeString, alias: In the last year, has your child been disciplined at school in any of the following ways?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_85 (type: esriFieldTypeString, alias: In what category of special education is your child currently placed?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_85_other (type: esriFieldTypeString, alias: Other - In what category of special education is your child currently placed?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
what_long_term_plans_do_you_hav (type: esriFieldTypeString, alias: What long term plans do you have for your child when you are no longer able to care for them? , SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_92_0 (type: esriFieldTypeString, alias: In general, I have experienced barriers in getting services for my child, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Strongly Agree: Strongly Agree], [Agree: Agree], [Disagree: Disagree], ... 2 more ...)
field_92_1 (type: esriFieldTypeString, alias: My child’s doctors and other health care providers spend enough time with them, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Strongly Agree: Strongly Agree], [Agree: Agree], [Disagree: Disagree], ... 2 more ...)
field_92_2 (type: esriFieldTypeString, alias: My child's doctors and other health care providers listen carefully to me, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Strongly Agree: Strongly Agree], [Agree: Agree], [Disagree: Disagree], ... 2 more ...)
field_92_3 (type: esriFieldTypeString, alias: My child's doctors and other health care providers are sensitive to my family’s values and customs, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Strongly Agree: Strongly Agree], [Agree: Agree], [Disagree: Disagree], ... 2 more ...)
field_92_4 (type: esriFieldTypeString, alias: My child's doctors or other health care providers explain things in a way that is easy to understand, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Strongly Agree: Strongly Agree], [Agree: Agree], [Disagree: Disagree], ... 2 more ...)
field_95 (type: esriFieldTypeString, alias: Which of the following barriers do you experience when trying to get services for your child?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_95_other (type: esriFieldTypeString, alias: Other - Which of the following barriers do you experience when trying to get services for your child?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
does_your_child_have_a_formal_c (type: esriFieldTypeString, alias: Does your child have a formal communication system in place?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [other: Other])
untitled_question_96_other (type: esriFieldTypeString, alias: Other - Does your child have a formal communication system in place?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_97 (type: esriFieldTypeString, alias: If yes, please select the settings where your child uses his / her communication system., SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_97_other (type: esriFieldTypeString, alias: Other - If yes, please select the settings where your child uses his / her communication system., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
in_terms_of_transportation_how_ (type: esriFieldTypeString, alias: In terms of transportation, how does your child typically get where they need to go?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
are_you_a_part_of_a_support_gro (type: esriFieldTypeString, alias: Are you a part of a support group or advocacy group?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No, but used to be: No, but used to be], [No, but would like to be: No, but would like to be], ... 1 more ...)
if_you_have_been_or_currently_a (type: esriFieldTypeString, alias: If you have been or currently are part of a support or advocacy group, was it online or in person?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Online: Online], [In person: In person], [Both: Both])
field_101 (type: esriFieldTypeString, alias: If you are currently or have been in a support or advocacy group, why are you a part of this group?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_101_other (type: esriFieldTypeString, alias: Other - If you are currently or have been in a support or advocacy group, why are you a part of this group?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_102 (type: esriFieldTypeString, alias: If you are not or have not been in a support or advocacy group, please select the reasons why you are not participating in a support or advocacy group., SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_102_other (type: esriFieldTypeString, alias: Other - If you are not or have not been in a support or advocacy group, please select the reasons why you are not participating in a support or advocacy group., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_104_0 (type: esriFieldTypeString, alias: Parent(s) or other caregiver(s), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Always: Always], [Sometimes: Sometimes], [Never: Never], ... 1 more ...)
field_104_4 (type: esriFieldTypeString, alias: With others that come into the home, and using socially appropriate behaviors, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Always: Always], [Sometimes: Sometimes], [Never: Never], ... 1 more ...)
field_110 (type: esriFieldTypeString, alias: What limitations or barriers do you face accessing family support services?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_110_other (type: esriFieldTypeString, alias: Other - What limitations or barriers do you face accessing family support services?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_113_0 (type: esriFieldTypeString, alias: Go to a Library, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Enough: Enough], [Not Enough: Not Enough], [Too Much: Too Much])
field_113_1 (type: esriFieldTypeString, alias: Go to a gym, health or exercise club, including pool, or participate in a sport event (including bowling, tennis, miniature golf, etc., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Enough: Enough], [Not Enough: Not Enough], [Too Much: Too Much])
field_113_2 (type: esriFieldTypeString, alias: Go to an advocacy group / organization, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Enough: Enough], [Not Enough: Not Enough], [Too Much: Too Much])
field_113_4 (type: esriFieldTypeString, alias: Go to a social group in the community (for example, a book club, hobby group, other group of people with similar interests), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Enough: Enough], [Not Enough: Not Enough], [Too Much: Too Much])
field_113_5 (type: esriFieldTypeString, alias: Go to or participate in civic or political activities or organizations, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Enough: Enough], [Not Enough: Not Enough], [Too Much: Too Much])
field_120 (type: esriFieldTypeString, alias: What is your five-digit zip code (e.g. 78040)?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
field_123 (type: esriFieldTypeDouble, alias: How many siblings does your child with autism have?, SQL Type: sqlTypeOther, nullable: true, editable: true)
field_124 (type: esriFieldTypeDouble, alias: How many of those siblings have also been diagnosed with autism?, SQL Type: sqlTypeOther, nullable: true, editable: true)
field_121 (type: esriFieldTypeString, alias: Is your child currently enrolled in any of the following Medical Assistance or Medicaid Programs?, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
field_121_other (type: esriFieldTypeString, alias: Other - Is your child currently enrolled in any of the following Medical Assistance or Medicaid Programs?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
has_your_child_had_any_interact (type: esriFieldTypeString, alias: Has your child had any interactions with the police?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No], [Prefer not to answer: Prefer not to answer])
field_98_other (type: esriFieldTypeString, alias: Other - In terms of transportation, how does your child typically get where they need to go?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
if_you_used_to_be_in_a_support (type: esriFieldTypeString, alias: If you used to be in a support or advocacy group, please select the reasons why you are not participating in a support or advocacy group., SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
if_you_used_to_be_in_a_support_ (type: esriFieldTypeString, alias: Other - If you used to be in a support or advocacy group, please select the reasons why you are not participating in a support or advocacy group., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
Templates:
Name: New Feature
Description:
Drawing Tool: esriFeatureEditToolNone
Prototype: