medical_coverage
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What type of medical coverage do you have?, type: esriFieldTypeString
, Coded Values:
[medicare: Medicare]
, [medical: Medi-Cal]
, [eip_discountprog: EIP/Discount Program]
, ...4 more...
)
other_medcoverage
(
nullable: true, editable: true, defaultValue: null, length: 500, alias: Other medical coverage, specify:, type: esriFieldTypeString
)
income_type
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Please select the source of income that applies to you:, type: esriFieldTypeString
, Coded Values:
[ssdi: SSDI]
, [ssi: SSI]
, [work: Work]
, ...4 more...
)
helpful
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: What did you find most helpful?, type: esriFieldTypeString
)
improve_services
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: If there is any way we can improve our services to you, please tell us about it:, type: esriFieldTypeString
)