other_text
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: If you selected "Other", please specify the building type below., type: esriFieldTypeString
)
script
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: "Hello, we're here from the County of Ventura to talk about mosquitoes as recent dengue virus activity has been identified in the area. Dengue is a disease that can spread to people through mosquito bites. My name is ______________. Do you have a few minutes to answer a few questions?", type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
age_consent
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you over the age of 18, or is someone over the age of 18 available?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
if_under_18
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Please ask to speak with a parent or guardian to complete the survey., type: esriFieldTypeString
, Coded Values:
[available: Available]
, [unavailable: Unavailable]
)
reschedule
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Is there a date that would be better for you or another person in the home to answer a few questions? The survey should only take around 5 minutes., type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
question_1
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you or anyone in your household being bitten by mosquitoes?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
, [prefer_not: Prefer not to say]
)
question_1a
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What time(s) of the day is biting occurring?, type: esriFieldTypeString
)
question_1b
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: How recently has biting occurred?, type: esriFieldTypeString
)
question_2
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you aware of any standing water (a teaspoon or greater) in objects/containers/area drains on your property or in the area?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
, [dont_know: Don't Know/Unsure]
, ...1 more...
)
question_11
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Do you recall if you were hospitalized for dengue?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
, [unknown: Unknown]
, ...2 more...
)
question_12
(
nullable: true, editable: true, defaultValue: null, precision: 1, length: 29, alias: You mentioned that you or someone in your household has been experiencing flu-like symptoms. When do you estimate they started?, type: esriFieldTypeDate
)
question_14
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Have you experienced any abnormal bleeding in the last 30 days?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
question_13
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Did you visit a healthcare provider for either of these matters?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
, [dont_know: Don't Know/Unsure]
, ...1 more...
)
question_15
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Have you previously been diagnosed with dengue?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
, [unknown: Unknown]
)
question_15_b
(
nullable: true, editable: true, defaultValue: null, precision: 1, length: 29, alias: Date of Diagnosis:, type: esriFieldTypeDate
)
question_16
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Did you visit the emergency room for dengue?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
, [unknown: Unknown]
)
question_17
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Do you recall if you were hospitalized for dengue?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
, [unknown: Unknown]
)
end_survey
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Thank you for sharing this information! Someone from Environmental Health and Public Health will contact you shortly. We appreciate you working with us., type: esriFieldTypeString
)
question_3
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Have your been bitten by mosquitoes at any other locations in the neighborhood?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
question_4
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Have you, anyone who lives in your household, or anyone who has visited your household recently, traveled out of state or internationally in the past 30 days?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
, [prefer_not: Prefer not to say]
)
question_4_a
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Where did they travel?, type: esriFieldTypeString
)