what_is_the_size_of_your_househ (type: esriFieldTypeDouble, alias: What is the size of your household?, SQL Type: sqlTypeOther, nullable: true, editable: true)
when_did_you_begin_being_a_cust (type: esriFieldTypeDate, alias: When did you begin being a customer of the Nicholas County Water District?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
would_you_say_that_you_have_acc (type: esriFieldTypeString, alias: Would you say that you have access to clean water?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
if_you_answered_no_to_the_previ (type: esriFieldTypeDouble, alias: If you answered "No" to the previous question, rate your water based off cleanliness on a scale of 0-5., SQL Type: sqlTypeOther, nullable: true, editable: true)
have_you_had_your_water_tested (type: esriFieldTypeString, alias: Have you had your water tested since moving into your home?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
if_you_answered_yes_to_the_prev (type: esriFieldTypeString, alias: If you answered "Yes" to the previous question, describe your results in the box below., SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
would_you_say_that_your_water_i (type: esriFieldTypeString, alias: Would you say that your water is affordable?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
do_you_owe_backpay_as_a_result (type: esriFieldTypeString, alias: Do you owe backpay as a result of the previous management not having a water meter reader?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_11 (type: esriFieldTypeDouble, alias: If you answered "Yes" to the previous question about backpay, enter the amount billed below., SQL Type: sqlTypeOther, nullable: true, editable: true)
rate_the_financial_stress_this (type: esriFieldTypeDouble, alias: Rate the financial stress this backpay amount put on your household on a scale of 1-10., SQL Type: sqlTypeOther, nullable: true, editable: true)
have_you_experienced_issues_wit (type: esriFieldTypeString, alias: Have you experienced issues with your water utilities?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_14 (type: esriFieldTypeString, alias: If you answered "Yes" to the previous question, describe the issues., SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
how_would_you_rate_the_professi (type: esriFieldTypeString, alias: How would you rate the professional response to your issues?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [1: 1], [2: 2], [3: 3], ... 2 more ...)
have_you_ever_been_without_wate (type: esriFieldTypeString, alias: Have you ever been without water as a result of actions by the water district?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes: Yes], [No: No])
field_17 (type: esriFieldTypeDouble, alias: If you answered "Yes" to the previous question, please input how many days you were without water. Round up to nearest full day., SQL Type: sqlTypeOther, nullable: true, editable: true)
if_you_have_any_information_you (type: esriFieldTypeString, alias: If you have any information you believe is relevant to this study but has not been included, describe it below., SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
would_you_be_interested_in_part (type: esriFieldTypeString, alias: Would you be interested in participating in a further study involving possible pay assistance for individuals experiencing extreme financial stress from their water bills?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Yes, I would like to hear more: Yes, I would like to hear more about participating.], [No, I am not interested.: No, I am not interested.])
enter_your_email_here (type: esriFieldTypeString, alias: Enter your email here., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
enter_your_name_and_phone_numbe (type: esriFieldTypeString, alias: Enter your name and phone number here., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
Templates:
Name: New Feature
Description:
Drawing Tool: esriFeatureEditToolNone
Prototype: