address_centre_comm (type: esriFieldTypeString, alias: Address of the centre, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
stayin_centre (type: esriFieldTypeString, alias: How are you using the centre?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [stay_overnight: Stay at centre overnight], [use_facilities: Using facilities at centre])
district (type: esriFieldTypeString, alias: What district are you in?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [Far_North: Far North], [Kaipara: Kaipara], [Whangarei: Whangarei])
referral_goodshousehold_otheragency_notes (type: esriFieldTypeString, alias: Household goods notes for advice or referral, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
household_goods_other_CDEM_notes (type: esriFieldTypeString, alias: Household goods notes for CDEM to action, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
goodsother_type (type: esriFieldTypeString, alias: Type of household goods and services to be supplied by CDEM, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
referal_psychosocial_otheragncy_note (type: esriFieldTypeString, alias: If a referral was made to another agency, please add some notes here for CDEM, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
advice_given_psychosocial (type: esriFieldTypeString, alias: What advice was given?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
referral_meddisability_other (type: esriFieldTypeString, alias: Medical disability service Agency, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
referral_meddisability_otheragency_note (type: esriFieldTypeString, alias: Medical disability service notes for advice or referral, SQL Type: sqlTypeOther, length: 100, nullable: true, editable: true)
supportcare (type: esriFieldTypeString, alias:  , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [supportcare: Support and care])
referral_support_care (type: esriFieldTypeString, alias: Support and care referral, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
referral_support_care_other (type: esriFieldTypeString, alias: Support and care agency, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
referral_support_care_otheragency_note (type: esriFieldTypeString, alias: Support and care service for advice or referral, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
referral_inquiry_otheragency_note (type: esriFieldTypeString, alias: If a referral was made to another agency, please add some notes here for CDEM, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
advice_given_missingperson (type: esriFieldTypeString, alias: What advice was given?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
childprotect (type: esriFieldTypeString, alias:  , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [childprotect: Care and protectection for children and young people])
referal_childprtect_othragncy_note (type: esriFieldTypeString, alias: If a referral was made to another agency, please add some notes here for CDEM, SQL Type: sqlTypeOther, length: 1000, nullable: true, editable: true)
advice_given_childprotect (type: esriFieldTypeString, alias: What advice was given?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
privacy_statement (type: esriFieldTypeString, alias: During this needs assessment, the local Civil Defence Emergency Management Group will collect information from you in order to provide support to you or your family / whānau throughout this emergency. , SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
privacy_statement1 (type: esriFieldTypeString, alias: If necessary to meet your need, this information will be shared with our staff and potentially with other Government agencies and non-government organisations that provide support in emergencies., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
privacy_statement2 (type: esriFieldTypeString, alias: If you do not wish to provide us with your information then we may not be able to provide some types of assistance. We can provide you with information about other sources of assistance., SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
privacy_agree (type: esriFieldTypeString, alias: Do you agree to the details you provide about your welfare needs being captured in this form?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
privacy_no (type: esriFieldTypeString, alias: If there is no agreement to share contact details we can only supply advice or referral, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
same_address (type: esriFieldTypeString, alias: Is the address for assistance the same as the affected address?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
address (type: esriFieldTypeString, alias: Address for assistance (if different from affected address), SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
adultnumber (type: esriFieldTypeInteger, alias: Number of adults, SQL Type: sqlTypeOther, nullable: true, editable: true)
childnumber (type: esriFieldTypeInteger, alias: Number of children and young people, SQL Type: sqlTypeOther, nullable: true, editable: true)
nationality (type: esriFieldTypeString, alias: What is your nationality?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [nationality_na: Not required], [nationality_nz: New Zealand (inlucing permanent residents)], [nationality_foreign: Foreign national], ... 1 more ...)
nationality_passport (type: esriFieldTypeString, alias: What countries passport did you use to enter NZ?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true)
embassy (type: esriFieldTypeString, alias: Can we share your personal details with your embassy/diplomatic mission?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
iwi (type: esriFieldTypeString, alias: Do you have any iwi affiliations?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
iwipermission (type: esriFieldTypeString, alias: Can we share your personal details with your iwi?, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [yes: Yes], [no: No])
status (type: esriFieldTypeString, alias: Status, SQL Type: sqlTypeOther, length: 255, nullable: true, editable: true, Coded Values: [resolved: Resolved], [inprogress: In progress], [casemanagement: Case management required], ... 2 more ...)