does_the_child_have_any_medical
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Does the child have any medical or physical needs that may affect car-seat selection or use?, type: esriFieldTypeString
, Coded Values:
[Yes: Yes]
, [No: No]
)
if_yes_please_briefly_describe
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: If yes, please briefly describe the medical or physical needs that may affect car-seat selection or use., type: esriFieldTypeString
)
does_the_second_child_have_any
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Does the second child have any medical or physical needs that may affect car-seat selection or use?, type: esriFieldTypeString
, Coded Values:
[Yes: Yes]
, [No: No]
)
if_yes_please_briefly_describe_
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: If yes, please briefly describe the medical or physical needs that may affect car-seat selection or use for the second child., type: esriFieldTypeString
)
does_the_third_child_have_any_m
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Does the third child have any medical or physical needs that may affect car-seat selection or use?, type: esriFieldTypeString
, Coded Values:
[Yes: Yes]
, [No: No]
)
field_32
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: If yes, please briefly describe the medical or physical needs that may affect car-seat selection or use for the third child., type: esriFieldTypeString
)
does_the_fourth_child_have_any
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Does the fourth child have any medical or physical needs that may affect car-seat selection or use?, type: esriFieldTypeString
, Coded Values:
[Yes: Yes]
, [No: No]
)
field_38
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: If yes, please briefly describe the medical or physical needs that may affect car-seat selection or use for the fourth child., type: esriFieldTypeString
)
do_you_already_have_a_child_saf
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Do you already have a child safety seat that you would like inspected or installed?, type: esriFieldTypeString
, Coded Values:
[Yes: Yes]
, [No: No]
)
has_the_car_seat_ever_been_invo
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Has the car seat ever been involved in a motor vehicle crash?, type: esriFieldTypeString
, Coded Values:
[Yes: Yes]
, [No: No]
, [Unsure: Unsure]
)
were_you_referred_by_a_social_s
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Were you referred by a social-services agency or nonprofit organization?, type: esriFieldTypeString
, Coded Values:
[Yes: Yes]
, [No: No]
)
appointment_acknowledgement
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Appointment Acknowledgement, type: esriFieldTypeString
, Coded Values:
[I have read and understand the: I have read and understand the information above.]
)
please_provide_second_car_safet
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Second Car Safety Seat Information, type: esriFieldTypeString
)
has_the_second_listed_car_seat
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Has the second listed car seat ever been involved in a motor vehicle crash?, type: esriFieldTypeString
, Coded Values:
[Yes: Yes]
, [No: No]
, [Unsure: Unsure]
)
please_provide_third_car_safety
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Third Car Safety Seat Details, type: esriFieldTypeString
)
has_the_third_listed_car_seat_e
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Has the third listed car seat ever been involved in a motor vehicle crash?, type: esriFieldTypeString
, Coded Values:
[Yes: Yes]
, [No: No]
, [Unsure: Unsure]
)