form_description
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Providing some self registration information will help the Civil Defence Welfare team understand your needs.Please answer the questions below and click submit when you're finished The information you provide will only be used by the Civil Defence Welfare team and support agenciesNo information will be made public, type: esriFieldTypeString
)
personalinfo_language
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What language do you speak?, type: esriFieldTypeString
)
personalinfo_age
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What is your age?, type: esriFieldTypeString
)
address_note
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Please provide the address information for where you currently live (You will also be asked to locate your address on a map below), type: esriFieldTypeString
)
contactdetails_cinformation
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: What is the easiest way(s) we can contact you if needed, type: esriFieldTypeString
)
welfare_safety_concern
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you concerned for your safety, type: esriFieldTypeString
)
welfare_concern_detail
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: If yes, can you tell us why or how you are concerned?, type: esriFieldTypeString
)
welfare_staying_or_going
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you staying in your home?, type: esriFieldTypeString
)
welfare_leaving_home
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: If you are leaving your home, where are planning on going?, type: esriFieldTypeString
)
welfare_somewhere_else_info
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: If you are staying somewhere else, where are you going?, type: esriFieldTypeString
)
welfare_staying_time
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: approx. how long do you think you'll be there?, type: esriFieldTypeString
)
welfare_additional_info
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Please tell us if there's more information you'd like us to know about your situation?, type: esriFieldTypeString
)
closing_statement
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Thank you for taking the time to provide this information, we will be in touch if necessary, type: esriFieldTypeString
)