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ASSESSMENT NAME                                   ,QUESTION CODE            ,QUESTION DESCRIPTION
Additional Profile Information                    ,ALIAS                    ,Alias
Additional Profile Information                    ,CITYOFBIRTH_1            ,City of Birth
Additional Profile Information                    ,COUNTRYOFBIRTH_1         ,Country of Birth
Additional Profile Information                    ,SVPPROFDOB               ,Date of Birth
Additional Profile Information                    ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
Additional Profile Information                    ,EMAILADDRESS             ,Email Address
Additional Profile Information                    ,EMERGENCYCONTACTS        ,Emergency Contacts
                                                  ,CONTACTSADDRESS          ,Contact's Address
                                                  ,CONTACTSCITY             ,Contact's City
                                                  ,CONTACTSNAME             ,Contact's Name
                                                  ,CONTACTSSTATE            ,Contact's State
                                                  ,EMERGENCYCONTACTSEND     ,End Date
                                                  ,PHONENUMBER_2            ,Phone Number
                                                  ,RELATIONSHIPTOCLIENT     ,Relationship to Client
                                                  ,SECONDPHONENUMBER        ,Second Phone Number
                                                  ,EMERGENCYCONTACTSSTART   ,Start Date
Additional Profile Information                    ,ENGLISHSPEAKINGSKILLS    ,English Speaking Skills
Additional Profile Information                    ,SVPPROFETH               ,Ethnicity
Additional Profile Information                    ,SVPPROFGENDER            ,Gender
Additional Profile Information                    ,ISCLIENTHOMELESS         ,Is Client Homeless?
Additional Profile Information                    ,MARITALSTATUS_1          ,Marital Status
Additional Profile Information                    ,PRIMARYLANGUAGESPOKEN_1  ,Primary Language Spoken (if other)
Additional Profile Information                    ,SVPPROFRACE              ,Primary Race
Additional Profile Information                    ,SECONDARYLANGUAGE        ,Secondary Language Spoken (if other)
Additional Profile Information                    ,SVPPROFSECONDARYRACE     ,Secondary Race
Additional Profile Information                    ,STATEOFBIRTH             ,State of Birth
Additional Profile Information                    ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
Additional Profile Information                    ,VETERAN                  ,U.S. Military Veteran?
Additional Profile Information                    ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
Bethesda Financial Assessment                     ,EMPLOYMENTINFORMATION    ,Employment Information
Bethesda Financial Assessment                     ,MONTHLYINCOME            ,Monthly Income (non-Employment)
                                                  ,MONTHLYINCOMEEND         ,End Date
                                                  ,AMOUNTMONTHLYINCOME      ,Last 30 Day Income
                                                  ,LAST90DAYMONTHLYINCOME   ,Last 90 Day Income
                                                  ,SOURCEOFINCOME           ,Source of Income
                                                  ,MONTHLYINCOMESTART       ,Start Date
Bethesda Financial Assessment                     ,TYPEOFEXPENSE            ,Type of Expense
                                                  ,ACTUALEXPENSE            ,Actual Expense
                                                  ,TYPEOFEXPENSEEND         ,End Date
                                                  ,ESTIMATEDEXPENSE         ,Estimated Expense
                                                  ,MONTHLYEXPENSE_1         ,Monthly Expense Type
                                                  ,TYPEOFEXPENSESTART       ,Start Date
Bethesda Financial Assessment                     ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
Bethesda Housing                                  ,EVICTIONNOTICE           ,Eviction/Foreclosure Notice:
Bethesda Housing                                  ,LANDLORDSNAME            ,Landlord/Mortgagee's Name:
Bethesda Housing                                  ,LANDLORDSTELEPHONE       ,Landlord/Mortgagee's Telephone #:
Bethesda Housing                                  ,PASTDUEAMOUNTS           ,Past Due Amounts
                                                  ,MONTHS                   ,# Months
                                                  ,ACCOUNT                  ,Account #
                                                  ,PASTDUEAMOUNTSEND        ,End Date
                                                  ,NAMEONACCOUNT_1          ,Name on Account
                                                  ,PASTDUEAMOUNTSSTART      ,Start Date
                                                  ,TOTALAMOUNTPASTDUE       ,Total Amount Past Due
                                                  ,TYPE_3                   ,Type
Bethesda Housing                                  ,VERIFICATIONOFEVICTION   ,Verification of Eviction/Foreclosure:
Bethesda Intake Form                              ,ADDRESSANDPOBOX          ,Address and PO Box
Bethesda Intake Form                              ,AGENCYREFERREDBY         ,Agency Referred By:
Bethesda Intake Form                              ,AGENCYHOSPITALOTHERNAME  ,Agency/Hospital/Other Name:
Bethesda Intake Form                              ,ALIAS                    ,Alias
Bethesda Intake Form                              ,CITYOFRESIDENCE          ,City of Residence
Bethesda Intake Form                              ,CLIENTPHONENUMBERS       ,Client Phone Numbers
                                                  ,TYPE_1                   ,# Type
                                                  ,CLIENTPHONENUMBERSEND    ,End Date
                                                  ,NOTES                    ,Notes
                                                  ,NUMBER_1                 ,Number
                                                  ,CLIENTPHONENUMBERSSTART  ,Start Date
Bethesda Intake Form                              ,COUNTYOFRESIDENCE_1      ,County of Residence:
Bethesda Intake Form                              ,SVPPROFDOB               ,Date of Birth
Bethesda Intake Form                              ,DISABILITIES_1           ,Disabilities
                                                  ,HUD_DISABILITYLONGTERM   ,Above condition is going to be long term?
                                                  ,DISABILITYTYPE           ,Disability Type
                                                  ,DISABILITIES_1END        ,End Date
                                                  ,NOTEONDISABILITY         ,Note on Disability
                                                  ,NUMBERWITHDISABILITIES   ,Number with Disabilities?
                                                  ,DISABILITIES_1START      ,Start Date
Bethesda Intake Form                              ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
Bethesda Intake Form                              ,EMERGENCYCONTACTS        ,Emergency Contacts
                                                  ,CONTACTSADDRESS          ,Contact's Address
                                                  ,CONTACTSCITY             ,Contact's City
                                                  ,CONTACTSNAME             ,Contact's Name
                                                  ,CONTACTSSTATE            ,Contact's State
                                                  ,EMERGENCYCONTACTSEND     ,End Date
                                                  ,PHONENUMBER_2            ,Phone Number
                                                  ,RELATIONSHIPTOCLIENT     ,Relationship to Client
                                                  ,SECONDPHONENUMBER        ,Second Phone Number
                                                  ,EMERGENCYCONTACTSSTART   ,Start Date
Bethesda Intake Form                              ,SVPPROFETH               ,Ethnicity
Bethesda Intake Form                              ,SVPPROFGENDER            ,Gender
Bethesda Intake Form                              ,IMMIGRATIONSTATUS        ,Immigration Status
Bethesda Intake Form                              ,ISCLIENTHOMELESS         ,Is Client Homeless?
Bethesda Intake Form                              ,MARITALSTATUS_1          ,Marital Status
Bethesda Intake Form                              ,DOYOUHAVEMEDICALINSUR    ,Medical Insurance
                                                  ,C0PAYAMOUNT              ,Co-Pay Amount
                                                  ,DEDUCTIBLESATISFIED      ,Deductible Satisfied?
                                                  ,EMPLOYER_1               ,Employer
                                                  ,DOYOUHAVEMEDICALINSUEND  ,End Date
                                                  ,GROUP                    ,Group #
                                                  ,INSURANCECOMPANYCLAIM    ,Insurance Claims Address
                                                  ,INSURANCECLAIMSCITY      ,Insurance Claims City
                                                  ,INSURANCECOMPANYPHONE_1  ,Insurance Claims Phone No.
                                                  ,INSURANCECOMPANYSTATE_1  ,Insurance Claims State
                                                  ,INSURANCECOMPANYZIP_1    ,Insurance Claims Zip
                                                  ,INSURANCECOMPNAYADDRESS  ,Insurance Co. Address
                                                  ,INSURANCECOCITY          ,Insurance Co. City
                                                  ,INSURANCECOMPANYNAME     ,Insurance Co. Name
                                                  ,INSURANCECOMPANYPHONE    ,Insurance Co. Phone #
                                                  ,INSURANCECOMPANYSTATE    ,Insurance Co. State
                                                  ,INSURANCECOMPANYZIP      ,Insurance Co. Zipcode
                                                  ,INSUREDSFIRSTNAME        ,Insured's  Name
                                                  ,INSUREDSSOCIALSECURITY   ,Insured's Social Security #
                                                  ,POLICY                   ,Policy #
                                                  ,DOYOUHAVEMEDICALINSUS    ,Start Date
                                                  ,TYPEOFINSURANCE_1        ,Type of Insurance
                                                  ,YEARLYDEDUCTIBLE         ,Yearly Deductible
Bethesda Intake Form                              ,PRIMARYLANGUAGESPOKEN_2  ,Primary Language Spoken
Bethesda Intake Form                              ,PRIMARYLANGUAGESPOKEN_1  ,Primary Language Spoken (if other)
Bethesda Intake Form                              ,SVPPROFRACE              ,Primary Race
Bethesda Intake Form                              ,RELIGIONVOLUNTARY        ,Religion
Bethesda Intake Form                              ,ALIENNUMBER_1            ,Resident Alien Number
Bethesda Intake Form                              ,SECONDARYLANGUAGESPOKEN  ,Secondary Language Spoken
Bethesda Intake Form                              ,SECONDARYLANGUAGE        ,Secondary Language Spoken (if other)
Bethesda Intake Form                              ,SVPPROFSECONDARYRACE     ,Secondary Race
Bethesda Intake Form                              ,STATEOFRESIDENCE         ,State of Residence
Bethesda Intake Form                              ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
Bethesda Intake Form                              ,USCITIZEN                ,U.S. Citizen?
Bethesda Intake Form                              ,VETERAN                  ,U.S. Military Veteran?
Bethesda Intake Form                              ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
Bethesda Intake Form                              ,ZIPCODE                  ,Zip Code:
CallPoint Profile                                 ,CITY_211                 ,Caller City
CallPoint Profile                                 ,COUNTY_211               ,Caller County
CallPoint Profile                                 ,PHONENUMBER_211          ,Caller's Phone Number
CallPoint Profile                                 ,CHILDRENINHOUSEHOLD      ,Children in Household
CallPoint Profile                                 ,SVPPROFETH               ,Ethnicity
CallPoint Profile                                 ,SVPPROFGENDER            ,Gender
CallPoint Profile                                 ,NUMBERINHOUSEHOLD        ,Number in Household
CallPoint Profile                                 ,OVERAGE60_211            ,Over Age 60?
CallPoint Profile                                 ,SVPPROFRACE              ,Primary Race
CallPoint Profile                                 ,SVPMASSREFERRALZIPCODE   ,Referral Zip Code
CallPoint Profile                                 ,WHEREDIDYOUHEAR_211      ,Where did you hear about us?
CallPoint Profile                                 ,YEARLYINCOME_211         ,Yearly Income
CCH - Corrections                                 ,ARRESTRECORD             ,Arrest Record
                                                  ,ARRESTCHARGE             ,Arrest Charge
                                                  ,CONVICTED                ,Convicted?
                                                  ,DATEOFARREST             ,Date of Arrest
                                                  ,ARRESTRECORDEND          ,End Date
                                                  ,PRISONJAILWHERETIMESE    ,Prison or Jail
                                                  ,SERVEDTIME               ,Served Time?
                                                  ,ARRESTRECORDSTART        ,Start Date
CCH - Corrections                                 ,IFYESTOPROBATIONWHATR    ,If yes to probation, what reason?
CCH - Corrections                                 ,IFYESPAROLEOFFICER       ,If Yes, Parole Officer
CCH - Corrections                                 ,IFYESPROBATIONOFFICER    ,If Yes, Probation Officer
CCH - Corrections                                 ,ONPAROLE                 ,On Parole?
CCH - Corrections                                 ,ONPROBATION              ,On Probation?
CCH - Corrections                                 ,PAROLEOFFICERPHONE       ,Parole Officer Phone
CCH - Corrections                                 ,PROBATIONOFFICERPHONE    ,Probation Officer Phone
CCH - Employment                                  ,CHILDCARECOSTPERWEEK     ,Child care cost per week:
CCH - Employment                                  ,EMPLOYMENTEXPERIENCET    ,Employment/ Job Training
                                                  ,EMPLOYMENTEXPERIENCEEND  ,End Date
                                                  ,JOBSKILLS                ,Job Skill
                                                  ,EXPLAINLEVELOFABILITY    ,Skill Training
                                                  ,EMPLOYMENTEXPERIENCES    ,Start Date
CCH - Employment                                  ,HIGHESTLEVELOFEDUCATI    ,Highest Level of Education Attained
CCH - Employment                                  ,HOWWILLYOURMOVINGAFFE    ,How will your moving affect your childcare?
CCH - Employment                                  ,IFAPPLICABLEDOYOUHAVE    ,If applicable, do you have child care arrangemnts?
CCH - Employment                                  ,IFUNEMPLOYEDEXPLAIN      ,If Unemployed, Explain
CCH - Employment                                  ,IFYESPLEASEDESCRIBEYO    ,If yes, please describe your child care arrangmts:
CCH - Employment                                  ,MEANSOFTRANSPORTATION    ,Means of Transportation
CCH - Employment                                  ,UNEMPLOYED               ,Unemployed?
CCH - Employment                                  ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
CCH - Medical                                     ,CURRENTANDPASTMEDICAT    ,Current and Past Medications
CCH - Medical                                     ,DENTALPROBLEMS           ,Dental Problems
                                                  ,DENTALCARERECEIVED       ,Dental Care Received?
                                                  ,DENTALPROBLEMSEND        ,End Date
                                                  ,PROBLEMDURATION_1        ,Problem Duration
                                                  ,DENTALPROBLEMSSTART      ,Start Date
                                                  ,TYPEOFPROBLEM            ,Type Of Problem
CCH - Medical                                     ,DISABILITIES_1           ,Disabilities
                                                  ,HUD_DISABILITYLONGTERM   ,Above condition is going to be long term?
                                                  ,DISABILITYTYPE           ,Disability Type
                                                  ,DISABILITIES_1END        ,End Date
                                                  ,NOTEONDISABILITY         ,Note on Disability
                                                  ,NUMBERWITHDISABILITIES   ,Number with Disabilities?
                                                  ,DISABILITIES_1START      ,Start Date
CCH - Medical                                     ,DOYOUNEEDMEDICATIONSB    ,Do you need medications, but not taking them now?
CCH - Medical                                     ,LASTDENTALVISIT          ,Last Dental Visit
CCH - Medical                                     ,MEDICALPROBLEMS          ,Medical Problems
                                                  ,RECENTMEDICALCAREFORC    ,Date Received Care
                                                  ,MEDICALPROBLEMSEND       ,End Date
                                                  ,EXPLAINMEDICALCONDITION  ,Explain Medical Condition
                                                  ,MEDICALCONDITIONS        ,Medical Conditions
                                                  ,PRESENTLEVELOFDISTRESS   ,Present Level Of Distress
                                                  ,RECEIVEDMEDICALCARE      ,Received Medical Care?
                                                  ,REQUIREDHOSPITALCARE     ,Required Hospitalization?
                                                  ,MEDICALPROBLEMSSTART     ,Start Date
CCH - Medical                                     ,MEDICATION_1             ,Medication Overview
                                                  ,DOSAGE                   ,Dosage
                                                  ,DRUGTYPE_1               ,Drug Type
                                                  ,MEDICATION_1END          ,End Date
                                                  ,MEDICATION_6             ,Medication
                                                  ,MEDICATIONFREQUENCY      ,Medication Frequency
                                                  ,PHARMACHADDRESS          ,Pharmacy Address
                                                  ,PHARMACYNAME             ,Pharmacy Name
                                                  ,PHARMACYPHONENUMBER      ,Pharmacy Phone Number
                                                  ,PRESCRIBINGPHYSICIANP    ,Physician Phone Number
                                                  ,PRESCRIBINGPHYSICIAN     ,Prescribing Physician
                                                  ,RATIONALEFORMEDICATION   ,Rationale For Medication
                                                  ,ROUTEORMETHOD            ,Route or Method
                                                  ,MEDICATION_1START        ,Start Date
CCH - Medical                                     ,MENTALHEALTHASSESSMENT   ,Mental Health Assessment
CCH - Medical                                     ,MENTALHEALTHTREATMENT    ,Mental Health Treatment
                                                  ,MENTALHEALTHTREATMENEND  ,End Date
                                                  ,LOCATIONOFTREATMENT      ,Location Of Treatment
                                                  ,MENTALHEALTHTREATMENS    ,Start Date
                                                  ,TREATMENTTYPE_1          ,Treatment Type
CCH - Medical                                     ,PHYSICIANINFORMATION     ,Physician Information
                                                  ,PHYSICIANADDRESS         ,Address
                                                  ,PHYSICIANCITY            ,City
                                                  ,PHYSICIANINFORMATIONEND  ,End Date
                                                  ,PHONENUMBER              ,Phone Number
                                                  ,PHYSICIANNAME            ,Physician Name
                                                  ,PRIMARYCAREPHYSICIAN     ,Primary Care Physician?
                                                  ,PHYSICIANINFORMATIONS    ,Start Date
                                                  ,PHYSICIANSTATE           ,State
                                                  ,TREATINGPATIENTFOR       ,Treating Patient for?
                                                  ,ZIP_1                    ,Zip
CCH - Medical                                     ,SUBSTANCEABUSETREATMENT  ,Substance Abuse Treatment
                                                  ,SUBSTANCEABUSETREATMEND  ,End Date
                                                  ,SUBSTANCEABUSETREATMS    ,Start Date
                                                  ,LOCATIONOFTHISSUBSTAN    ,Treatment Location
                                                  ,TREATMENTTYPE            ,Treatment Type
CCH - Medical                                     ,USEALCOHOLORDRUGS        ,Use Alcohol or Drugs?
CCH - Public Assistance                           ,AREYOURECEIVINGCHILDS    ,Are you receiving child support?
CCH - Public Assistance                           ,IFNODOYOUHAVEACHILDSU    ,If no, do you have a child support case pending?
CCH - Public Assistance                           ,IFYESHOWMUCHCHILDCARE    ,If yes, how much child care support a month?
CCH - Public Assistance                           ,MAINSTREAMRESOURCESRE    ,Main Stream Resources Received
                                                  ,AMTMONTH                 ,$Amt/month
                                                  ,MAINSTREAMRESOURCESREND  ,End Date
                                                  ,IFENDEDREASON            ,If Ended Reason
                                                  ,TYPEOFMAINSTREAMRESOU    ,Main Stream Resources Type
                                                  ,MAINSTREAMRESOURCESRS    ,Start Date
CCH - Public Assistance                           ,NAMEOFCHILDSUPPORTCAS    ,Name of Child Support Case Manager:
CCH - Transitional Dev.                           ,ALIAS                    ,Alias
CCH - Transitional Dev.                           ,AREWEABLETOLEAVEYOUAM    ,Are we able to leave you a message?
CCH - Transitional Dev.                           ,ADDRESS_1                ,Client's Residence
                                                  ,CELLPHONE                ,Cell Phone#
                                                  ,CLIENTSAPARTMENTNUMBER   ,Client's Apartment Number
                                                  ,CLIENTSCITY              ,Client's City
                                                  ,CLIENTSSTATE             ,Client's State
                                                  ,STREETADDRESS            ,Client's Street Address
                                                  ,CLIENTSZIP_1             ,Client's Zip
                                                  ,COUNTYOFRESIDENCE        ,County of Residence
                                                  ,ADDRESS_1END             ,End Date
                                                  ,HOMEPHONENUMBER_1        ,Home Phone Number
                                                  ,ADDRESSOFLANDLORD        ,Landlord's Address
                                                  ,LANDLORDCITY             ,Landlord's City
                                                  ,NAMEOFLANDLORD           ,Landlord's Name
                                                  ,LANDLORDPHONE            ,Landlord's Phone
                                                  ,LANDLORDSTATE            ,Landlord's State
                                                  ,REASONFORLEAVINGTHISR    ,Reason for Leaving this Residence
                                                  ,RESIDENCESTREETNAME      ,Residence Street Name
                                                  ,ADDRESS_1START           ,Start Date
CCH - Transitional Dev.                           ,SVPPROFDOB               ,Date of Birth
CCH - Transitional Dev.                           ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
CCH - Transitional Dev.                           ,DOYOUHAVEFAMILYLIVING    ,Do you have family living in this area?
CCH - Transitional Dev.                           ,DOYOUSTAYINCONTACTWIT    ,Do you stay in contact with them?
CCH - Transitional Dev.                           ,EMERGENCYCONTACTS        ,Emergency Contacts
                                                  ,CONTACTSADDRESS          ,Contact's Address
                                                  ,CONTACTSCITY             ,Contact's City
                                                  ,CONTACTSNAME             ,Contact's Name
                                                  ,CONTACTSSTATE            ,Contact's State
                                                  ,EMERGENCYCONTACTSEND     ,End Date
                                                  ,PHONENUMBER_2            ,Phone Number
                                                  ,RELATIONSHIPTOCLIENT     ,Relationship to Client
                                                  ,SECONDPHONENUMBER        ,Second Phone Number
                                                  ,EMERGENCYCONTACTSSTART   ,Start Date
CCH - Transitional Dev.                           ,SVPPROFETH               ,Ethnicity
CCH - Transitional Dev.                           ,SVPPROFGENDER            ,Gender
CCH - Transitional Dev.                           ,HOWDIDYOUHEARABOUTOUR    ,How did you hear about our agency?
CCH - Transitional Dev.                           ,HOWLONGHAVEYOULIVEDIN_1  ,How long have you lived in Manatee Co? (mos/yrs)
CCH - Transitional Dev.                           ,IFNOTINCONTACTWHY        ,If not in contact, why?
CCH - Transitional Dev.                           ,ISCLIENTHOMELESS         ,Is Client Homeless?
CCH - Transitional Dev.                           ,MARITALSTATUS_1          ,Marital Status
CCH - Transitional Dev.                           ,SVPPROFRACE              ,Primary Race
CCH - Transitional Dev.                           ,SVPPROFSECONDARYRACE     ,Secondary Race
CCH - Transitional Dev.                           ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
CCH - Transitional Dev.                           ,VETERAN                  ,U.S. Military Veteran?
CCH - Transitional Dev.                           ,WHEREDOESYOURFAMILYLIVE  ,Where does your family live?
CCH - Transitional Dev.                           ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
CCV - Financial Assessment                        ,MONTHLYINCOME            ,Monthly Income (non-Employment)
                                                  ,MONTHLYINCOMEEND         ,End Date
                                                  ,AMOUNTMONTHLYINCOME      ,Last 30 Day Income
                                                  ,LAST90DAYMONTHLYINCOME   ,Last 90 Day Income
                                                  ,SOURCEOFINCOME           ,Source of Income
                                                  ,MONTHLYINCOMESTART       ,Start Date
CCV - Financial Assessment                        ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
CCV - Housing Assessment                          ,AGENCYREFERREDBY_1       ,Agency Referred By:
CCV - Housing Assessment                          ,AREYOUARENTERORAHOMEO    ,Are you a renter or a homeowner?
CCV - Housing Assessment                          ,CLIENTTYPE               ,Client Type:
CCV - Housing Assessment                          ,DISABILITIES_1           ,Disabilities
                                                  ,HUD_DISABILITYLONGTERM   ,Above condition is going to be long term?
                                                  ,DISABILITYTYPE           ,Disability Type
                                                  ,DISABILITIES_1END        ,End Date
                                                  ,NOTEONDISABILITY         ,Note on Disability
                                                  ,NUMBERWITHDISABILITIES   ,Number with Disabilities?
                                                  ,DISABILITIES_1START      ,Start Date
CCV - Housing Assessment                          ,DOYOUHAVEHOMEOWNERSOR    ,Do you have homeowner's or renter's insurance?
CCV - Housing Assessment                          ,EVICTIONNOTICE           ,Eviction/Foreclosure Notice:
CCV - Housing Assessment                          ,FHACASENOIFANY           ,FHA Case No. (if any):
CCV - Housing Assessment                          ,HOMEOWNERSRENTERSINSU    ,Homeowners/Renter's Insurance
                                                  ,HOMEOWNERSRENTERSINSEND  ,End Date
                                                  ,HOMEOWNERS_1             ,Homeowners?
                                                  ,INSURANCECOMPANYNAME_1   ,Insurance Company Name
                                                  ,POLICY_1                 ,Policy #
                                                  ,RENTERS                  ,Renter's?
                                                  ,HOMEOWNERSRENTERSINSS    ,Start Date
CCV - Housing Assessment                          ,IFNOTINTHEPICKLISTPLE    ,If other agency, please enter agency name:
CCV - Housing Assessment                          ,IFOTHERCLIENTTYPEPLEA    ,If other client type, please specify:
CCV - Housing Assessment                          ,LANDLORDMORTGAGEESADD    ,Landlord/Mortgagee's Address:
CCV - Housing Assessment                          ,LANDLORDSNAME            ,Landlord/Mortgagee's Name:
CCV - Housing Assessment                          ,LANDLORDSTELEPHONE       ,Landlord/Mortgagee's Telephone #:
CCV - Housing Assessment                          ,MIGRANTSEASONALWORKER    ,Migrant/Seasonal Worker?
CCV - Housing Assessment                          ,PASTDUEAMOUNTS           ,Past Due Amounts
                                                  ,MONTHS                   ,# Months
                                                  ,ACCOUNT                  ,Account #
                                                  ,PASTDUEAMOUNTSEND        ,End Date
                                                  ,NAMEONACCOUNT_1          ,Name on Account
                                                  ,PASTDUEAMOUNTSSTART      ,Start Date
                                                  ,TOTALAMOUNTPASTDUE       ,Total Amount Past Due
                                                  ,TYPE_3                   ,Type
CCV - Housing Assessment                          ,PRIMARYLANGUAGESPOKEN_2  ,Primary Language Spoken
CCV - Housing Assessment                          ,PRIMARYLANGUAGESPOKEN_1  ,Primary Language Spoken (if other)
CCV - Housing Assessment                          ,REFERREDBY               ,Referred By Another Agency
CCV - Housing Assessment                          ,RELIGIONVOLUNTARY        ,Religion
CCV - Housing Assessment                          ,ALIENNUMBER_1            ,Resident Alien Number
CCV - Housing Assessment                          ,SECONDARYLANGUAGESPOKEN  ,Secondary Language Spoken
CCV - Housing Assessment                          ,SECONDARYLANGUAGE        ,Secondary Language Spoken (if other)
CCV - Housing Assessment                          ,USCITIZEN                ,U.S. Citizen?
CCV - Housing Assessment                          ,VERIFICATIONOFEVICTION   ,Verification of Eviction/Foreclosure:
CCV - Housing Priorities                          ,AREYOUCURRENTLYRESIDI    ,Are you currently residing in public housing?
CCV - Housing Priorities                          ,CURRENTLYINASELFSUFFI    ,Currently in a self-sufficiency program?
CCV - Housing Priorities                          ,FIRSTCHOICE              ,First Choice:
CCV - Housing Priorities                          ,HAVEYOUOWNEDAHOMEWITH    ,Have you owned a home within the past three years?
CCV - Housing Priorities                          ,IFYESDESCRIBETHEPROGRAM  ,If yes, describe the program:
CCV - Housing Priorities                          ,LOCATION_1               ,Location:
CCV - Housing Priorities                          ,NUMBEROFBEDROOMS         ,Number of Bedrooms:
CCV - Housing Priorities                          ,SECONDCHOICE             ,Second Choice:
CCV - Housing Priorities                          ,SPECIALNEEDS_1           ,Special Needs:
CCV - Immigration                                 ,COUNTRYOFBIRTH_1         ,Country of Birth
CCV - Immigration                                 ,DATEOFARRIVALINTOUS      ,Date of Arrival Into U.S.
CCV - Immigration                                 ,DATEOFMOSTRECENTENTRA    ,Date of most recent entrance to USA:
CCV - Immigration                                 ,EMPLOYMENTINFORMATION    ,Employment Information
CCV - Immigration                                 ,HOWMANYTIMESHAVEYOUBE    ,How many times have you been divorced?
CCV - Immigration                                 ,HOWMANYTIMESHAVEYOUBE_1  ,How many times have you been married?
CCV - Immigration                                 ,IMMIGRATIONSTATUS        ,Immigration Status
CCV - Immigration                                 ,MARITALSTATUS_1          ,Marital Status
CCV - Immigration                                 ,OCCUPATION               ,Occupation:
CCV - Immigration                                 ,SPOUSESIMMIGRATIONSTATUS ,Spouse's Immigration Status:
CCV - Immigration                                 ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
CCV - Profile                                     ,ADDRESSANDPOBOX          ,Address and PO Box
CCV - Profile                                     ,CITYOFRESIDENCE          ,City of Residence
CCV - Profile                                     ,CLIENTISANAGRICUTLURA    ,Client is an agricultural worker?
CCV - Profile                                     ,CLIENTPHONENUMBERS       ,Client Phone Numbers
                                                  ,TYPE_1                   ,# Type
                                                  ,CLIENTPHONENUMBERSEND    ,End Date
                                                  ,NOTES                    ,Notes
                                                  ,NUMBER_1                 ,Number
                                                  ,CLIENTPHONENUMBERSSTART  ,Start Date
CCV - Profile                                     ,CLIENTINFORMATION        ,Client Residential Information
CCV - Profile                                     ,COUNTYOFRESIDENCE_1      ,County of Residence:
CCV - Profile                                     ,SVPPROFDOB               ,Date of Birth
CCV - Profile                                     ,SVPPROFETH               ,Ethnicity
CCV - Profile                                     ,SVPPROFGENDER            ,Gender
CCV - Profile                                     ,ISCLIENTHOMELESS         ,Is Client Homeless?
CCV - Profile                                     ,NONCONFIDENTIALNOTES     ,Notes Section
CCV - Profile                                     ,SVPPROFRACE              ,Primary Race
CCV - Profile                                     ,SVPPROFSECONDARYRACE     ,Secondary Race
CCV - Profile                                     ,STATEOFRESIDENCE         ,State of Residence
CCV - Profile                                     ,YEARSLIVEDATABOVEADDRESS ,Years lived at above address:
CCV - Profile                                     ,ZIPCODE                  ,Zip Code:
Childhood Immunization                            ,COMPLETEDDTAP            ,Completed DTaP
Childhood Immunization                            ,COMPLETEDHEPATITISA      ,Completed Hepatitis A
Childhood Immunization                            ,COMPLETEDHEPATITISB      ,Completed Hepatitis B
Childhood Immunization                            ,COMPLETEDINACTIVATEDP    ,Completed Inactivated Polio(IPV)
Childhood Immunization                            ,COMPLETEDHAEMOPHILUSI    ,Haemophilus Influenzae Type b
Childhood Immunization                            ,INFLUENZA                ,Influenza
Childhood Immunization                            ,MEASLESMUMPSRUBELLAMMR   ,Measles, Mumps, Rubella (MMR)
Childhood Immunization                            ,PNEUMOCOCCALPOLYSACCH    ,Pneumococcal(polysaccharide)
Childhood Immunization                            ,VARICELLA                ,Varicella
Children                                          ,ISATLEASTONECAREGIVER    ,At Least One Caregiver Employed?
Children                                          ,BEENASKEDTOLEAVEHOME     ,Been Asked To Leave Home?
Children                                          ,BLANK                    ,Blank
Children                                          ,BLANK                    ,Blank
Children                                          ,CAREGIVERAPARENT         ,Caregiver a Parent?
Children                                          ,GURADIANPHONE            ,Caregiver Phone Number
Children                                          ,HUD_CHILDENROLLDIFF      ,Child Enrollment Difficulties
                                                  ,HUD_CHILDENROLLDIFFEND   ,End Date
                                                  ,ENROLLMENTPROBLEM        ,Enrollment Problem 
                                                  ,HUD_CHILDENROLLDIFFSTART ,Start Date
Children                                          ,CURRENTINDIVIDUALEDUC    ,Current Individual Education  Program?
Children                                          ,GRADEATTENDING           ,Grade Attending
Children                                          ,GUARDIANORCAREGIVER      ,Guardian or Caregiver
Children                                          ,GUARDIANSHIPORFAMILYS    ,Guardianship or Family Situation
Children                                          ,HASBEENABUSED            ,Has Been Abused?
Children                                          ,HUD_CHILDTYPEOFSCHOOL    ,If Child Enrolled, Type of School
Children                                          ,HUD_CHILDLASTENRDATE     ,If no, Date Last Enrolled in School
Children                                          ,IFYESRELATIONSHIPWITH    ,If Yes, Relationship With Abuser
Children                                          ,IFYESSCHOOLNAME          ,If Yes, School Name
Children                                          ,IFYESTYPEOFABUSE         ,If Yes, Type of Abuse
Children                                          ,IMMUNIZATIONSUPTODATE    ,Immunizations Up To Date?
Children                                          ,IFNOISCAREGIVERLEGALG    ,Is Caregiver Legal Guardian?
Children                                          ,OTHERSPECIALNEEDS        ,List Special Needs
Children                                          ,MEDICALPROBLEMS          ,Medical Problems
                                                  ,RECENTMEDICALCAREFORC    ,Date Received Care
                                                  ,MEDICALPROBLEMSEND       ,End Date
                                                  ,EXPLAINMEDICALCONDITION  ,Explain Medical Condition
                                                  ,MEDICALCONDITIONS        ,Medical Conditions
                                                  ,PRESENTLEVELOFDISTRESS   ,Present Level Of Distress
                                                  ,RECEIVEDMEDICALCARE      ,Received Medical Care?
                                                  ,REQUIREDHOSPITALCARE     ,Required Hospitalization?
                                                  ,MEDICALPROBLEMSSTART     ,Start Date
Children                                          ,NAMEOFTEACHER            ,Name Of Teacher
Children                                          ,PRESENTLYATTENDINGSCHOOL ,Presently Attending School?
Children                                          ,PRIMARYLANGUAGESPOKEN    ,Primary Language Spoken At Home
Children                                          ,REASONIFNOTATTENDINGS    ,Reason If Not Attending School
Children                                          ,RUNAWAY                  ,Run Away?
Children                                          ,SCHOOLINFORMATION        ,School Information
Children                                          ,SPECIALNEEDS             ,Special Needs
Children                                          ,WORKINGATGRADELEVELIN    ,Working At Grade Level In Math?
Children                                          ,WORKINGATGRADELEVELIN_1  ,Working At Grade Level In Reading?
Client Budget and Expenses                        ,MONTHLYEXPENSESEXTIMA    ,Monthly Expenses: Estimated and Actual
Client Budget and Expenses                        ,TYPEOFEXPENSE            ,Type of Expense
                                                  ,ACTUALEXPENSE            ,Actual Expense
                                                  ,TYPEOFEXPENSEEND         ,End Date
                                                  ,ESTIMATEDEXPENSE         ,Estimated Expense
                                                  ,MONTHLYEXPENSE_1         ,Monthly Expense Type
                                                  ,TYPEOFEXPENSESTART       ,Start Date
Coastal Adult Intervention                        ,ADMISSIONCRITERIA        ,Admission Criteria
Coastal Adult Intervention                        ,ADULTINTERVENTIONNOTES   ,Adult Intervention Recommendations/Notes
Coastal Adult Intervention                        ,ASAMREQUIREMENTS         ,ASAM Requirements
Coastal Adult Intervention                        ,DIM1ACUTEINTOXICATNAN    ,Dim 1: Acute Intoxicatn and/or Withdw'l Potential
Coastal Adult Intervention                        ,DIM2BIOMEDICALCONDITI    ,Dim 2: Biomedical Conditions and Complications
Coastal Adult Intervention                        ,DIM3EMOTNLBEHAVRLORCO    ,Dim 3: Emotn'l, Behavr'l, or Cognitive Conditions
Coastal Adult Intervention                        ,DIM4READINESSTOCHANGE    ,Dim 4: Readiness to Change
Coastal Adult Intervention                        ,DIM5RELAPSECONTINUEDU    ,Dim 5: Relapse/Continued Use Potential
Coastal Adult Intervention                        ,DIM6RECOVERYENVIRONMENT  ,Dim 6: Recovery Environment
Coastal Client Profile                            ,ADDRESSANDPOBOX          ,Address and PO Box
Coastal Client Profile                            ,CLIENTPHONENUMBERS       ,Client Phone Numbers
                                                  ,TYPE_1                   ,# Type
                                                  ,CLIENTPHONENUMBERSEND    ,End Date
                                                  ,NOTES                    ,Notes
                                                  ,NUMBER_1                 ,Number
                                                  ,CLIENTPHONENUMBERSSTART  ,Start Date
Coastal Client Profile                            ,SVPPROFDOB               ,Date of Birth
Coastal Client Profile                            ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
Coastal Client Profile                            ,SVPPROFETH               ,Ethnicity
Coastal Client Profile                            ,SVPPROFGENDER            ,Gender
Coastal Client Profile                            ,ISCLIENTHOMELESS         ,Is Client Homeless?
Coastal Client Profile                            ,NONCONFIDENTIALNOTES     ,Notes Section
Coastal Client Profile                            ,SVPPROFRACE              ,Primary Race
Coastal Client Profile                            ,SVPPROFSECONDARYRACE     ,Secondary Race
Coastal Client Profile                            ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
Coastal Client Profile                            ,VETERAN                  ,U.S. Military Veteran?
Coastal Client Profile                            ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
Coastal Client Profile                            ,ZIPCODE                  ,Zip Code:
Coastal Substance Abuse Screening                 ,ADMISSIONELIGIBILITYI    ,Admission Eligibility-Include Rationale in Summary
Coastal Substance Abuse Screening                 ,ALCHOHOL                 ,Alchohol
                                                  ,AGEOF1STUSE              ,Age of 1st use
                                                  ,AMOUNT_1                 ,Amount
                                                  ,DATEOFLASTUSE            ,Date of last use
                                                  ,ALCHOHOLEND              ,End Date
                                                  ,FREQUENCY_1              ,Frequency
                                                  ,ALCHOHOLSTART            ,Start Date
Coastal Substance Abuse Screening                 ,AMPHETAMINES             ,Amphetamines
                                                  ,AGEOF1STUSE_6            ,Age of 1st use
                                                  ,AMOUNT_6                 ,Amount
                                                  ,DATEOFLASTUSE_4          ,Date of last use
                                                  ,AMPHETAMINESEND          ,End Date
                                                  ,FREQUENCY_6              ,Frequency
                                                  ,AMPHETAMINESSTART        ,Start Date
Coastal Substance Abuse Screening                 ,BELIEVESDRUGALCOHOLAB    ,Believes drug/alcohol abuse is harmful to health
Coastal Substance Abuse Screening                 ,COCAINE                  ,Cocaine
                                                  ,AGEOF1STUSE_3            ,Age of 1st use
                                                  ,AMOUNT_4                 ,Amount
                                                  ,AGEOF1STUSE_4            ,Date of last use
                                                  ,COCAINEEND               ,End Date
                                                  ,FREQUENCY_4              ,Frequency
                                                  ,COCAINESTART             ,Start Date
Coastal Substance Abuse Screening                 ,DTSHALLUCINATIONPARANOIA ,D.T.'s [Hallucination, paranoia]
Coastal Substance Abuse Screening                 ,EMPLOYEDINSCHOOL         ,Employed/In School
Coastal Substance Abuse Screening                 ,EVERADMITTEDTODETXHSP    ,Ever admitted to Detx/Hsptl due to Drnkg/Drug Use?
Coastal Substance Abuse Screening                 ,FAMILYHISTORYOFSUBSTA    ,Family History of Substance Abuse
Coastal Substance Abuse Screening                 ,GOODCOPINGSKILLSINTER    ,Good coping skills/internal locus of control
Coastal Substance Abuse Screening                 ,GOODSOCIALSUPPORTSYSTEM  ,Good social support system
Coastal Substance Abuse Screening                 ,HASFRIENDSWHODRINKABU    ,Has friends who drink/abuse drugs
Coastal Substance Abuse Screening                 ,HISTORYOFORCURRENTCHR    ,History of or current chronic physical pain
Coastal Substance Abuse Screening                 ,HISTORYOFORCURRENTDRU    ,History of or current drug/alcohol abuse
Coastal Substance Abuse Screening                 ,HISTORYOFORCURRENTMEN    ,History of or current mental illness
Coastal Substance Abuse Screening                 ,HISTORYOFOVERDOSE        ,History of Overdose
Coastal Substance Abuse Screening                 ,HOMENEIGHBORHOODENVIR    ,Home/neighborhood envirnmt is supprtve of sobriety
Coastal Substance Abuse Screening                 ,MARIJUANA                ,Marijuana
                                                  ,AGEOF1STUSE_2            ,Age of 1st use
                                                  ,AMOUNT_3                 ,Amount
                                                  ,DATEOFLASTUSE_2          ,Date of last use
                                                  ,MARIJUANAEND             ,End Date
                                                  ,FREQUENCY_3              ,Frequency
                                                  ,MARIJUANASTART           ,Start Date
Coastal Substance Abuse Screening                 ,MEANINGINLIFEDREAMSGOALS ,Meaning in life (dreams/goals)
Coastal Substance Abuse Screening                 ,MORNINGDRINKING          ,Morning Drinking
Coastal Substance Abuse Screening                 ,NEGATIVELIFECONSEQUEN    ,Negative life consequences due to substance use:
Coastal Substance Abuse Screening                 ,OPIATES                  ,Opiates
                                                  ,AGEOF1STUSE_7            ,Age of 1st use
                                                  ,AMOUNT_7                 ,Amount
                                                  ,DATEOFLASTUSE_5          ,Date of last use
                                                  ,OPIATESEND               ,End Date
                                                  ,DATEOFLASTUSE_6          ,Frequency
                                                  ,OPIATESSTART             ,Start Date
Coastal Substance Abuse Screening                 ,OTHERRX                  ,Other Rx
                                                  ,AGEOF1STUSE_8            ,Age of 1st use
                                                  ,AMOUNT_8                 ,Amount
                                                  ,DATEOFLASTUSE_7          ,Date of last use
                                                  ,OTHERRXEND               ,End Date
                                                  ,FREQUENCY_7              ,Frequency
                                                  ,OTHERRXSTART             ,Start Date
Coastal Substance Abuse Screening                 ,POSITVERELATNSHPWSPOU    ,Positve relatnshp w/ spouse/parnts/signfcnt other
Coastal Substance Abuse Screening                 ,PSYCHOSOCIALISSUERISK    ,Psychosocial Issue: no=Risk Factor, yes=Protectve
Coastal Substance Abuse Screening                 ,PSYCHOSOCIALISSUE        ,Psychosocial Issue: y=Protective Factor, n=Risk
Coastal Substance Abuse Screening                 ,SEDATIVEBENZO            ,Sedative/Benzo
                                                  ,AGEOF1STUSE_5            ,Age of 1st use
                                                  ,AMOUNT_5                 ,Amount
                                                  ,DATEOFLASTUSE_3          ,Date of last use
                                                  ,SEDATIVEBENZOEND         ,End Date
                                                  ,FREQUENCY_5              ,Frequency
                                                  ,SEDATIVEBENZOSTART       ,Start Date
Coastal Substance Abuse Screening                 ,SEIZUREHISTORY           ,Seizure History
Coastal Substance Abuse Screening                 ,SELECTONE                ,Select One:
Coastal Substance Abuse Screening                 ,SELECTONE_1              ,Select One:
Coastal Substance Abuse Screening                 ,SUBSTANCESUBASSESSMENTS  ,Substance Subassessments
Coastal Substance Abuse Screening                 ,SUMMARYOFREFERRAL        ,Summary of referral
Coastal Substance Abuse Screening                 ,TOBACCO                  ,Tobacco
                                                  ,AGEOF1STUSE_1            ,Age of 1st use
                                                  ,AMOUNT_2                 ,Amount
                                                  ,DATEOFLASTUSE_1          ,Date of last use
                                                  ,TOBACCOEND               ,End Date
                                                  ,FREQUENCY_2              ,Frequency
                                                  ,TOBACCOSTART             ,Start Date
Coastal Substance Abuse Screening                 ,USESTOBACCO              ,Uses tobacco
Coastal Substance Abuse Screening                 ,WITHDRWLSYMPTOMSSHAKE    ,Withdrw'l symptoms:shakes, sweats, rapid heartbeat
Data Quality Assurance                            ,ANYDISABILITIES          ,Any Disabilities?
Data Quality Assurance                            ,DATEOFBIRTH_1            ,Date of Birth
Data Quality Assurance                            ,EMPLOYED_2               ,Employed?
Data Quality Assurance                            ,ETHINICITYHISPANIC       ,Ethinicity Hispanic?
Data Quality Assurance                            ,GENDER                   ,Gender
Data Quality Assurance                            ,GRADELEVELLASTCOMPLET    ,Grade level last completed
Data Quality Assurance                            ,HAVEYOUEVERBEENHEREBE    ,Have you ever been here before?
Data Quality Assurance                            ,HOWMANYYEARSHAVEYOULI    ,How many years have you lived in Sarasota?
Data Quality Assurance                            ,ISCLIENTHOMELESS         ,Is Client Homeless?
Data Quality Assurance                            ,MARITALSTATUS_2          ,Marital Status
Data Quality Assurance                            ,RACE_1                   ,Race
Data Quality Assurance                            ,SOCIALSECURITY           ,Social Security
Data Quality Assurance                            ,TYPEOFLIVINGSITUATION_1  ,Type of living situation
Data Quality Assurance                            ,VETERAN_2                ,Veteran?
Data Quality Assurance                            ,ZIPCODEOFLASTADDRESS     ,Zip code of last address
Dental-Manatee Glens                              ,DENTALPROBLEMS           ,Dental Problems
                                                  ,DENTALCARERECEIVED       ,Dental Care Received?
                                                  ,DENTALPROBLEMSEND        ,End Date
                                                  ,PROBLEMDURATION_1        ,Problem Duration
                                                  ,DENTALPROBLEMSSTART      ,Start Date
                                                  ,TYPEOFPROBLEM            ,Type Of Problem
Diagnosis                                         ,AXISIIDIAGNOSISMRPERS    ,Axis II Diagnosis: M.R. & Personality Disorders
                                                  ,AXISIIDESCRIPTION_1      ,Axis II Description
                                                  ,AXISIDIAGNOSIS_3         ,Axis II Diagnosis
                                                  ,AXISIIDIAGNOSIS_1        ,Axis II Diagnosis Code
                                                  ,AXISIIDIAGNOSISCOMMENTS  ,Axis II Diagnosis Comments
                                                  ,AXISIIDIAGNOSISMRPEREND  ,End Date
                                                  ,AXISIIDIAGNOSISMRPERS_1  ,Start Date
Diagnosis                                         ,AXISIIIGENERALMEDICAL    ,Axis III: General Medical Condition
                                                  ,AXISIIIDESCRIPTION       ,Axis III Description
                                                  ,AXISIIIDIAGNOSIS_1       ,Axis III Diagnosis
                                                  ,AXISIIIDIAGNOSIS         ,Axis III Diagnosis Code
                                                  ,AXISIIIDIAGNOSISCOMMENTS ,Axis III Diagnosis Comments
                                                  ,AXISIIIDIAGNOSISTEXT     ,Axis III Diagnosis Text
                                                  ,AXISIIIGENERALMEDICAEND  ,End Date
                                                  ,AXISIIIGENERALMEDICAS    ,Start Date
Diagnosis                                         ,AXISIVPSYCHOSOCIALPRO    ,Axis IV: Psychosocial Problems
                                                  ,AXISIVPROBLEM            ,Axis IV Problem
                                                  ,AXISIVSPECIFICS          ,Axis IV Specifics
                                                  ,AXISIVPSYCHOSOCIALPREND  ,End Date
                                                  ,AXISIVPSYCHOSOCIALPRS    ,Start Date
Diagnosis                                         ,AXISVGAFSCORE_1          ,Axis V: GAF Score
                                                  ,AXISVGAFSCORE_1END       ,End Date
                                                  ,GAFSCORE                 ,GAF Score
                                                  ,AXISVGAFSCORE_1START     ,Start Date
Diagnosis                                         ,DSMIVTRAXISI_1           ,DSM-IV-TR Axis I: Clinical Disorders
                                                  ,DESCRIBE_1               ,Axis I Description
                                                  ,AXISIDIAGNOSIS_2         ,Axis I Diagnosis
                                                  ,AXISIDIAGNOSISCODE       ,Axis I Diagnosis Code
                                                  ,AXISIDIAGNOSISCOMMENTS   ,Axis I Diagnosis Comments
                                                  ,DSMIVTRAXISI_1END        ,End Date
                                                  ,DSMIVTRAXISI_1START      ,Start Date
Disaster Response - Profile                       ,ADDRESSANDPOBOX          ,Address and PO Box
Disaster Response - Profile                       ,CITYOFRESIDENCE          ,City of Residence
Disaster Response - Profile                       ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
Disaster Response - Profile                       ,SVPPROFETH               ,Ethnicity
Disaster Response - Profile                       ,SVPPROFGENDER            ,Gender
Disaster Response - Profile                       ,HIGHESTLEVELOFEDUCATI    ,Highest Level of Education Attained
Disaster Response - Profile                       ,HOWDIDYOUHEARABOUTUS     ,How did you hear about us?
Disaster Response - Profile                       ,IFDISPLACEDFROMWHICHS    ,If displaced, from which state?
Disaster Response - Profile                       ,HUD_LOOKINGFORWORK       ,If Unemployed, Looking for Work?
Disaster Response - Profile                       ,INCOMEEMPLOYMENT         ,INCOME/EMPLOYMENT
Disaster Response - Profile                       ,ISCLIENTHOMELESS         ,Is Client Homeless?
Disaster Response - Profile                       ,MARITALSTATUS_1          ,Marital Status
Disaster Response - Profile                       ,MONTHLYEXPENSESEXTIMA    ,Monthly Expenses: Estimated and Actual
Disaster Response - Profile                       ,MONTHLYINCOME            ,Monthly Income (non-Employment)
                                                  ,MONTHLYINCOMEEND         ,End Date
                                                  ,AMOUNTMONTHLYINCOME      ,Last 30 Day Income
                                                  ,LAST90DAYMONTHLYINCOME   ,Last 90 Day Income
                                                  ,SOURCEOFINCOME           ,Source of Income
                                                  ,MONTHLYINCOMESTART       ,Start Date
Disaster Response - Profile                       ,NOTESABOUTCLIENTNEEDS    ,Notes about client needs:
Disaster Response - Profile                       ,CALLRELATEDTOHURRICAN    ,Person Displaced By Hurricane Katrina?
Disaster Response - Profile                       ,PHONENUMBER_1            ,Phone Number
Disaster Response - Profile                       ,SVPPROFRACE              ,Primary Race
Disaster Response - Profile                       ,SVPPROFSECONDARYRACE     ,Secondary Race
Disaster Response - Profile                       ,TYPEOFEXPENSE            ,Type of Expense
                                                  ,ACTUALEXPENSE            ,Actual Expense
                                                  ,TYPEOFEXPENSEEND         ,End Date
                                                  ,ESTIMATEDEXPENSE         ,Estimated Expense
                                                  ,MONTHLYEXPENSE_1         ,Monthly Expense Type
                                                  ,TYPEOFEXPENSESTART       ,Start Date
Disaster Response - Profile                       ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
Disaster Response - Profile                       ,VETERAN                  ,U.S. Military Veteran?
Disaster Response - Profile                       ,UNEMPLOYED               ,Unemployed?
Disaster Response - Profile                       ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
Disaster Response - Profile                       ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
Disaster Response - Profile                       ,ZIPCODE                  ,Zip Code:
DSMIV-Manatee Glens                               ,AXISIIDIAGNOSISMRPERS    ,Axis II Diagnosis: M.R. & Personality Disorders
                                                  ,AXISIIDESCRIPTION_1      ,Axis II Description
                                                  ,AXISIDIAGNOSIS_3         ,Axis II Diagnosis
                                                  ,AXISIIDIAGNOSIS_1        ,Axis II Diagnosis Code
                                                  ,AXISIIDIAGNOSISCOMMENTS  ,Axis II Diagnosis Comments
                                                  ,AXISIIDIAGNOSISMRPEREND  ,End Date
                                                  ,AXISIIDIAGNOSISMRPERS_1  ,Start Date
DSMIV-Manatee Glens                               ,AXISIIIGENERALMEDICAL    ,Axis III: General Medical Condition
                                                  ,AXISIIIDESCRIPTION       ,Axis III Description
                                                  ,AXISIIIDIAGNOSIS_1       ,Axis III Diagnosis
                                                  ,AXISIIIDIAGNOSIS         ,Axis III Diagnosis Code
                                                  ,AXISIIIDIAGNOSISCOMMENTS ,Axis III Diagnosis Comments
                                                  ,AXISIIIDIAGNOSISTEXT     ,Axis III Diagnosis Text
                                                  ,AXISIIIGENERALMEDICAEND  ,End Date
                                                  ,AXISIIIGENERALMEDICAS    ,Start Date
DSMIV-Manatee Glens                               ,AXISIVPSYCHOSOCIALPRO    ,Axis IV: Psychosocial Problems
                                                  ,AXISIVPROBLEM            ,Axis IV Problem
                                                  ,AXISIVSPECIFICS          ,Axis IV Specifics
                                                  ,AXISIVPSYCHOSOCIALPREND  ,End Date
                                                  ,AXISIVPSYCHOSOCIALPRS    ,Start Date
DSMIV-Manatee Glens                               ,AXISVGAFSCORE_1          ,Axis V: GAF Score
                                                  ,AXISVGAFSCORE_1END       ,End Date
                                                  ,GAFSCORE                 ,GAF Score
                                                  ,AXISVGAFSCORE_1START     ,Start Date
DSMIV-Manatee Glens                               ,DSMIVTRAXISI_1           ,DSM-IV-TR Axis I: Clinical Disorders
                                                  ,DESCRIBE_1               ,Axis I Description
                                                  ,AXISIDIAGNOSIS_2         ,Axis I Diagnosis
                                                  ,AXISIDIAGNOSISCODE       ,Axis I Diagnosis Code
                                                  ,AXISIDIAGNOSISCOMMENTS   ,Axis I Diagnosis Comments
                                                  ,DSMIVTRAXISI_1END        ,End Date
                                                  ,DSMIVTRAXISI_1START      ,Start Date
Education                                         ,BLANK                    ,Blank
Education                                         ,COMMENTSRELATEDTOEDUC    ,Comments Related to Education
Education                                         ,HUD_CURRENTLYINSCHOOL    ,Currently in School or Working on any Degree?
Education                                         ,HUD_DEGREESEARNEDINFO    ,Degrees Earned Information
                                                  ,HUD_EDUCATIONDEGEARNED   ,Degree Earned
                                                  ,HUD_DEGREESEARNEDINFEND  ,End Date
                                                  ,HUD_DEGREESEARNEDINFS    ,Start Date
Education                                         ,EDUCATIONSUMMARY         ,Education Summary
Education                                         ,EMPLOYMENTEXPERIENCET    ,Employment/ Job Training
                                                  ,EMPLOYMENTEXPERIENCEEND  ,End Date
                                                  ,JOBSKILLS                ,Job Skill
                                                  ,EXPLAINLEVELOFABILITY    ,Skill Training
                                                  ,EMPLOYMENTEXPERIENCES    ,Start Date
Education                                         ,ENGLISHASSESSMENT        ,English Assessment
Education                                         ,ENGLISHREADINGSKILLS     ,English Reading Skills
Education                                         ,ENGLISHSPEAKINGSKILLS    ,English Speaking Skills
Education                                         ,ENGLISHWRITINGSKILLS     ,English Writing Skills
Education                                         ,HIGHESTLEVELOFEDUCATI    ,Highest Level of Education Attained
Education                                         ,HUD_RECEIVEDVOCTRAINING  ,Received Vocational Training?
Education-Manatee Glens                           ,COMMENTSRELATEDTOEDUC    ,Comments Related to Education
Education-Manatee Glens                           ,EDUCATIONSUMMARY         ,Education Summary
Education-Manatee Glens                           ,ENGLISHASSESSMENT        ,English Assessment
Education-Manatee Glens                           ,ENGLISHSPEAKINGSKILLS    ,English Speaking Skills
Education-Manatee Glens                           ,HIGHESTLEVELOFEDUCATI    ,Highest Level of Education Attained
Employment                                        ,BLANK                    ,Blank
Employment                                        ,BLANK                    ,Blank
Employment                                        ,FEDERALSTATEEMPLOYMEN    ,Federal/State Employment Assistance Eligibility?
Employment                                        ,HAVEVALIDDRIVERSLICENSE  ,Have Valid Drivers License or ID?
Employment                                        ,HUD_CURRENTEMPTENURE     ,If Currently Employed, Select Tenure
Employment                                        ,HUD_HRSWORKEDLASTWEEK    ,If Employed, Hours Worked Last Week?
Employment                                        ,IFUNEMPLOYEDEXPLAIN      ,If Unemployed, Explain
Employment                                        ,HUD_LOOKINGFORWORK       ,If Unemployed, Looking for Work?
Employment                                        ,MAINSTREAMRESOURCESRE    ,Main Stream Resources Received
                                                  ,AMTMONTH                 ,$Amt/month
                                                  ,MAINSTREAMRESOURCESREND  ,End Date
                                                  ,IFENDEDREASON            ,If Ended Reason
                                                  ,TYPEOFMAINSTREAMRESOU    ,Main Stream Resources Type
                                                  ,MAINSTREAMRESOURCESRS    ,Start Date
Employment                                        ,MEANSOFTRANSPORTATION    ,Means of Transportation
Employment                                        ,MONTHLYINCOME            ,Monthly Income (non-Employment)
                                                  ,MONTHLYINCOMEEND         ,End Date
                                                  ,AMOUNTMONTHLYINCOME      ,Last 30 Day Income
                                                  ,LAST90DAYMONTHLYINCOME   ,Last 90 Day Income
                                                  ,SOURCEOFINCOME           ,Source of Income
                                                  ,MONTHLYINCOMESTART       ,Start Date
Employment                                        ,PBULICASSISTANCEMAINS    ,Public Assistance/Main Stream Resources
Employment                                        ,RECENTAPPLICATIONFORP    ,Recent Application for Public Assistance?
Employment                                        ,STATUSOFPUBLICASSISTA    ,Status of Public Assistance Application
Employment                                        ,HUD_TOTALMONTHLYINCOME   ,Total Monthly Income
Employment                                        ,TYPEOFASSISTANCEAPPLI    ,Type of Assistance Applied for?
Employment                                        ,UNEMPLOYED               ,Unemployed?
Employment                                        ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
Employment-Manatee Glens                          ,EMPLOYMENTINFORMATION    ,Employment Information
Employment-Manatee Glens                          ,HAVEVALIDDRIVERSLICENSE  ,Have Valid Drivers License or ID?
Employment-Manatee Glens                          ,IFUNEMPLOYEDEXPLAIN      ,If Unemployed, Explain
Employment-Manatee Glens                          ,MEANSOFTRANSPORTATION    ,Means of Transportation
Employment-Manatee Glens                          ,TYPEOFEMPLOYMENTASSES    ,Type of Employment Assessment
Employment-Manatee Glens                          ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
Expenses-Manatee Glens                            ,TYPEOFEXPENSE            ,Type of Expense
                                                  ,ACTUALEXPENSE            ,Actual Expense
                                                  ,TYPEOFEXPENSEEND         ,End Date
                                                  ,ESTIMATEDEXPENSE         ,Estimated Expense
                                                  ,MONTHLYEXPENSE_1         ,Monthly Expense Type
                                                  ,TYPEOFEXPENSESTART       ,Start Date
FETC - Manatee                                    ,AFFECTIVEFUNCTIONING     ,Affective Functioning
                                                  ,AGITATEDLABILE           ,Agitated/Labile
                                                  ,AMBIVALENT               ,Ambivalent
                                                  ,ANGRYAGGRESSIVE          ,Angry/Aggressive
                                                  ,APPROPRIATE              ,Appropriate
                                                  ,DEPRESSED                ,Depressed
                                                  ,AFFECTIVEFUNCTIONINGEND  ,End Date
                                                  ,IRRITABLEANXIOUS         ,Irritable/Anxious
                                                  ,AFFECTIVEFUNCTIONINGS    ,Start Date
FETC - Manatee                                    ,ANSWERTHENEXT3QUESTIO    ,Answer the next 3 questions reg. the last 90 days:
FETC - Manatee                                    ,CAREMANAGEMENTSCREENING  ,Care Management Screening
FETC - Manatee                                    ,COGNITIVEFUNCTIONING     ,Cognitive Functioning
                                                  ,DELUSIONSHALLUCINATIONS  ,Delusions/Hallucinations
                                                  ,COGNITIVEFUNCTIONINGEND  ,End Date
                                                  ,FLIGHTSOFIDEAS           ,Flights of Ideas
                                                  ,LOOSEASSOCIATIONS        ,Loose Associations
                                                  ,POORINSIGHTJUDGEMENT     ,Poor Insight/Judgement
                                                  ,POVERTYOFTHOUGHT         ,Poverty of Thought
                                                  ,PRESSUREDSPEECHTHOUGHT   ,Pressured Speech/Thought
                                                  ,COGNITIVEFUNCTIONINGS    ,Start Date
FETC - Manatee                                    ,DIAGNOSTICIMPRESSION     ,Diagnostic Impression
FETC - Manatee                                    ,DIDCLIENTRECEIVEMEDIC    ,Did Client receive medication through IPMS?
FETC - Manatee                                    ,HOMICIDERISK             ,Homicide Risk
                                                  ,COMMENTS_2               ,Comments
                                                  ,HOMICIDERISKEND          ,End Date
                                                  ,HARMTOSELFOROTHERS_1     ,Harm to Self or Others
                                                  ,IDEATION_1               ,Ideation
                                                  ,INTENT_1                 ,Intent
                                                  ,PLAN_1                   ,Plan
                                                  ,HOMICIDERISKSTART        ,Start Date
FETC - Manatee                                    ,LISTALLERGIES            ,List Allergies
FETC - Manatee                                    ,MENTALSTATUS             ,Mental Status
FETC - Manatee                                    ,ORIENTATION              ,Orientation
                                                  ,ORIENTATIONEND           ,End Date
                                                  ,IMMEDIATEMEMORY          ,Immediate Memory
                                                  ,LONGTERMMEMORY           ,Long Term Memory
                                                  ,PERSON_1                 ,Person
                                                  ,PLACE                    ,Place
                                                  ,SHORTTERMMEMORY          ,Short Term Memory
                                                  ,ORIENTATIONSTART         ,Start Date
                                                  ,TIME                     ,Time
FETC - Manatee                                    ,PRESENTINGPROBLEM        ,Presenting Problem:
FETC - Manatee                                    ,PREVIOUSINTERVENTIONS    ,Previous Interventions on Presenting Problem:
FETC - Manatee                                    ,RECEIVEDANYATYPICALAN    ,Received any atypical anti-psychotic medication?
FETC - Manatee                                    ,RECEIVEDMEDICATIONTHR    ,Received medication through Patient Asst. Program?
FETC - Manatee                                    ,SOCIOECONOMICISSUES      ,Socioeconomic Issues:
FETC - Manatee                                    ,SUICIDERISK              ,Suicide Risk
                                                  ,COMMENTS_1               ,Comments
                                                  ,SUICIDERISKEND           ,End Date
                                                  ,HARMTOSELFOROTHERS       ,Harm to Self or Others
                                                  ,IDEATION                 ,Ideation
                                                  ,INTENT                   ,Intent
                                                  ,PLAN                     ,Plan
                                                  ,SUICIDERISKSTART         ,Start Date
FETC - Manatee                                    ,SUMMARYANDRECOMMENDAT    ,Summary and Recommendations:
FETC - Manatee                                    ,TREATMENTSYMPTOMSACTI    ,Treatment/Symptoms/Activity in last 30 days:
FETC Intervention Screening                       ,TEST_1                   ,Affective Functioning
                                                  ,AGITATEDLABILE_1         ,Agitated/Labile
                                                  ,AMBIVALENT_1             ,Ambivalent
                                                  ,ANGRYAGGRESSIVE_1        ,Angry/Aggressive
                                                  ,APPROPRIATE_2            ,Appropriate
                                                  ,DEPRESSED_1              ,Depressed
                                                  ,TEST_1END                ,End Date
                                                  ,IRRITABLEANXIOUS_1       ,Irritable/Anxious
                                                  ,TEST_1START              ,Start Date
FETC Intervention Screening                       ,ALLERGIES_1              ,Allergies:
FETC Intervention Screening                       ,ALLERGIES_2              ,Allergies:
FETC Intervention Screening                       ,TEST2                    ,Cognitive Functioning
                                                  ,DELUSIONSHALLUCINATIO    ,Delusions/Hallucinations
                                                  ,TEST2END                 ,End Date
                                                  ,FLIGHTSOFIDEAS_2         ,Flights of Ideas
                                                  ,LOOSEASSOCIATIONS_1      ,Loose Associations
                                                  ,POORINSIGHTJUDGEMENT_1   ,Poor Insight/Judgement
                                                  ,POVERTYOFTHOUGHT_1       ,Poverty of Thought
                                                  ,PRESSUREDSPEECHTHOUGHT_1 ,Pressured Speech/Thought
                                                  ,TEST2START               ,Start Date
FETC Intervention Screening                       ,COMMENTSONMSE            ,Comments on MSE:
FETC Intervention Screening                       ,CURRENTMEDICATIONSPSY    ,Current Medications (psychiatric and other):
FETC Intervention Screening                       ,DIAGNOSTICIMPRESSION_2   ,Diagnostic Impression
FETC Intervention Screening                       ,ECONOMICEMPLOYMENTFAC    ,Economic/Employment Factors:
FETC Intervention Screening                       ,FAMILYPEERPERSONALFAC    ,Family/Peer/Personal Factors:
FETC Intervention Screening                       ,GAFSCORE_1               ,GAF Score
FETC Intervention Screening                       ,HARMTOSELFOROTHERS_3     ,Harm to Self or Others
FETC Intervention Screening                       ,HISTOFMENTALHLTHPSYCH    ,Hist. of Mental Hlth./Psychiatric Prblms/Treatmnt:
FETC Intervention Screening                       ,HOMICIDERISK_1           ,Homicide Risk
                                                  ,COMMENTS_4               ,Comments
                                                  ,HOMICIDERISK_1END        ,End Date
                                                  ,IDEATION_3               ,Ideation
                                                  ,INTENT_3                 ,Intent
                                                  ,PLAN_3                   ,Plan
                                                  ,HOMICIDERISK_1START      ,Start Date
FETC Intervention Screening                       ,LEGALFACTORS             ,Legal Factors
FETC Intervention Screening                       ,MEDICALPHYSICALFACTORS   ,Medical/Physical Factors:
FETC Intervention Screening                       ,MENTALSTATUS_1           ,Mental Status
FETC Intervention Screening                       ,ORIENTATION_1            ,Orientation
                                                  ,ORIENTATION_1END         ,End Date
                                                  ,IMMEDIATEMEMORY_1        ,Immediate Memory
                                                  ,LONGTERMMEMORY_1         ,Long Term Memory
                                                  ,PERSON_2                 ,Person
                                                  ,PLACE_1                  ,Place
                                                  ,SHORTTERMMEMORY_1        ,Short Term Memory
                                                  ,ORIENTATION_1START       ,Start Date
                                                  ,TIME_1                   ,Time
FETC Intervention Screening                       ,PAINMANAGEMENTISSUES     ,Pain Management Issues:
FETC Intervention Screening                       ,PRESENTINGPROBLEMPREC    ,Presenting Problem/Precipitating Events:
FETC Intervention Screening                       ,PREVIOUSINTERVNTNSTRT    ,Previous Intervntns/Trtmnt for Presenting Problem:
FETC Intervention Screening                       ,SOCIOECONOMICISSUES_1    ,Socioeconomic Issues:
FETC Intervention Screening                       ,SUBSTANCEABUSEFACTORS    ,Substance Abuse Factors (see note):
FETC Intervention Screening                       ,SUICIDERISK_1            ,Suicide Risk
                                                  ,COMMENTS_3               ,Comments
                                                  ,SUICIDERISK_1END         ,End Date
                                                  ,IDEATION_2               ,Ideation
                                                  ,INTENT_2                 ,Intent
                                                  ,PLAN_2                   ,Plan
                                                  ,SUICIDERISK_1START       ,Start Date
FETC Intervention Screening                       ,SUMMARYANDRECOMMENDAT_1  ,Summary and Recommendations:
General-Manatee Glens                             ,ADDRESSANDPOBOX          ,Address and PO Box
General-Manatee Glens                             ,cityofbirth              ,City of Birth
General-Manatee Glens                             ,CLIENTNOTES              ,Client Notes:
General-Manatee Glens                             ,CLIENTPHONENUMBERS       ,Client Phone Numbers
                                                  ,TYPE_1                   ,# Type
                                                  ,CLIENTPHONENUMBERSEND    ,End Date
                                                  ,NOTES                    ,Notes
                                                  ,NUMBER_1                 ,Number
                                                  ,CLIENTPHONENUMBERSSTART  ,Start Date
General-Manatee Glens                             ,COUNTYOFRESIDENCE_1      ,County of Residence:
General-Manatee Glens                             ,SVPPROFDOB               ,Date of Birth
General-Manatee Glens                             ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
General-Manatee Glens                             ,EMERGENCYCONTACTS        ,Emergency Contacts
                                                  ,CONTACTSADDRESS          ,Contact's Address
                                                  ,CONTACTSCITY             ,Contact's City
                                                  ,CONTACTSNAME             ,Contact's Name
                                                  ,CONTACTSSTATE            ,Contact's State
                                                  ,EMERGENCYCONTACTSEND     ,End Date
                                                  ,PHONENUMBER_2            ,Phone Number
                                                  ,RELATIONSHIPTOCLIENT     ,Relationship to Client
                                                  ,SECONDPHONENUMBER        ,Second Phone Number
                                                  ,EMERGENCYCONTACTSSTART   ,Start Date
General-Manatee Glens                             ,SVPPROFETH               ,Ethnicity
General-Manatee Glens                             ,SVPPROFGENDER            ,Gender
General-Manatee Glens                             ,HOWDIDYOUHEARABOUTOUR    ,How did you hear about our agency?
General-Manatee Glens                             ,HOWLONGHAVEYOULIVEDIN_2  ,How long have you lived in Manatee Cty. (years)?
General-Manatee Glens                             ,HOWLONGHAVEYOULIVEDIN_3  ,How long have you lived in Sarasota Cty. (years)?
General-Manatee Glens                             ,IFOTHERPLEASESPECIFYP    ,If "other" please specify problem:
General-Manatee Glens                             ,ISCLIENTHOMELESS         ,Is Client Homeless?
General-Manatee Glens                             ,NONCONFIDENTIALNOTES     ,Notes Section
General-Manatee Glens                             ,SVPPROFRACE              ,Primary Race
General-Manatee Glens                             ,REPORTINGUNIT            ,Reporting Unit
General-Manatee Glens                             ,SVPPROFSECONDARYRACE     ,Secondary Race
General-Manatee Glens                             ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
General-Manatee Glens                             ,VETERAN                  ,U.S. Military Veteran?
General-Manatee Glens                             ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
General-Manatee Glens                             ,ZIPCODE                  ,Zip Code:
History                                           ,AGINGISSUES              ,Aging Issues
History                                           ,CHILDHOODANDADOLESCENSE  ,Childhood and Adolescence
History                                           ,FAMILYPSYCHIATRICHISTORY ,Family Psychiatric History
History                                           ,FILLOUTANYAREASTHATAPPLY ,Fill Out Any Areas That Apply
History                                           ,LIVINGSITUATION          ,Living Situation
History                                           ,MOTIVATIONFORTREATMENT   ,Motivation For Treatment
History                                           ,RELATIONSHIPHISTORY      ,Relationship History
History                                           ,SIGNIFICANTTRAUMATICE    ,Significant Traumatic Events
History                                           ,SUPPORTSYSTEMS           ,Support Systems
HOPE Client Information                           ,ADDRESSANDPOBOX          ,Address and PO Box
HOPE Client Information                           ,CLIENTPHONENUMBERS       ,Client Phone Numbers
                                                  ,TYPE_1                   ,# Type
                                                  ,CLIENTPHONENUMBERSEND    ,End Date
                                                  ,NOTES                    ,Notes
                                                  ,NUMBER_1                 ,Number
                                                  ,CLIENTPHONENUMBERSSTART  ,Start Date
HOPE Client Information                           ,COUNTYOFRESIDENCE_1      ,County of Residence:
HOPE Client Information                           ,SVPPROFDOB               ,Date of Birth
HOPE Client Information                           ,DISABILITIES_1           ,Disabilities
                                                  ,HUD_DISABILITYLONGTERM   ,Above condition is going to be long term?
                                                  ,DISABILITYTYPE           ,Disability Type
                                                  ,DISABILITIES_1END        ,End Date
                                                  ,NOTEONDISABILITY         ,Note on Disability
                                                  ,NUMBERWITHDISABILITIES   ,Number with Disabilities?
                                                  ,DISABILITIES_1START      ,Start Date
HOPE Client Information                           ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
HOPE Client Information                           ,SVPPROFETH               ,Ethnicity
HOPE Client Information                           ,SVPPROFGENDER            ,Gender
HOPE Client Information                           ,HOPEPRESENTINGPROBLEM    ,HopePresentingProblem
HOPE Client Information                           ,HOUSEHOLDINFORMATION_1   ,Household Information
                                                  ,HOUSEHOLDINFORMATIONEND  ,End Date
                                                  ,HOUSEHOLDINCOME_1        ,Household Income
                                                  ,NUMBERINHOUSEHOLD_1      ,Number in Household
                                                  ,NUMBEROFADULTS           ,Number of Adults
                                                  ,NUMBEROFCHILDREN         ,Number of Children 
                                                  ,NUMBEROFDEPENDENTS       ,Number of Dependents
                                                  ,HOUSEHOLDINFORMATIONS    ,Start Date
HOPE Client Information                           ,IFOTHERPLEASESPECIFYP    ,If "other" please specify problem:
HOPE Client Information                           ,ISCLIENTHOMELESS         ,Is Client Homeless?
HOPE Client Information                           ,SVPPROFRACE              ,Primary Race
HOPE Client Information                           ,SVPPROFSECONDARYRACE     ,Secondary Race
HOPE Client Information                           ,SPEAKSENGLISH            ,Speaks English?
HOPE Client Information                           ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
HOPE Client Information                           ,VETERAN                  ,U.S. Military Veteran?
HOPE Client Information                           ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
HOPE Client Information                           ,ZIPCODE                  ,Zip Code:
Household Information-Manatee Glens               ,AREWEABLETOLEAVEYOUAM    ,Are we able to leave you a message?
Household Information-Manatee Glens               ,DOYOUHAVEFAMILYLIVING    ,Do you have family living in this area?
Household Information-Manatee Glens               ,DOYOUSTAYINCONTACTWIT    ,Do you stay in contact with them?
Household Information-Manatee Glens               ,IFNOTINCONTACTWHY        ,If not in contact, why?
HUD-40118                                         ,HASORISCLIENTBEINGEVI    ,Actual or Pending Eviction?
HUD-40118                                         ,BLANK                    ,Blank
HUD-40118                                         ,HUD_CHILDENROLLDIFF      ,Child Enrollment Difficulties
                                                  ,HUD_CHILDENROLLDIFFEND   ,End Date
                                                  ,ENROLLMENTPROBLEM        ,Enrollment Problem 
                                                  ,HUD_CHILDENROLLDIFFSTART ,Start Date
HUD-40118                                         ,HUD_CURRENTLYINSCHOOL    ,Currently in School or Working on any Degree?
HUD-40118                                         ,DATEBECAMEHOMELESS       ,Date of Present Homelessness
HUD-40118                                         ,HUD_DEGREESEARNEDINFO    ,Degrees Earned Information
                                                  ,HUD_EDUCATIONDEGEARNED   ,Degree Earned
                                                  ,HUD_DEGREESEARNEDINFEND  ,End Date
                                                  ,HUD_DEGREESEARNEDINFS    ,Start Date
HUD-40118                                         ,HUD_SERVEDWARZONE        ,Did You Serve in a War Zone?
HUD-40118                                         ,DISABILITIES_1           ,Disabilities
                                                  ,HUD_DISABILITYLONGTERM   ,Above condition is going to be long term?
                                                  ,DISABILITYTYPE           ,Disability Type
                                                  ,DISABILITIES_1END        ,End Date
                                                  ,NOTEONDISABILITY         ,Note on Disability
                                                  ,NUMBERWITHDISABILITIES   ,Number with Disabilities?
                                                  ,DISABILITIES_1START      ,Start Date
HUD-40118                                         ,DISABILITYINFORMATION    ,Disability Information
HUD-40118                                         ,HUD_DISCHARGETYPE        ,Discharge Type
HUD-40118                                         ,HUD_DISCHARGETYPE        ,Discharge Type
HUD-40118                                         ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
HUD-40118                                         ,DOMESTICVIOLENCEVICTIM   ,Domestic Violence Victim?
HUD-40118                                         ,EMPLOYMENTINFORMATION    ,Employment Information
HUD-40118                                         ,EXPLAINHOMELESSSITUATION ,Explain Homeless situation
HUD-40118                                         ,HUD_EXTENTOFDV           ,Extent of Domestic Violence
HUD-40118                                         ,FIRSTTIMEHOMELESS_1      ,Extent of Homelessness?
HUD-40118                                         ,HAVEVALIDDRIVERSLICENSE  ,Have Valid Drivers License or ID?
HUD-40118                                         ,HUD_HEALTHCONDITION      ,Health Condition Compared to People of Your Age
HUD-40118                                         ,HIGHESTLEVELOFEDUCATI    ,Highest Level of Education Attained
HUD-40118                                         ,HOMELESSINFORMATION      ,HOMELESS INFORMATION
HUD-40118                                         ,TYPEOFHOMELESSVERIFIC    ,Homeless Verification on File
HUD-40118                                         ,PRIMARYREASONFORHOMLE    ,Homelessness Primary Reason
HUD-40118                                         ,SECONDARYREASONFORHOM    ,Homelessness Secondary Reason
HUD-40118                                         ,HUD_CHILDTYPEOFSCHOOL    ,If Child Enrolled, Type of School
HUD-40118                                         ,HUD_CURRENTEMPTENURE     ,If Currently Employed, Select Tenure
HUD-40118                                         ,HUD_HRSWORKEDLASTWEEK    ,If Employed, Hours Worked Last Week?
HUD-40118                                         ,HUD_CHILDLASTENRDATE     ,If no, Date Last Enrolled in School
HUD-40118                                         ,HUD_LOOKINGFORWORK       ,If Unemployed, Looking for Work?
HUD-40118                                         ,IFYESDATEOFEVICTION      ,If Yes, Date of Eviction
HUD-40118                                         ,IFYESLISTVETERANSSERV    ,If Yes, List Veterans Services
HUD-40118                                         ,IFYESDUEDATE             ,If Yes, Projected Birth Date
HUD-40118                                         ,IFYESSCHOOLNAME          ,If Yes, School Name
HUD-40118                                         ,INSTITUTIONALLIVINGPR    ,Institutional Living Prior to 18 Years?
HUD-40118                                         ,SVPCHRONICHOMELESS       ,Is Client Chronically Homeless?
HUD-40118                                         ,ISCLIENTHOMELESS         ,Is Client Homeless?
HUD-40118                                         ,HUD_LENGTHOFSTAY         ,Length of Stay
HUD-40118                                         ,MEANSOFTRANSPORTATION    ,Means of Transportation
HUD-40118                                         ,SVPMentalHealthInform    ,Mental Health Information
HUD-40118                                         ,HUD_MILITARYBRANCHINFO   ,Military Branches
                                                  ,HUD_MILITARYBRANCHINEND  ,End Date
                                                  ,MILITARYBRANCH           ,Military Branch
                                                  ,HUD_MILITARYBRANCHINS    ,Start Date
HUD-40118                                         ,MILITARYINFORMATION      ,Military Information
HUD-40118                                         ,HUD_MILITARYSERVERAINFO  ,Military Service Era Information
                                                  ,HUD_MILITARYSERVERAIEND  ,End Date
                                                  ,HUD_MILITARYSERVICEERA   ,Military Service Era
                                                  ,HUD_MILITARYSERVERAIS    ,Start Date
HUD-40118                                         ,SERVICERELATEDDISABILITY ,Military Service Related Disability?
HUD-40118                                         ,MONTHLYINCOME            ,Monthly Income (non-Employment)
                                                  ,MONTHLYINCOMEEND         ,End Date
                                                  ,AMOUNTMONTHLYINCOME      ,Last 30 Day Income
                                                  ,LAST90DAYMONTHLYINCOME   ,Last 90 Day Income
                                                  ,SOURCEOFINCOME           ,Source of Income
                                                  ,MONTHLYINCOMESTART       ,Start Date
HUD-40118                                         ,HUD_MONTHSINMILITARY     ,Months Served on Active Duty in the Military
HUD-40118                                         ,HUD_PROGRAMSPECIFIC      ,Other Program Specific Data Elements Information
HUD-40118                                         ,OVERVIEWOFDVHISTORY      ,Overview of Domestic Violence
HUD-40118                                         ,PREGNANT                 ,Pregnant?
HUD-40118                                         ,PRESENTLYATTENDINGSCHOOL ,Presently Attending School?
HUD-40118                                         ,HUD_RECEIVEDVOCTRAINING  ,Received Vocational Training?
HUD-40118                                         ,RECEIVINGVETERANSSERV    ,Receiving Veterans Services?
HUD-40118                                         ,SHELTERNAMEIFPRESENTL    ,Shelter Name If In a Shelter
HUD-40118                                         ,HUD_TOTALMONTHLYINCOME   ,Total Monthly Income
HUD-40118                                         ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
HUD-40118                                         ,VETERAN                  ,U.S. Military Veteran?
HUD-40118                                         ,UNEMPLOYED               ,Unemployed?
HUD-40118                                         ,HUD_WARZONEINFO          ,War Zone Information
                                                  ,HUD_WARZONEINFOEND       ,End Date
                                                  ,HUD_MONTHSSERVEDWARZONE  ,Months Served in a War Zone
                                                  ,HUD_RECEIVEDFIRE         ,Received hostile or friendly fire in a War Zone?
                                                  ,HUD_WARZONEINFOSTART     ,Start Date
                                                  ,HUD_WARZONE              ,War Zone 
HUD-40118                                         ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
HUD-40118                                         ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
HUD-40118                                         ,HUD_ZIPDATAQUALITY       ,Zip data quality
Income-Manatee Glens                              ,MONTHLYINCOME            ,Monthly Income (non-Employment)
                                                  ,MONTHLYINCOMEEND         ,End Date
                                                  ,AMOUNTMONTHLYINCOME      ,Last 30 Day Income
                                                  ,LAST90DAYMONTHLYINCOME   ,Last 90 Day Income
                                                  ,SOURCEOFINCOME           ,Source of Income
                                                  ,MONTHLYINCOMESTART       ,Start Date
Insurance Information                             ,DOYOUHAVEMEDICALINSUR    ,Medical Insurance
                                                  ,C0PAYAMOUNT              ,Co-Pay Amount
                                                  ,DEDUCTIBLESATISFIED      ,Deductible Satisfied?
                                                  ,EMPLOYER_1               ,Employer
                                                  ,DOYOUHAVEMEDICALINSUEND  ,End Date
                                                  ,GROUP                    ,Group #
                                                  ,INSURANCECOMPANYCLAIM    ,Insurance Claims Address
                                                  ,INSURANCECLAIMSCITY      ,Insurance Claims City
                                                  ,INSURANCECOMPANYPHONE_1  ,Insurance Claims Phone No.
                                                  ,INSURANCECOMPANYSTATE_1  ,Insurance Claims State
                                                  ,INSURANCECOMPANYZIP_1    ,Insurance Claims Zip
                                                  ,INSURANCECOMPNAYADDRESS  ,Insurance Co. Address
                                                  ,INSURANCECOCITY          ,Insurance Co. City
                                                  ,INSURANCECOMPANYNAME     ,Insurance Co. Name
                                                  ,INSURANCECOMPANYPHONE    ,Insurance Co. Phone #
                                                  ,INSURANCECOMPANYSTATE    ,Insurance Co. State
                                                  ,INSURANCECOMPANYZIP      ,Insurance Co. Zipcode
                                                  ,INSUREDSFIRSTNAME        ,Insured's  Name
                                                  ,INSUREDSSOCIALSECURITY   ,Insured's Social Security #
                                                  ,POLICY                   ,Policy #
                                                  ,DOYOUHAVEMEDICALINSUS    ,Start Date
                                                  ,TYPEOFINSURANCE_1        ,Type of Insurance
                                                  ,YEARLYDEDUCTIBLE         ,Yearly Deductible
Insurance Information-Manatee Glens               ,DOYOUHAVEMEDICALINSUR    ,Medical Insurance
                                                  ,C0PAYAMOUNT              ,Co-Pay Amount
                                                  ,DEDUCTIBLESATISFIED      ,Deductible Satisfied?
                                                  ,EMPLOYER_1               ,Employer
                                                  ,DOYOUHAVEMEDICALINSUEND  ,End Date
                                                  ,GROUP                    ,Group #
                                                  ,INSURANCECOMPANYCLAIM    ,Insurance Claims Address
                                                  ,INSURANCECLAIMSCITY      ,Insurance Claims City
                                                  ,INSURANCECOMPANYPHONE_1  ,Insurance Claims Phone No.
                                                  ,INSURANCECOMPANYSTATE_1  ,Insurance Claims State
                                                  ,INSURANCECOMPANYZIP_1    ,Insurance Claims Zip
                                                  ,INSURANCECOMPNAYADDRESS  ,Insurance Co. Address
                                                  ,INSURANCECOCITY          ,Insurance Co. City
                                                  ,INSURANCECOMPANYNAME     ,Insurance Co. Name
                                                  ,INSURANCECOMPANYPHONE    ,Insurance Co. Phone #
                                                  ,INSURANCECOMPANYSTATE    ,Insurance Co. State
                                                  ,INSURANCECOMPANYZIP      ,Insurance Co. Zipcode
                                                  ,INSUREDSFIRSTNAME        ,Insured's  Name
                                                  ,INSUREDSSOCIALSECURITY   ,Insured's Social Security #
                                                  ,POLICY                   ,Policy #
                                                  ,DOYOUHAVEMEDICALINSUS    ,Start Date
                                                  ,TYPEOFINSURANCE_1        ,Type of Insurance
                                                  ,YEARLYDEDUCTIBLE         ,Yearly Deductible
JFCS Profile                                      ,ALIAS                    ,Alias
JFCS Profile                                      ,COUNTRYOFBIRTH_1         ,Country of Birth
JFCS Profile                                      ,SVPPROFDOB               ,Date of Birth
JFCS Profile                                      ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
JFCS Profile                                      ,EMERGENCYCONTACTS        ,Emergency Contacts
                                                  ,CONTACTSADDRESS          ,Contact's Address
                                                  ,CONTACTSCITY             ,Contact's City
                                                  ,CONTACTSNAME             ,Contact's Name
                                                  ,CONTACTSSTATE            ,Contact's State
                                                  ,EMERGENCYCONTACTSEND     ,End Date
                                                  ,PHONENUMBER_2            ,Phone Number
                                                  ,RELATIONSHIPTOCLIENT     ,Relationship to Client
                                                  ,SECONDPHONENUMBER        ,Second Phone Number
                                                  ,EMERGENCYCONTACTSSTART   ,Start Date
JFCS Profile                                      ,ENGLISHSPEAKINGSKILLS    ,English Speaking Skills
JFCS Profile                                      ,SVPPROFETH               ,Ethnicity
JFCS Profile                                      ,SVPPROFGENDER            ,Gender
JFCS Profile                                      ,ISCLIENTHOMELESS         ,Is Client Homeless?
JFCS Profile                                      ,MARITALSTATUS_1          ,Marital Status
JFCS Profile                                      ,PRIMARYLANGUAGESPOKEN_1  ,Primary Language Spoken (if other)
JFCS Profile                                      ,SVPPROFRACE              ,Primary Race
JFCS Profile                                      ,SAMERESIDENCEFOR12MON    ,Same residence for 12 months?
JFCS Profile                                      ,SAMERESIDENCEFOR3MONT    ,Same residence for 3 months?
JFCS Profile                                      ,SAMERESIDENCEFOR6MONT    ,Same residence for 6 months?
JFCS Profile                                      ,SECONDARYLANGUAGE        ,Secondary Language Spoken (if other)
JFCS Profile                                      ,SVPPROFSECONDARYRACE     ,Secondary Race
JFCS Profile                                      ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
JFCS Profile                                      ,VETERAN                  ,U.S. Military Veteran?
JFCS Profile                                      ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
Legal                                             ,ARRESTRECORD             ,Arrest Record
                                                  ,ARRESTCHARGE             ,Arrest Charge
                                                  ,CONVICTED                ,Convicted?
                                                  ,DATEOFARREST             ,Date of Arrest
                                                  ,ARRESTRECORDEND          ,End Date
                                                  ,PRISONJAILWHERETIMESE    ,Prison or Jail
                                                  ,SERVEDTIME               ,Served Time?
                                                  ,ARRESTRECORDSTART        ,Start Date
Legal                                             ,ARRESTCONVICTIONRECORD   ,Arrest/Conviction Record
Legal                                             ,BLANK                    ,Blank
Legal                                             ,BLANK                    ,Blank
Legal                                             ,CONVICTEDSEXOFFNEDER     ,Convicted Sex Offender?
Legal                                             ,COUNTRYOFBIRTH_1         ,Country of Birth
Legal                                             ,COUNTYOFORIGININTOTHEUS  ,County of Origin Into the US
Legal                                             ,CURRENTWARRANTISSUED     ,Current Warrant Issued?
Legal                                             ,DATEOFARRIVALINTOUS      ,Date of Arrival Into U.S.
Legal                                             ,DOMESTICVIOLENCEOFFENDER ,Domestic Violence Offender?
Legal                                             ,IFYESEXPLAIN_1           ,If Yes, Explain Reason
Legal                                             ,IFYESEXPLAINWARRANT      ,If Yes, Explain Warrant
Legal                                             ,IFYESPAROLEOFFICER       ,If Yes, Parole Officer
Legal                                             ,IFYESPROBATIONOFFICER    ,If Yes, Probation Officer
Legal                                             ,IMMIGRATIONSTATUS        ,Immigration Status
Legal                                             ,ONPAROLE                 ,On Parole?
Legal                                             ,ONPROBATION              ,On Probation?
Legal                                             ,PAROLEENDDATE            ,Parole End Date
Legal                                             ,PAROLEOFFICERPHONE       ,Parole Officer Phone
Legal                                             ,PAROLEENDDATE_1          ,Probation End Date
Legal                                             ,PROBATIONOFFICERPHONE    ,Probation Officer Phone
Legal                                             ,REGISTEREDTOVOTE         ,Registered To Vote?
Legal                                             ,ALIENNUMBER_1            ,Resident Alien Number
Legal                                             ,SPONSORSADDRESS          ,Sponsor's Address
Legal                                             ,SPONOSRSCITY             ,Sponsor's City
Legal                                             ,SPONSORSNAME             ,Sponsor's Name
Legal                                             ,SPONSORSPHONENUMBER      ,Sponsor's Phone Number
Legal                                             ,SPONSORSRELATIONSHIPT    ,Sponsor's Relationship to Client
Legal                                             ,SPONSORSSTATE_1          ,Sponsor's State
Legal                                             ,SPONSORSZIP              ,Sponsor's Zip
Legal                                             ,USCITIZEN                ,U.S. Citizen?
Legal                                             ,USCITIZENSHIP            ,U.S. Citizenship and Immigration Information
Legal                                             ,UPCOMINGCOURTDATES       ,Upcoming Court Dates?
Legal-Manatee Glens                               ,IFYESEXPLAIN_1           ,If Yes, Explain Reason
Legal-Manatee Glens                               ,IFYESPROBATIONOFFICER    ,If Yes, Probation Officer
Legal-Manatee Glens                               ,IMMIGRATIONSTATUS        ,Immigration Status
Legal-Manatee Glens                               ,ONPROBATION              ,On Probation?
Legal-Manatee Glens                               ,USCITIZEN                ,U.S. Citizen?
Legal-Manatee Glens                               ,UPCOMINGCOURTDATES       ,Upcoming Court Dates?
Living Situation-Manatee Glens                    ,HASORISCLIENTBEINGEVI    ,Actual or Pending Eviction?
Living Situation-Manatee Glens                    ,EXPLAINHOMELESSSITUATION ,Explain Homeless situation
Living Situation-Manatee Glens                    ,FIRSTTIMEHOMELESS        ,First Time Homeless?
Living Situation-Manatee Glens                    ,HOMELESSINFORMATION      ,HOMELESS INFORMATION
Living Situation-Manatee Glens                    ,TYPEOFHOMELESSVERIFIC    ,Homeless Verification on File
Living Situation-Manatee Glens                    ,PRIMARYREASONFORHOMLE    ,Homelessness Primary Reason
Living Situation-Manatee Glens                    ,SECONDARYREASONFORHOM    ,Homelessness Secondary Reason
Living Situation-Manatee Glens                    ,HOUSEHOLDINCOME          ,Household Income
Living Situation-Manatee Glens                    ,IFYESDATEOFEVICTION      ,If Yes, Date of Eviction
Medical                                           ,AIDSDIAGNOSIS            ,AIDS Diagnosis?
Medical                                           ,BLANK                    ,Blank
Medical                                           ,BLANK                    ,Blank
Medical                                           ,BLANK                    ,Blank
Medical                                           ,BLANK                    ,Blank
Medical                                           ,CURRENTHEALTHCAREPROV    ,Current Health care providers
Medical                                           ,DATEOFAIDSDIAGNOSIS      ,Date Of AIDS Diagnosis
Medical                                           ,DENTALPROBLEMS           ,Dental Problems
                                                  ,DENTALCARERECEIVED       ,Dental Care Received?
                                                  ,DENTALPROBLEMSEND        ,End Date
                                                  ,PROBLEMDURATION_1        ,Problem Duration
                                                  ,DENTALPROBLEMSSTART      ,Start Date
                                                  ,TYPEOFPROBLEM            ,Type Of Problem
Medical                                           ,DESCRIBEHEADTRAUMA       ,Describe Head Trauma
Medical                                           ,DISABILITIES_1           ,Disabilities
                                                  ,HUD_DISABILITYLONGTERM   ,Above condition is going to be long term?
                                                  ,DISABILITYTYPE           ,Disability Type
                                                  ,DISABILITIES_1END        ,End Date
                                                  ,NOTEONDISABILITY         ,Note on Disability
                                                  ,NUMBERWITHDISABILITIES   ,Number with Disabilities?
                                                  ,DISABILITIES_1START      ,Start Date
Medical                                           ,DISABILITYINFORMATION    ,Disability Information
Medical                                           ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
Medical                                           ,ELIGIBLEFORWIC           ,Eligible For WIC?
Medical                                           ,HAVEMEDICALCARECOVERAGE  ,Has Medical Insurance?
Medical                                           ,HUD_HEALTHCONDITION      ,Health Condition Compared to People of Your Age
Medical                                           ,HIVINFORMATION           ,HIV Information
Medical                                           ,HIVTESTING               ,HIV Testing
                                                  ,HIVTESTINGEND            ,End Date
                                                  ,HIVTESTDATE              ,HIV Test Date
                                                  ,HIVTESTRESULTS           ,HIV Test Results
                                                  ,IFPOSITIVEPARTNERNOTI    ,If Positive, Partner Notified?
                                                  ,PRETESTCOUNSELING_1      ,Post-Test Counseling?
                                                  ,PRETESTCOUNSELING        ,Pre-Test Counseling?
                                                  ,HIVTESTINGSTART          ,Start Date
Medical                                           ,HOSPITALSCLINCIS         ,Hospitals/Clinicshttps://www3.servicept.com/saraso
                                                  ,HOSPITALSCLINCISEND      ,End Date
                                                  ,ADDRESS                  ,Facility Address
                                                  ,CLINICCITY               ,Facility City
                                                  ,NAME                     ,Facility Name
                                                  ,PHONE                    ,Facility Phone Number
                                                  ,HOSPITALCLINICSTATE_1    ,Facility State
                                                  ,ZIP                      ,Facility Zip
                                                  ,HOSPITALSCLINCISSTART    ,Start Date
Medical                                           ,IFYESDUEDATE             ,If Yes, Projected Birth Date
Medical                                           ,IMMUNIZATIONS_1          ,Immunizations
Medical                                           ,IMMUNIZATIONSUPTODATE    ,Immunizations Up To Date?
Medical                                           ,INFLUENZA                ,Influenza
Medical                                           ,LASTDENTALVISIT          ,Last Dental Visit
Medical                                           ,LISTALLERGIES            ,List Allergies
Medical                                           ,LISTANYSPECIALEQUIPME    ,List Any Special Equipment Needed
Medical                                           ,MEASLESMUMPSRUBELLAMMR   ,Measles, Mumps, Rubella (MMR)
Medical                                           ,MEDICALPROBLEMS          ,Medical Problems
                                                  ,RECENTMEDICALCAREFORC    ,Date Received Care
                                                  ,MEDICALPROBLEMSEND       ,End Date
                                                  ,EXPLAINMEDICALCONDITION  ,Explain Medical Condition
                                                  ,MEDICALCONDITIONS        ,Medical Conditions
                                                  ,PRESENTLEVELOFDISTRESS   ,Present Level Of Distress
                                                  ,RECEIVEDMEDICALCARE      ,Received Medical Care?
                                                  ,REQUIREDHOSPITALCARE     ,Required Hospitalization?
                                                  ,MEDICALPROBLEMSSTART     ,Start Date
Medical                                           ,NEEDSHELPWITHCHORESSH    ,Needs Help With Chores, Shopping?
Medical                                           ,NEEDSHELPWITHDRESSING    ,Needs Help With Dressing/Bathing?
Medical                                           ,HISTORYOFHEADTRAUMA      ,Past Head Trauma?
Medical                                           ,PHYSICIANINFORMATION     ,Physician Information
                                                  ,PHYSICIANADDRESS         ,Address
                                                  ,PHYSICIANCITY            ,City
                                                  ,PHYSICIANINFORMATIONEND  ,End Date
                                                  ,PHONENUMBER              ,Phone Number
                                                  ,PHYSICIANNAME            ,Physician Name
                                                  ,PRIMARYCAREPHYSICIAN     ,Primary Care Physician?
                                                  ,PHYSICIANINFORMATIONS    ,Start Date
                                                  ,PHYSICIANSTATE           ,State
                                                  ,TREATINGPATIENTFOR       ,Treating Patient for?
                                                  ,ZIP_1                    ,Zip
Medical                                           ,PNEUMOCOCCALPOLYSACCH    ,Pneumococcal(polysaccharide)
Medical                                           ,PREGNANCYINFORMATION     ,Pregnancy Information
Medical                                           ,PREGNANT                 ,Pregnant?
Medical                                           ,RECEIVINGPRENATALCARE    ,Receiving Prenatal  MedicalCare?
Medical                                           ,RECEIVINGWIC             ,Receiving WIC?
Medical                                           ,SMALLPOX                 ,Smallpox
Medical                                           ,TETANUSDIPHTHERIA        ,Tetanus/Diphtheria
Medical                                           ,TUBERCULOSISSCREENING    ,Tuberculosis Screening
                                                  ,TUBERCULOSISSCREENINEND  ,End Date
                                                  ,EXPERIENCINGCHESTPAIN    ,Experiencing Chest Pain?
                                                  ,EXPERIENCINGCHILLS       ,Experiencing Chills
                                                  ,EXPERIENCINGFATIGUEOR    ,Experiencing Fatigue or Tiredness?
                                                  ,EXPERIENCINGFEVER        ,Experiencing Fever?
                                                  ,EXPERIENCINGNIGHTSWEATS  ,Experiencing Night Sweats?
                                                  ,EXPERIENCINGPRODUCTIV    ,Experiencing Productive, Prolonged Cough?
                                                  ,LATESTTBTEST             ,Latest TB Test
                                                  ,PRESENTLOSSOFAPPETITE    ,Loss of Appetite?
                                                  ,RECENTWEIGHTLOSS         ,Recent Weight Loss
                                                  ,TUBERCULOSISSCREENINS    ,Start Date
                                                  ,TBTESTRESULT             ,TB Test Result
Medical                                           ,USESWHEELCHAIR           ,Uses Wheelchair?
Medical-Manatee Glens                             ,CURRENTHEALTHCAREPROV    ,Current Health care providers
Medical-Manatee Glens                             ,DISABILITIES_1           ,Disabilities
                                                  ,HUD_DISABILITYLONGTERM   ,Above condition is going to be long term?
                                                  ,DISABILITYTYPE           ,Disability Type
                                                  ,DISABILITIES_1END        ,End Date
                                                  ,NOTEONDISABILITY         ,Note on Disability
                                                  ,NUMBERWITHDISABILITIES   ,Number with Disabilities?
                                                  ,DISABILITIES_1START      ,Start Date
Medical-Manatee Glens                             ,IFYESDUEDATE             ,If Yes, Projected Birth Date
Medical-Manatee Glens                             ,MEDICALPROBLEMS          ,Medical Problems
                                                  ,RECENTMEDICALCAREFORC    ,Date Received Care
                                                  ,MEDICALPROBLEMSEND       ,End Date
                                                  ,EXPLAINMEDICALCONDITION  ,Explain Medical Condition
                                                  ,MEDICALCONDITIONS        ,Medical Conditions
                                                  ,PRESENTLEVELOFDISTRESS   ,Present Level Of Distress
                                                  ,RECEIVEDMEDICALCARE      ,Received Medical Care?
                                                  ,REQUIREDHOSPITALCARE     ,Required Hospitalization?
                                                  ,MEDICALPROBLEMSSTART     ,Start Date
Medical-Manatee Glens                             ,NEEDSHELPWITHCHORESSH    ,Needs Help With Chores, Shopping?
Medical-Manatee Glens                             ,NEEDSHELPWITHDRESSING    ,Needs Help With Dressing/Bathing?
Medical-Manatee Glens                             ,PREGNANT                 ,Pregnant?
Medication                                        ,CURRENTANDPASTMEDICAT    ,Current and Past Medications
Medication                                        ,LISTMEDICATIONALLERGIES  ,List Medication Allergies
Medication                                        ,ALLERGIES                ,Medication Allergies?
Medication                                        ,MEDICATION_1             ,Medication Overview
                                                  ,DOSAGE                   ,Dosage
                                                  ,DRUGTYPE_1               ,Drug Type
                                                  ,MEDICATION_1END          ,End Date
                                                  ,MEDICATION_6             ,Medication
                                                  ,MEDICATIONFREQUENCY      ,Medication Frequency
                                                  ,PHARMACHADDRESS          ,Pharmacy Address
                                                  ,PHARMACYNAME             ,Pharmacy Name
                                                  ,PHARMACYPHONENUMBER      ,Pharmacy Phone Number
                                                  ,PRESCRIBINGPHYSICIANP    ,Physician Phone Number
                                                  ,PRESCRIBINGPHYSICIAN     ,Prescribing Physician
                                                  ,RATIONALEFORMEDICATION   ,Rationale For Medication
                                                  ,ROUTEORMETHOD            ,Route or Method
                                                  ,MEDICATION_1START        ,Start Date
Medication-Manatee Glens                          ,CURRENTANDPASTMEDICAT    ,Current and Past Medications
Medication-Manatee Glens                          ,DOYOUNEEDMEDICATIONSB    ,Do you need medications, but not taking them now?
Mental Health                                     ,APPEARSSTATESBEINGDEP    ,Appears/States Being Depressed
Mental Health                                     ,BLANK                    ,Blank
Mental Health                                     ,BLANK                    ,Blank
Mental Health                                     ,BLANK                    ,Blank
Mental Health                                     ,BLANK                    ,Blank
Mental Health                                     ,DEPRESSIONHISTORY        ,Depression History
Mental Health                                     ,DOCUMENTEDMENTALILLNE    ,Documented Mental Illness
Mental Health                                     ,DOMESTICVIOLENCEVICTIM   ,Domestic Violence Victim?
Mental Health                                     ,EXPLAINSUICIDECONCRN     ,Explain Suicide Concern
Mental Health                                     ,HUD_EXTENTOFDV           ,Extent of Domestic Violence
Mental Health                                     ,HISTORYOFVIOLENCE        ,History of Violence?
Mental Health                                     ,IFYESEXPLAINVIOLENCEH    ,If Yes, Explain Violence History
Mental Health                                     ,MEDICATION_1             ,Medication Overview
                                                  ,DOSAGE                   ,Dosage
                                                  ,DRUGTYPE_1               ,Drug Type
                                                  ,MEDICATION_1END          ,End Date
                                                  ,MEDICATION_6             ,Medication
                                                  ,MEDICATIONFREQUENCY      ,Medication Frequency
                                                  ,PHARMACHADDRESS          ,Pharmacy Address
                                                  ,PHARMACYNAME             ,Pharmacy Name
                                                  ,PHARMACYPHONENUMBER      ,Pharmacy Phone Number
                                                  ,PRESCRIBINGPHYSICIANP    ,Physician Phone Number
                                                  ,PRESCRIBINGPHYSICIAN     ,Prescribing Physician
                                                  ,RATIONALEFORMEDICATION   ,Rationale For Medication
                                                  ,ROUTEORMETHOD            ,Route or Method
                                                  ,MEDICATION_1START        ,Start Date
Mental Health                                     ,MENTALHEALTHASSESSMENT   ,Mental Health Assessment
Mental Health                                     ,THOUGHTCONTENT           ,Mental Health Status
                                                  ,AFFECT                   ,Affect
                                                  ,THOUGHTCONTENTEND        ,End Date
                                                  ,GENERALPRESENTATION_1    ,General Presentation
                                                  ,INTELLECTUALFUNCTIONI    ,Intellectual Functioning
                                                  ,MOOD_1                   ,Mood
                                                  ,SPEECH_1                 ,Speech
                                                  ,THOUGHTCONTENTSTART      ,Start Date
                                                  ,THOUGHTSTATUSTYPE        ,Thought/Content
Mental Health                                     ,MENTALHEALTHTREATMENT    ,Mental Health Treatment
                                                  ,MENTALHEALTHTREATMENEND  ,End Date
                                                  ,LOCATIONOFTREATMENT      ,Location Of Treatment
                                                  ,MENTALHEALTHTREATMENS    ,Start Date
                                                  ,TREATMENTTYPE_1          ,Treatment Type
Mental Health                                     ,OVERALLMENTALHEALTHIM    ,Overall Mental Health Impression
Mental Health                                     ,OVERVIEWOFDVHISTORY      ,Overview of Domestic Violence
Mental Health                                     ,PRESENTINGMENTALHEALT    ,Presenting Mental Health Problem
Mental Health                                     ,SELFREPORTEDMENTALILL    ,Self-reported Mental Illness
Mental Health                                     ,SUICIDAL                 ,Suicide Potential
Mental Health-Manatee Glens                       ,AGINGISSUES              ,Aging Issues
Mental Health-Manatee Glens                       ,DEPRESSIONHISTORY        ,Depression History
Mental Health-Manatee Glens                       ,DOCUMENTEDMENTALILLNE    ,Documented Mental Illness
Mental Health-Manatee Glens                       ,DOMESTICVIOLENCEVICTIM   ,Domestic Violence Victim?
Mental Health-Manatee Glens                       ,EXPLAINSUICIDECONCRN     ,Explain Suicide Concern
Mental Health-Manatee Glens                       ,HISTORYOFVIOLENCE        ,History of Violence?
Mental Health-Manatee Glens                       ,IFYESEXPLAINVIOLENCEH    ,If Yes, Explain Violence History
Mental Health-Manatee Glens                       ,LIVINGSITUATION          ,Living Situation
Mental Health-Manatee Glens                       ,MOTIVATIONFORTREATMENT   ,Motivation For Treatment
Mental Health-Manatee Glens                       ,OVERVIEWOFDVHISTORY      ,Overview of Domestic Violence
Mental Health-Manatee Glens                       ,PRESENTINGMENTALHEALT    ,Presenting Mental Health Problem
Mental Health-Manatee Glens                       ,SELFREPORTEDMENTALILL    ,Self-reported Mental Illness
Mental Health-Manatee Glens                       ,SUICIDAL                 ,Suicide Potential
Mental Health-Manatee Glens                       ,SUPPORTSYSTEMS           ,Support Systems
MG Homeless Int Encounter                         ,CHILDAGE                 ,0-5
MG Homeless Int Encounter                         ,CHILDAGEIII              ,14-17
MG Homeless Int Encounter                         ,CHILDAGEII               ,6-13
MG Homeless Int Encounter                         ,COMMENTS_6               ,Comments
MG Homeless Int Encounter                         ,SVPPROFDOB               ,Date of Birth
MG Homeless Int Encounter                         ,DATETODAYSDATE           ,Date(today's date)
MG Homeless Int Encounter                         ,ENDTIME                  ,End Time
MG Homeless Int Encounter                         ,SVPPROFETH               ,Ethnicity
MG Homeless Int Encounter                         ,EXPLAINATION_1           ,Explaination
MG Homeless Int Encounter                         ,SVPPROFGENDER            ,Gender
MG Homeless Int Encounter                         ,CHILDAGEIV               ,greater than 18
MG Homeless Int Encounter                         ,HOMELESSFACTORSANDREA    ,Homeless Factors and Reasons
MG Homeless Int Encounter                         ,PRIMARYREASONFORHOMLE    ,Homelessness Primary Reason
MG Homeless Int Encounter                         ,SECONDARYREASONFORHOM    ,Homelessness Secondary Reason
MG Homeless Int Encounter                         ,HOUSEHOLDINFORMATION     ,Household Information
MG Homeless Int Encounter                         ,HOWLONGHASTHISPERIODO    ,How long has this period of homelessness lasted
MG Homeless Int Encounter                         ,HOWMANYTIMESHAVEYOUBE_2  ,How many times have you been homeless this year
MG Homeless Int Encounter                         ,IFUNEMPLOYEDWHENWASYO    ,If unemployed, when was your last stable Job?
MG Homeless Int Encounter                         ,INCOME_3                 ,Income
MG Homeless Int Encounter                         ,INCOMESOURCE_1           ,Income Source
MG Homeless Int Encounter                         ,SOURCEOFINCOMEII         ,Income Source II
MG Homeless Int Encounter                         ,INCOMESOURCEIII          ,Income Source III
MG Homeless Int Encounter                         ,MANATEEGLENSREFERRALP    ,Manatee Glens Referral I
MG Homeless Int Encounter                         ,MANATEEGLENSREFERRALP_1  ,Manatee Glens Referral II
MG Homeless Int Encounter                         ,MANATEEGLENSREFERRALP_2  ,Manatee Glens Referral III
MG Homeless Int Encounter                         ,MANATEEGLENSSITE         ,Manatee Glens Site
MG Homeless Int Encounter                         ,NAME_1                   ,Name
MG Homeless Int Encounter                         ,NUMBEROFMINORSINHOUSE    ,Number of Minors in Household
MG Homeless Int Encounter                         ,PHONENUMBER_1            ,Phone Number
MG Homeless Int Encounter                         ,SVPPROFRACE              ,Primary Race
MG Homeless Int Encounter                         ,RACEANDETHNICITY         ,Race and Ethnicity
MG Homeless Int Encounter                         ,REFERRALSANDCOMMENTS     ,Referrals and Comments
MG Homeless Int Encounter                         ,REPORTINGUNIT            ,Reporting Unit
MG Homeless Int Encounter                         ,SERVICECODE              ,Service Code
MG Homeless Int Encounter                         ,SINGLE                   ,Single?
MG Homeless Int Encounter                         ,SSN                      ,SSN
MG Homeless Int Encounter                         ,STARTTIME                ,Start Time
MG Homeless Int Encounter                         ,HUD_TOTALMONTHLYINCOME   ,Total Monthly Income
MG Homeless Int Encounter                         ,VETERAN_1                ,Veteran?
MG Homeless Int Encounter                         ,WHEREAREYOUSLEEPING      ,Where are you sleeping
MG_Follow_Up                                      ,COMMENTS_6               ,Comments
MG_Follow_Up                                      ,COMMENTS_7               ,Comments
MG_Follow_Up                                      ,SVPPROFDOB               ,Date of Birth
MG_Follow_Up                                      ,DATEOFFOLLOWUP           ,Date of Follow-Up
MG_Follow_Up                                      ,ENDTIME                  ,End Time
MG_Follow_Up                                      ,EXPLAINATION_1           ,Explaination
MG_Follow_Up                                      ,FOLLOWUPNOTES            ,FOLLOW-UP NOTES
MG_Follow_Up                                      ,HASCLIENTBEENLINKEDTO    ,Has client been linked to treatment?
MG_Follow_Up                                      ,HOWLONGHASTHISPERIODO    ,How long has this period of homelessness lasted
MG_Follow_Up                                      ,HOWMANYTIMESHAVEYOUBE_2  ,How many times have you been homeless this year
MG_Follow_Up                                      ,LINKEDORHOUSINGREFERR    ,Linked or Housing referral
MG_Follow_Up                                      ,LINKEDTOHOUSINGORREFE    ,Linked to housing or referral made?
MG_Follow_Up                                      ,MANATEEGLENSREFERRALP    ,Manatee Glens Referral I
MG_Follow_Up                                      ,MANATEEGLENSREFERRALP_1  ,Manatee Glens Referral II
MG_Follow_Up                                      ,MANATEEGLENSREFERRALP_2  ,Manatee Glens Referral III
MG_Follow_Up                                      ,MEDICAL_1                ,MEDICAL
MG_Follow_Up                                      ,MGLINKEDSERVICESDATE     ,MG Linked Services Date
MG_Follow_Up                                      ,MISNUMBER                ,MIS Number
MG_Follow_Up                                      ,NAME_1                   ,Name
MG_Follow_Up                                      ,REFERRALS                ,Referrals
MG_Follow_Up                                      ,REPORTINGUNIT            ,Reporting Unit
MG_Follow_Up                                      ,SERVICECODE              ,Service Code
MG_Follow_Up                                      ,SSN                      ,SSN
MG_Follow_Up                                      ,STARTTIME                ,Start Time
MG_Follow_Up                                      ,TYPEOFTREATMENT          ,Type of treatment
MG_Follow_Up                                      ,WHEREAREYOUSLEEPING      ,Where are you sleeping
MHP - Profile                                     ,HASORISCLIENTBEINGEVI    ,Actual or Pending Eviction?
MHP - Profile                                     ,ADDRESSANDPOBOX          ,Address and PO Box
MHP - Profile                                     ,AREYOURECEIVINGCHILDS    ,Are you receiving child support?
MHP - Profile                                     ,AREYOURECEIVINGGOVTOR    ,Are you receiving govt. or private agency help?
MHP - Profile                                     ,CLIENTPHONENUMBERS       ,Client Phone Numbers
                                                  ,TYPE_1                   ,# Type
                                                  ,CLIENTPHONENUMBERSEND    ,End Date
                                                  ,NOTES                    ,Notes
                                                  ,NUMBER_1                 ,Number
                                                  ,CLIENTPHONENUMBERSSTART  ,Start Date
MHP - Profile                                     ,COMMENTSRELATEDTOEDUC    ,Comments Related to Education
MHP - Profile                                     ,COUNTYOFRESIDENCE_1      ,County of Residence:
MHP - Profile                                     ,CURRENTLIVINGSITUATION   ,Current Living Situation
MHP - Profile                                     ,SVPPROFDOB               ,Date of Birth
MHP - Profile                                     ,DISABILITIES_1           ,Disabilities
                                                  ,HUD_DISABILITYLONGTERM   ,Above condition is going to be long term?
                                                  ,DISABILITYTYPE           ,Disability Type
                                                  ,DISABILITIES_1END        ,End Date
                                                  ,NOTEONDISABILITY         ,Note on Disability
                                                  ,NUMBERWITHDISABILITIES   ,Number with Disabilities?
                                                  ,DISABILITIES_1START      ,Start Date
MHP - Profile                                     ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
MHP - Profile                                     ,DOYOUHAVEFAMILYLIVING    ,Do you have family living in this area?
MHP - Profile                                     ,DOYOUSTAYINCONTACTWIT    ,Do you stay in contact with them?
MHP - Profile                                     ,EDUCATIONSUMMARY         ,Education Summary
MHP - Profile                                     ,EMPLOYMENTINFORMATION    ,Employment Information
MHP - Profile                                     ,SVPPROFETH               ,Ethnicity
MHP - Profile                                     ,IFOTHEREXPLAIN           ,Explain Other Living Situation
MHP - Profile                                     ,FIRSTTIMEHOMELESS        ,First Time Homeless?
MHP - Profile                                     ,SVPPROFGENDER            ,Gender
MHP - Profile                                     ,HIGHESTLEVELOFEDUCATI    ,Highest Level of Education Attained
MHP - Profile                                     ,HOMELESSINFORMATION      ,HOMELESS INFORMATION
MHP - Profile                                     ,PRIMARYREASONFORHOMLE    ,Homelessness Primary Reason
MHP - Profile                                     ,SECONDARYREASONFORHOM    ,Homelessness Secondary Reason
MHP - Profile                                     ,HOWDIDYOUHEARABOUTOUR    ,How did you hear about our agency?
MHP - Profile                                     ,HOWLONGHAVEYOULIVEDIN_2  ,How long have you lived in Manatee Cty. (years)?
MHP - Profile                                     ,HOWLONGHAVEYOULIVEDIN_3  ,How long have you lived in Sarasota Cty. (years)?
MHP - Profile                                     ,IFNODOYOUHAVEACHILDSU    ,If no, do you have a child support case pending?
MHP - Profile                                     ,IFNOTINCONTACTWHY        ,If not in contact, why?
MHP - Profile                                     ,IFUNEMPLOYEDEXPLAIN      ,If Unemployed, Explain
MHP - Profile                                     ,IFYESDATEOFEVICTION      ,If Yes, Date of Eviction
MHP - Profile                                     ,IFYESHOWMUCHCHILDCARE    ,If yes, how much child care support a month?
MHP - Profile                                     ,IFYESLISTVETERANSSERV    ,If Yes, List Veterans Services
MHP - Profile                                     ,IFYESPROBATIONOFFICER    ,If Yes, Probation Officer
MHP - Profile                                     ,IFYESSCHOOLNAME          ,If Yes, School Name
MHP - Profile                                     ,IFYESWHATASSISTANCEDO    ,If yes, what assistance do you receive?
MHP - Profile                                     ,ISCLIENTHOMELESS         ,Is Client Homeless?
MHP - Profile                                     ,MARITALSTATUS_1          ,Marital Status
MHP - Profile                                     ,MEANSOFTRANSPORTATION    ,Means of Transportation
MHP - Profile                                     ,MONTHLYINCOME            ,Monthly Income (non-Employment)
                                                  ,MONTHLYINCOMEEND         ,End Date
                                                  ,AMOUNTMONTHLYINCOME      ,Last 30 Day Income
                                                  ,LAST90DAYMONTHLYINCOME   ,Last 90 Day Income
                                                  ,SOURCEOFINCOME           ,Source of Income
                                                  ,MONTHLYINCOMESTART       ,Start Date
MHP - Profile                                     ,NONCONFIDENTIALNOTES     ,Notes Section
MHP - Profile                                     ,ONPROBATION              ,On Probation?
MHP - Profile                                     ,PRESENTLYATTENDINGSCHOOL ,Presently Attending School?
MHP - Profile                                     ,SVPPROFRACE              ,Primary Race
MHP - Profile                                     ,PBULICASSISTANCEMAINS    ,Public Assistance/Main Stream Resources
MHP - Profile                                     ,RECEIVINGVETERANSSERV    ,Receiving Veterans Services?
MHP - Profile                                     ,RECEIVINGWIC             ,Receiving WIC?
MHP - Profile                                     ,RECENTAPPLICATIONFORP    ,Recent Application for Public Assistance?
MHP - Profile                                     ,SVPPROFSECONDARYRACE     ,Secondary Race
MHP - Profile                                     ,STATUSOFPUBLICASSISTA    ,Status of Public Assistance Application
MHP - Profile                                     ,TYPEOFASSISTANCEAPPLI    ,Type of Assistance Applied for?
MHP - Profile                                     ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
MHP - Profile                                     ,VETERAN                  ,U.S. Military Veteran?
MHP - Profile                                     ,UNEMPLOYED               ,Unemployed?
MHP - Profile                                     ,WHATISTHEAMOUNTAMONTH_1  ,What is the amount a month?
MHP - Profile                                     ,WHEREDOESYOURFAMILYLIVE  ,Where does your family live?
MHP - Profile                                     ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
MHP - Profile                                     ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
MHP - Profile                                     ,ZIPCODE                  ,Zip Code:
Military                                          ,ACTIVEMILITARY           ,Active Military?
Military                                          ,HUD_SERVEDWARZONE        ,Did You Serve in a War Zone?
Military                                          ,DISCHARGELOCATION        ,Discharge Location
Military                                          ,HUD_DISCHARGETYPE        ,Discharge Type
Military                                          ,ENTRYLOCATION            ,Entry Location
Military                                          ,IFYESLISTVETERANSSERV    ,If Yes, List Veterans Services
Military                                          ,HUD_MILITARYBRANCHINFO   ,Military Branches
                                                  ,HUD_MILITARYBRANCHINEND  ,End Date
                                                  ,MILITARYBRANCH           ,Military Branch
                                                  ,HUD_MILITARYBRANCHINS    ,Start Date
Military                                          ,DISCHARGEDATE            ,Military Discharge Date
Military                                          ,MILITARYDATEENTRANCE     ,Military Entrance Date
Military                                          ,HUD_MILITARYSERVERAINFO  ,Military Service Era Information
                                                  ,HUD_MILITARYSERVERAIEND  ,End Date
                                                  ,HUD_MILITARYSERVICEERA   ,Military Service Era
                                                  ,HUD_MILITARYSERVERAIS    ,Start Date
Military                                          ,SERVICERELATEDDISABILITY ,Military Service Related Disability?
Military                                          ,HUD_MONTHSINMILITARY     ,Months Served on Active Duty in the Military
Military                                          ,PEACETIMESERVICEONLY     ,Peace Time Service Only?
Military                                          ,PRISONEROFWAR            ,Prisoner of War?
Military                                          ,RANKATDISCHARGE          ,Rank At Discharge
Military                                          ,RECEIVINGVETERANSSERV    ,Receiving Veterans Services?
Military                                          ,SERVICENUMBER_1          ,Service Number
Military                                          ,TYPEOFSERVICE            ,Type of Service
Military                                          ,VETERAN                  ,U.S. Military Veteran?
Military                                          ,HUD_WARZONEINFO          ,War Zone Information
                                                  ,HUD_WARZONEINFOEND       ,End Date
                                                  ,HUD_MONTHSSERVEDWARZONE  ,Months Served in a War Zone
                                                  ,HUD_RECEIVEDFIRE         ,Received hostile or friendly fire in a War Zone?
                                                  ,HUD_WARZONEINFOSTART     ,Start Date
                                                  ,HUD_WARZONE              ,War Zone 
Military-Manatee Glens                            ,ACTIVEMILITARY           ,Active Military?
Military-Manatee Glens                            ,VETERAN                  ,U.S. Military Veteran?
Our Mothers House Financial Assessment            ,EMPLOYMENTINFORMATION    ,Employment Information
Our Mothers House Financial Assessment            ,MONTHLYINCOME            ,Monthly Income (non-Employment)
                                                  ,MONTHLYINCOMEEND         ,End Date
                                                  ,AMOUNTMONTHLYINCOME      ,Last 30 Day Income
                                                  ,LAST90DAYMONTHLYINCOME   ,Last 90 Day Income
                                                  ,SOURCEOFINCOME           ,Source of Income
                                                  ,MONTHLYINCOMESTART       ,Start Date
Our Mothers House Financial Assessment            ,TYPEOFEXPENSE            ,Type of Expense
                                                  ,ACTUALEXPENSE            ,Actual Expense
                                                  ,TYPEOFEXPENSEEND         ,End Date
                                                  ,ESTIMATEDEXPENSE         ,Estimated Expense
                                                  ,MONTHLYEXPENSE_1         ,Monthly Expense Type
                                                  ,TYPEOFEXPENSESTART       ,Start Date
Our Mothers House Financial Assessment            ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
Our Mothers House Housing                         ,EVICTIONNOTICE           ,Eviction/Foreclosure Notice:
Our Mothers House Housing                         ,LANDLORDSNAME            ,Landlord/Mortgagee's Name:
Our Mothers House Housing                         ,LANDLORDSTELEPHONE       ,Landlord/Mortgagee's Telephone #:
Our Mothers House Housing                         ,PASTDUEAMOUNTS           ,Past Due Amounts
                                                  ,MONTHS                   ,# Months
                                                  ,ACCOUNT                  ,Account #
                                                  ,PASTDUEAMOUNTSEND        ,End Date
                                                  ,NAMEONACCOUNT_1          ,Name on Account
                                                  ,PASTDUEAMOUNTSSTART      ,Start Date
                                                  ,TOTALAMOUNTPASTDUE       ,Total Amount Past Due
                                                  ,TYPE_3                   ,Type
Our Mothers House Housing                         ,VERIFICATIONOFEVICTION   ,Verification of Eviction/Foreclosure:
Our Mothers House Intake                          ,ADDRESSANDPOBOX          ,Address and PO Box
Our Mothers House Intake                          ,AGENCYREFERREDBY         ,Agency Referred By:
Our Mothers House Intake                          ,AGENCYHOSPITALOTHERNAME  ,Agency/Hospital/Other Name:
Our Mothers House Intake                          ,ALIAS                    ,Alias
Our Mothers House Intake                          ,CITYOFRESIDENCE          ,City of Residence
Our Mothers House Intake                          ,CLIENTPHONENUMBERS       ,Client Phone Numbers
                                                  ,TYPE_1                   ,# Type
                                                  ,CLIENTPHONENUMBERSEND    ,End Date
                                                  ,NOTES                    ,Notes
                                                  ,NUMBER_1                 ,Number
                                                  ,CLIENTPHONENUMBERSSTART  ,Start Date
Our Mothers House Intake                          ,COUNTYOFRESIDENCE_1      ,County of Residence:
Our Mothers House Intake                          ,SVPPROFDOB               ,Date of Birth
Our Mothers House Intake                          ,DISABILITIES_1           ,Disabilities
                                                  ,HUD_DISABILITYLONGTERM   ,Above condition is going to be long term?
                                                  ,DISABILITYTYPE           ,Disability Type
                                                  ,DISABILITIES_1END        ,End Date
                                                  ,NOTEONDISABILITY         ,Note on Disability
                                                  ,NUMBERWITHDISABILITIES   ,Number with Disabilities?
                                                  ,DISABILITIES_1START      ,Start Date
Our Mothers House Intake                          ,EMERGENCYCONTACTS        ,Emergency Contacts
                                                  ,CONTACTSADDRESS          ,Contact's Address
                                                  ,CONTACTSCITY             ,Contact's City
                                                  ,CONTACTSNAME             ,Contact's Name
                                                  ,CONTACTSSTATE            ,Contact's State
                                                  ,EMERGENCYCONTACTSEND     ,End Date
                                                  ,PHONENUMBER_2            ,Phone Number
                                                  ,RELATIONSHIPTOCLIENT     ,Relationship to Client
                                                  ,SECONDPHONENUMBER        ,Second Phone Number
                                                  ,EMERGENCYCONTACTSSTART   ,Start Date
Our Mothers House Intake                          ,SVPPROFETH               ,Ethnicity
Our Mothers House Intake                          ,SVPPROFGENDER            ,Gender
Our Mothers House Intake                          ,IMMIGRATIONSTATUS        ,Immigration Status
Our Mothers House Intake                          ,MARITALSTATUS_1          ,Marital Status
Our Mothers House Intake                          ,DOYOUHAVEMEDICALINSUR    ,Medical Insurance
                                                  ,C0PAYAMOUNT              ,Co-Pay Amount
                                                  ,DEDUCTIBLESATISFIED      ,Deductible Satisfied?
                                                  ,EMPLOYER_1               ,Employer
                                                  ,DOYOUHAVEMEDICALINSUEND  ,End Date
                                                  ,GROUP                    ,Group #
                                                  ,INSURANCECOMPANYCLAIM    ,Insurance Claims Address
                                                  ,INSURANCECLAIMSCITY      ,Insurance Claims City
                                                  ,INSURANCECOMPANYPHONE_1  ,Insurance Claims Phone No.
                                                  ,INSURANCECOMPANYSTATE_1  ,Insurance Claims State
                                                  ,INSURANCECOMPANYZIP_1    ,Insurance Claims Zip
                                                  ,INSURANCECOMPNAYADDRESS  ,Insurance Co. Address
                                                  ,INSURANCECOCITY          ,Insurance Co. City
                                                  ,INSURANCECOMPANYNAME     ,Insurance Co. Name
                                                  ,INSURANCECOMPANYPHONE    ,Insurance Co. Phone #
                                                  ,INSURANCECOMPANYSTATE    ,Insurance Co. State
                                                  ,INSURANCECOMPANYZIP      ,Insurance Co. Zipcode
                                                  ,INSUREDSFIRSTNAME        ,Insured's  Name
                                                  ,INSUREDSSOCIALSECURITY   ,Insured's Social Security #
                                                  ,POLICY                   ,Policy #
                                                  ,DOYOUHAVEMEDICALINSUS    ,Start Date
                                                  ,TYPEOFINSURANCE_1        ,Type of Insurance
                                                  ,YEARLYDEDUCTIBLE         ,Yearly Deductible
Our Mothers House Intake                          ,MIGRANTSEASONALWORKER    ,Migrant/Seasonal Worker?
Our Mothers House Intake                          ,PRIMARYLANGUAGESPOKEN_2  ,Primary Language Spoken
Our Mothers House Intake                          ,PRIMARYLANGUAGESPOKEN_1  ,Primary Language Spoken (if other)
Our Mothers House Intake                          ,SVPPROFRACE              ,Primary Race
Our Mothers House Intake                          ,RELIGIONVOLUNTARY        ,Religion
Our Mothers House Intake                          ,REQUESTEDSERVICES        ,Requested Services
Our Mothers House Intake                          ,ALIENNUMBER_1            ,Resident Alien Number
Our Mothers House Intake                          ,SECONDARYLANGUAGESPOKEN  ,Secondary Language Spoken
Our Mothers House Intake                          ,SECONDARYLANGUAGE        ,Secondary Language Spoken (if other)
Our Mothers House Intake                          ,SVPPROFSECONDARYRACE     ,Secondary Race
Our Mothers House Intake                          ,STATEOFRESIDENCE         ,State of Residence
Our Mothers House Intake                          ,USCITIZEN                ,U.S. Citizen?
Our Mothers House Intake                          ,ZIPCODE                  ,Zip Code:
PATH                                              ,SVPPROFDOB               ,Date of Birth
PATH                                              ,SVPPROFETH               ,Ethnicity
PATH                                              ,FIRSTCONTACTORREENTRY    ,First contact or re-entry only
PATH                                              ,SVPPROFGENDER            ,Gender
PATH                                              ,HASCOOCCURRUSEDISORDERS  ,Has co-occurring substance use disorders?
PATH                                              ,HOUSINGSTATUS            ,Housing Status
PATH                                              ,HOWWASCLIENTCONTACTED    ,How was client contacted?
PATH                                              ,ISCLIENTHOMELESS         ,Is Client Homeless?
PATH                                              ,PATHENROLLMENTINELIGI    ,IS Client Ineligible for Path Enrollment?
PATH                                              ,LENGTHOFTIMEOUTDOORS     ,Length of time outdoors or in short term shelter
PATH                                              ,PATHENROLLMENTINELIGR    ,PATH Enrollment Ineligible Reason
PATH                                              ,SVPPROFRACE              ,Primary Race
PATH                                              ,PRINCIPALMENTALILLDIAG   ,Principal Mental Illness Diagnosis
PATH                                              ,SVPPROFSECONDARYRACE     ,Secondary Race
PATH                                              ,VETERAN                  ,U.S. Military Veteran?
Personal Strengths                                ,ABLETOCONNECTTORESOURCES ,Able to Connect to Resources
Personal Strengths                                ,ABLETOHANDLESTRESS       ,Able to Handle Stress
Personal Strengths                                ,ACCEPTSAUTHORITY         ,Accepts Authority
Personal Strengths                                ,ACCEPTSRESPONSIBILITY    ,Accepts Responsibility
Personal Strengths                                ,ADEQUATEJOBSKILLS        ,Adequate Job Skills
Personal Strengths                                ,ADEQUATEWORKEXPERIENCE   ,Adequate Work Experience
Personal Strengths                                ,BUDGETINGSKILLS          ,Budgeting Skills
Personal Strengths                                ,FAMILYSUPPORTSYSTEM      ,Family Support System
Personal Strengths                                ,FRIENDSANDOTHERCOMMUN    ,Friends And Other Community Support
Personal Strengths                                ,HASSECUREDCHILDCARE      ,Has Secured Child Care
Personal Strengths                                ,HEALTHYNUTRITIONANDEX    ,Healthy Nutrition and Exercise
Personal Strengths                                ,HOMEMAINTENANCE          ,Home Maintenance
Personal Strengths                                ,HONEST                   ,Honest
Personal Strengths                                ,LIFESKILLS               ,Life Skills
Personal Strengths                                ,MAINTAINSAPPEARANCE      ,Maintains Appearance
Personal Strengths                                ,MATHSKILLS               ,Math Skills
Personal Strengths                                ,PARENTINGSKILLS          ,Parenting Skills
Personal Strengths                                ,PERSONALSKILLS           ,Personal Skills
Personal Strengths                                ,RELATESWELLTOOTHERS      ,Relates Well To Others
Personal Strengths                                ,RELATIONSHIPSANDFAMIL    ,Relationships and Family Issues
Personal Strengths                                ,RELIABLE                 ,Reliable
Personal Strengths                                ,RISKFREELIFESTYLE        ,Risk-Free Lifestyle
Personal Strengths                                ,SEEKSTOIMPROVESELF       ,Seeks To Improve Self
Personal Strengths                                ,VERBALSKILLS             ,Verbal Skills
Project HEART Assessment                          ,DIDCHILDRECEIVESCHOOL    ,Did child receive school uniform?
Project HEART Assessment                          ,EXCEPTIONALITYCODE       ,Exceptionality Code
Project HEART Assessment                          ,GRADEATTENDING           ,Grade Attending
Project HEART Assessment                          ,PRIMARYREASONFORHOMLE    ,Homelessness Primary Reason
Project HEART Assessment                          ,ISCHILDMIGRANT           ,Is child migrant?
Project HEART Assessment                          ,ISCLIENTHOMELESS         ,Is Client Homeless?
Project HEART Assessment                          ,SCHOOLCODEANDNAME        ,School Name and Code
Project HEART Assessment                          ,SPECIALCODES             ,Special Codes
Project HEART Assessment                          ,TYPEOFASSISTANCEAPPLI    ,Type of Assistance Applied for?
Project HEART Assessment                          ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
Public Assistance-Manatee Glens                   ,MAINSTREAMRESOURCESRE    ,Main Stream Resources Received
                                                  ,AMTMONTH                 ,$Amt/month
                                                  ,MAINSTREAMRESOURCESREND  ,End Date
                                                  ,IFENDEDREASON            ,If Ended Reason
                                                  ,TYPEOFMAINSTREAMRESOU    ,Main Stream Resources Type
                                                  ,MAINSTREAMRESOURCESRS    ,Start Date
Residential                                       ,HASORISCLIENTBEINGEVI    ,Actual or Pending Eviction?
Residential                                       ,ADULTSINHOUSEHOLD        ,Adults in Household
Residential                                       ,CHILDRENINHOUSEHOLD      ,Children in Household
Residential                                       ,ADDRESS_1                ,Client's Residence
                                                  ,CELLPHONE                ,Cell Phone#
                                                  ,CLIENTSAPARTMENTNUMBER   ,Client's Apartment Number
                                                  ,CLIENTSCITY              ,Client's City
                                                  ,CLIENTSSTATE             ,Client's State
                                                  ,STREETADDRESS            ,Client's Street Address
                                                  ,CLIENTSZIP_1             ,Client's Zip
                                                  ,COUNTYOFRESIDENCE        ,County of Residence
                                                  ,ADDRESS_1END             ,End Date
                                                  ,HOMEPHONENUMBER_1        ,Home Phone Number
                                                  ,ADDRESSOFLANDLORD        ,Landlord's Address
                                                  ,LANDLORDCITY             ,Landlord's City
                                                  ,NAMEOFLANDLORD           ,Landlord's Name
                                                  ,LANDLORDPHONE            ,Landlord's Phone
                                                  ,LANDLORDSTATE            ,Landlord's State
                                                  ,REASONFORLEAVINGTHISR    ,Reason for Leaving this Residence
                                                  ,RESIDENCESTREETNAME      ,Residence Street Name
                                                  ,ADDRESS_1START           ,Start Date
Residential                                       ,CURRENTLIVINGSITUATION   ,Current Living Situation
Residential                                       ,DATEBECAMEHOMELESS       ,Date of Present Homelessness
Residential                                       ,DEPENDENTSOFTHISCLIENT   ,Dependents of This Client
Residential                                       ,EXPLAINHOMELESSSITUATION ,Explain Homeless situation
Residential                                       ,IFOTHEREXPLAIN           ,Explain Other Living Situation
Residential                                       ,FIRSTTIMEHOMELESS_1      ,Extent of Homelessness?
Residential                                       ,HOMELESSINFORMATION      ,HOMELESS INFORMATION
Residential                                       ,TYPEOFHOMELESSVERIFIC    ,Homeless Verification on File
Residential                                       ,PRIMARYREASONFORHOMLE    ,Homelessness Primary Reason
Residential                                       ,SECONDARYREASONFORHOM    ,Homelessness Secondary Reason
Residential                                       ,HOUSEHOLDINFORMATION     ,Household Information
Residential                                       ,IFYESDATEOFEVICTION      ,If Yes, Date of Eviction
Residential                                       ,INSTITUTIONALLIVINGPR    ,Institutional Living Prior to 18 Years?
Residential                                       ,ISCLIENTHOMELESS         ,Is Client Homeless?
Residential                                       ,NUMBERINHOUSEHOLD        ,Number in Household
Residential                                       ,SHELTERNAMEIFPRESENTL    ,Shelter Name If In a Shelter
Residential                                       ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
Residential                                       ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
Residential                                       ,HUD_ZIPDATAQUALITY       ,Zip data quality
Resurrection Profile                              ,SUBSTANCEUSAGE           ,Addiction Information
                                                  ,SUBSTANCEUSAGEEND        ,End Date
                                                  ,FREQUENCYOFUSE           ,Frequency Of Use
                                                  ,METHOD_1                 ,Method
                                                  ,SUBSTANCEUSAGESTART      ,Start Date
                                                  ,TYPEOFSUBSTANCE          ,Type of Addiction
Resurrection Profile                              ,ADDRESSANDPOBOX          ,Address and PO Box
Resurrection Profile                              ,ADEQUATEJOBSKILLS        ,Adequate Job Skills
Resurrection Profile                              ,ARRESTRECORD             ,Arrest Record
                                                  ,ARRESTCHARGE             ,Arrest Charge
                                                  ,CONVICTED                ,Convicted?
                                                  ,DATEOFARREST             ,Date of Arrest
                                                  ,ARRESTRECORDEND          ,End Date
                                                  ,PRISONJAILWHERETIMESE    ,Prison or Jail
                                                  ,SERVEDTIME               ,Served Time?
                                                  ,ARRESTRECORDSTART        ,Start Date
Resurrection Profile                              ,CITYOFBIRTH_3            ,City of Birth
Resurrection Profile                              ,CLIENTNOTES              ,Client Notes:
Resurrection Profile                              ,CLIENTPHONENUMBERS       ,Client Phone Numbers
                                                  ,TYPE_1                   ,# Type
                                                  ,CLIENTPHONENUMBERSEND    ,End Date
                                                  ,NOTES                    ,Notes
                                                  ,NUMBER_1                 ,Number
                                                  ,CLIENTPHONENUMBERSSTART  ,Start Date
Resurrection Profile                              ,CURRENTLIVINGSITUATION   ,Current Living Situation
Resurrection Profile                              ,SVPPROFDOB               ,Date of Birth
Resurrection Profile                              ,DEPRESSIONHISTORY        ,Depression History
Resurrection Profile                              ,DISABILITIES_1           ,Disabilities
                                                  ,HUD_DISABILITYLONGTERM   ,Above condition is going to be long term?
                                                  ,DISABILITYTYPE           ,Disability Type
                                                  ,DISABILITIES_1END        ,End Date
                                                  ,NOTEONDISABILITY         ,Note on Disability
                                                  ,NUMBERWITHDISABILITIES   ,Number with Disabilities?
                                                  ,DISABILITIES_1START      ,Start Date
Resurrection Profile                              ,DISABILITYINFORMATION    ,Disability Information
Resurrection Profile                              ,DOYOUHAVEFAMILYLIVING    ,Do you have family living in this area?
Resurrection Profile                              ,DOYOUNEEDMEDICATIONSB    ,Do you need medications, but not taking them now?
Resurrection Profile                              ,DOYOUSTAYINCONTACTWIT    ,Do you stay in contact with them?
Resurrection Profile                              ,EDUCATIONSUMMARY         ,Education Summary
Resurrection Profile                              ,EMPLOYMENTINFORMATION    ,Employment Information
Resurrection Profile                              ,EMPLOYMENTEXPERIENCET    ,Employment/ Job Training
                                                  ,EMPLOYMENTEXPERIENCEEND  ,End Date
                                                  ,JOBSKILLS                ,Job Skill
                                                  ,EXPLAINLEVELOFABILITY    ,Skill Training
                                                  ,EMPLOYMENTEXPERIENCES    ,Start Date
Resurrection Profile                              ,ENGLISHSPEAKINGSKILLS    ,English Speaking Skills
Resurrection Profile                              ,SVPPROFETH               ,Ethnicity
Resurrection Profile                              ,EXPLAINHOMELESSSITUATION ,Explain Homeless situation
Resurrection Profile                              ,FIRSTTIMEHOMELESS        ,First Time Homeless?
Resurrection Profile                              ,SVPPROFGENDER            ,Gender
Resurrection Profile                              ,HAVEVALIDDRIVERSLICENSE  ,Have Valid Drivers License or ID?
Resurrection Profile                              ,HOMELESSINFORMATION      ,HOMELESS INFORMATION
Resurrection Profile                              ,HOWDIDYOUHEARABOUTOUR    ,How did you hear about our agency?
Resurrection Profile                              ,HOWLONGHAVEYOULIVEDIN_3  ,How long have you lived in Sarasota Cty. (years)?
Resurrection Profile                              ,IFUNEMPLOYEDEXPLAIN      ,If Unemployed, Explain
Resurrection Profile                              ,IMMIGRATIONSTATUS        ,Immigration Status
Resurrection Profile                              ,ISCLIENTHOMELESS         ,Is Client Homeless?
Resurrection Profile                              ,LIFESKILLS               ,Life Skills
Resurrection Profile                              ,LISTANYSPECIALEQUIPME    ,List Any Special Equipment Needed
Resurrection Profile                              ,MAINSTREAMRESOURCESRE    ,Main Stream Resources Received
                                                  ,AMTMONTH                 ,$Amt/month
                                                  ,MAINSTREAMRESOURCESREND  ,End Date
                                                  ,IFENDEDREASON            ,If Ended Reason
                                                  ,TYPEOFMAINSTREAMRESOU    ,Main Stream Resources Type
                                                  ,MAINSTREAMRESOURCESRS    ,Start Date
Resurrection Profile                              ,MARITALSTATUS_1          ,Marital Status
Resurrection Profile                              ,MEANSOFTRANSPORTATION    ,Means of Transportation
Resurrection Profile                              ,DOYOUHAVEMEDICALINSUR    ,Medical Insurance
                                                  ,C0PAYAMOUNT              ,Co-Pay Amount
                                                  ,DEDUCTIBLESATISFIED      ,Deductible Satisfied?
                                                  ,EMPLOYER_1               ,Employer
                                                  ,DOYOUHAVEMEDICALINSUEND  ,End Date
                                                  ,GROUP                    ,Group #
                                                  ,INSURANCECOMPANYCLAIM    ,Insurance Claims Address
                                                  ,INSURANCECLAIMSCITY      ,Insurance Claims City
                                                  ,INSURANCECOMPANYPHONE_1  ,Insurance Claims Phone No.
                                                  ,INSURANCECOMPANYSTATE_1  ,Insurance Claims State
                                                  ,INSURANCECOMPANYZIP_1    ,Insurance Claims Zip
                                                  ,INSURANCECOMPNAYADDRESS  ,Insurance Co. Address
                                                  ,INSURANCECOCITY          ,Insurance Co. City
                                                  ,INSURANCECOMPANYNAME     ,Insurance Co. Name
                                                  ,INSURANCECOMPANYPHONE    ,Insurance Co. Phone #
                                                  ,INSURANCECOMPANYSTATE    ,Insurance Co. State
                                                  ,INSURANCECOMPANYZIP      ,Insurance Co. Zipcode
                                                  ,INSUREDSFIRSTNAME        ,Insured's  Name
                                                  ,INSUREDSSOCIALSECURITY   ,Insured's Social Security #
                                                  ,POLICY                   ,Policy #
                                                  ,DOYOUHAVEMEDICALINSUS    ,Start Date
                                                  ,TYPEOFINSURANCE_1        ,Type of Insurance
                                                  ,YEARLYDEDUCTIBLE         ,Yearly Deductible
Resurrection Profile                              ,THOUGHTCONTENT           ,Mental Health Status
                                                  ,AFFECT                   ,Affect
                                                  ,THOUGHTCONTENTEND        ,End Date
                                                  ,GENERALPRESENTATION_1    ,General Presentation
                                                  ,INTELLECTUALFUNCTIONI    ,Intellectual Functioning
                                                  ,MOOD_1                   ,Mood
                                                  ,SPEECH_1                 ,Speech
                                                  ,THOUGHTCONTENTSTART      ,Start Date
                                                  ,THOUGHTSTATUSTYPE        ,Thought/Content
Resurrection Profile                              ,MONTHLYINCOME            ,Monthly Income (non-Employment)
                                                  ,MONTHLYINCOMEEND         ,End Date
                                                  ,AMOUNTMONTHLYINCOME      ,Last 30 Day Income
                                                  ,LAST90DAYMONTHLYINCOME   ,Last 90 Day Income
                                                  ,SOURCEOFINCOME           ,Source of Income
                                                  ,MONTHLYINCOMESTART       ,Start Date
Resurrection Profile                              ,OVERALLMENTALHEALTHIM    ,Overall Mental Health Impression
Resurrection Profile                              ,PREGNANT                 ,Pregnant?
Resurrection Profile                              ,SVPPROFRACE              ,Primary Race
Resurrection Profile                              ,PBULICASSISTANCEMAINS    ,Public Assistance/Main Stream Resources
Resurrection Profile                              ,RECEIVINGPRENATALCARE    ,Receiving Prenatal  MedicalCare?
Resurrection Profile                              ,SVPPROFSECONDARYRACE     ,Secondary Race
Resurrection Profile                              ,SHELTERNAMEIFPRESENTL    ,Shelter Name If In a Shelter
Resurrection Profile                              ,TYPEOFEMPLOYMENTASSES    ,Type of Employment Assessment
Resurrection Profile                              ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
Resurrection Profile                              ,HASUSECAUSEDYOUPROBLEMS  ,Usage Caused You Problems?
Resurrection Profile                              ,USEALCOHOLORDRUGS        ,Use Alcohol or Drugs?
Resurrection Profile                              ,USESWHEELCHAIR           ,Uses Wheelchair?
Resurrection Profile                              ,WHEREDOESYOURFAMILYLIVE  ,Where does your family live?
Resurrection Profile                              ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
Resurrection Profile                              ,ZIPCODE                  ,Zip Code:
Salv. Army Manatee - Case Notes                   ,NONCONFIDENTIALNOTES     ,Notes Section
Salv. Army Manatee - Christmas Assistance         ,ADDRESSANDPOBOX          ,Address and PO Box
Salv. Army Manatee - Christmas Assistance         ,ANGELTREENUMBER          ,Angel Tree Number
Salv. Army Manatee - Christmas Assistance         ,CITYOFRESIDENCE          ,City of Residence
Salv. Army Manatee - Christmas Assistance         ,CLIENTPHONENUMBERS       ,Client Phone Numbers
                                                  ,TYPE_1                   ,# Type
                                                  ,CLIENTPHONENUMBERSEND    ,End Date
                                                  ,NOTES                    ,Notes
                                                  ,NUMBER_1                 ,Number
                                                  ,CLIENTPHONENUMBERSSTART  ,Start Date
Salv. Army Manatee - Christmas Assistance         ,SVPPROFDOB               ,Date of Birth
Salv. Army Manatee - Christmas Assistance         ,SVPPROFETH               ,Ethnicity
Salv. Army Manatee - Christmas Assistance         ,SVPPROFGENDER            ,Gender
Salv. Army Manatee - Christmas Assistance         ,MONTHLYINCOME            ,Monthly Income (non-Employment)
                                                  ,MONTHLYINCOMEEND         ,End Date
                                                  ,AMOUNTMONTHLYINCOME      ,Last 30 Day Income
                                                  ,LAST90DAYMONTHLYINCOME   ,Last 90 Day Income
                                                  ,SOURCEOFINCOME           ,Source of Income
                                                  ,MONTHLYINCOMESTART       ,Start Date
Salv. Army Manatee - Christmas Assistance         ,NONCONFIDENTIALNOTES     ,Notes Section
Salv. Army Manatee - Christmas Assistance         ,PANTSIZE                 ,Pant Size
Salv. Army Manatee - Christmas Assistance         ,SVPPROFRACE              ,Primary Race
Salv. Army Manatee - Christmas Assistance         ,ALIENNUMBER_1            ,Resident Alien Number
Salv. Army Manatee - Christmas Assistance         ,SVPPROFSECONDARYRACE     ,Secondary Race
Salv. Army Manatee - Christmas Assistance         ,SHIRTSIZE                ,Shirt Size
Salv. Army Manatee - Christmas Assistance         ,SHOESIZE                 ,Shoe Size
Salv. Army Manatee - Christmas Assistance         ,STATEOFRESIDENCE         ,State of Residence
Salv. Army Manatee - Christmas Assistance         ,TOYSREQUESTED            ,Toys Requested
                                                  ,TOYSREQUESTEDEND         ,End Date
                                                  ,NAMEOFTOY                ,Name of Toy (under $30)
                                                  ,TOYSREQUESTEDSTART       ,Start Date
Salv. Army Manatee - Christmas Assistance         ,TYPEOFEXPENSE            ,Type of Expense
                                                  ,ACTUALEXPENSE            ,Actual Expense
                                                  ,TYPEOFEXPENSEEND         ,End Date
                                                  ,ESTIMATEDEXPENSE         ,Estimated Expense
                                                  ,MONTHLYEXPENSE_1         ,Monthly Expense Type
                                                  ,TYPEOFEXPENSESTART       ,Start Date
Salv. Army Manatee - Christmas Assistance         ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
Salv. Army Manatee - Christmas Assistance         ,ZIPCODE                  ,Zip Code:
Salv. Army Manatee - Contact Info                 ,IFINSHELTERPROGRAMTHI    ,(if in shelter program, this is address on exit)
Salv. Army Manatee - Contact Info                 ,ADDRESSANDPOBOX          ,Address and PO Box
Salv. Army Manatee - Contact Info                 ,AGENCYREFERRINGTOSALV    ,Agency referring to Salvation Army - Manatee:
Salv. Army Manatee - Contact Info                 ,ALIAS                    ,Alias
Salv. Army Manatee - Contact Info                 ,CITYOFRESIDENCE          ,City of Residence
Salv. Army Manatee - Contact Info                 ,CLIENTPHONENUMBERS       ,Client Phone Numbers
                                                  ,TYPE_1                   ,# Type
                                                  ,CLIENTPHONENUMBERSEND    ,End Date
                                                  ,NOTES                    ,Notes
                                                  ,NUMBER_1                 ,Number
                                                  ,CLIENTPHONENUMBERSSTART  ,Start Date
Salv. Army Manatee - Contact Info                 ,CLIENTINFORMATION        ,Client Residential Information
Salv. Army Manatee - Contact Info                 ,CLIENTSLASTKNOWNADDRESS  ,Client's Last Known Address
Salv. Army Manatee - Contact Info                 ,COUNTYOFRESIDENCE_1      ,County of Residence:
Salv. Army Manatee - Contact Info                 ,SVPPROFDOB               ,Date of Birth
Salv. Army Manatee - Contact Info                 ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
Salv. Army Manatee - Contact Info                 ,DOMESTICVIOLENCE_1       ,Domestic Violence?
Salv. Army Manatee - Contact Info                 ,EMERGENCYCONTACTS        ,Emergency Contacts
                                                  ,CONTACTSADDRESS          ,Contact's Address
                                                  ,CONTACTSCITY             ,Contact's City
                                                  ,CONTACTSNAME             ,Contact's Name
                                                  ,CONTACTSSTATE            ,Contact's State
                                                  ,EMERGENCYCONTACTSEND     ,End Date
                                                  ,PHONENUMBER_2            ,Phone Number
                                                  ,RELATIONSHIPTOCLIENT     ,Relationship to Client
                                                  ,SECONDPHONENUMBER        ,Second Phone Number
                                                  ,EMERGENCYCONTACTSSTART   ,Start Date
Salv. Army Manatee - Contact Info                 ,SVPPROFETH               ,Ethnicity
Salv. Army Manatee - Contact Info                 ,FAMILYPHYSICANSPHONE     ,Family Physican's Phone #:
Salv. Army Manatee - Contact Info                 ,FAMILYPHYSICIANSNAMEI    ,Family Physician's Name, if applicable
Salv. Army Manatee - Contact Info                 ,SVPPROFGENDER            ,Gender
Salv. Army Manatee - Contact Info                 ,IFNOTINTHEPICKLISTPLE    ,If other agency, please enter agency name:
Salv. Army Manatee - Contact Info                 ,ISCLIENTHOMELESS         ,Is Client Homeless?
Salv. Army Manatee - Contact Info                 ,LASTKNOWNCITYOFRESIDENCE ,Last Known City of Residence:
Salv. Army Manatee - Contact Info                 ,LASTKNOWNSTATEOFRESID    ,Last Known State of Residence
Salv. Army Manatee - Contact Info                 ,LASTKNOWNSTREETADDRESS   ,Last Known Street Address:
Salv. Army Manatee - Contact Info                 ,LASTKNOWNZIPCODEOFRES    ,Last Known Zip Code of Residence:
Salv. Army Manatee - Contact Info                 ,MARITALSTATUS_1          ,Marital Status
Salv. Army Manatee - Contact Info                 ,MEDICALALERT             ,Medical Alert?
Salv. Army Manatee - Contact Info                 ,NONCONFIDENTIALNOTES     ,Notes Section
Salv. Army Manatee - Contact Info                 ,SVPPROFRACE              ,Primary Race
Salv. Army Manatee - Contact Info                 ,REFERREDBY               ,Referred By Another Agency
Salv. Army Manatee - Contact Info                 ,SVPPROFSECONDARYRACE     ,Secondary Race
Salv. Army Manatee - Contact Info                 ,STATEOFRESIDENCE         ,State of Residence
Salv. Army Manatee - Contact Info                 ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
Salv. Army Manatee - Contact Info                 ,VETERAN                  ,U.S. Military Veteran?
Salv. Army Manatee - Contact Info                 ,WARNINGSANDBANREQUESTS_1 ,Warnings and Ban Requests
Salv. Army Manatee - Contact Info                 ,WARNINGSANDBANREQUESTS   ,Warnings and Ban Requests
                                                  ,BANREQUESTED             ,Ban Requested
                                                  ,DATEWARNINGGIVEN         ,Date Warning Given
                                                  ,REASONFORWARNING         ,Reason for Warning
                                                  ,WARNINGSANDBANREQUESEND  ,Requested End Date
                                                  ,WARNINGSANDBANREQUESS    ,Requested Start Date
                                                  ,WARNINGGIVEN             ,Warning Given
Salv. Army Manatee - Contact Info                 ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
Salv. Army Manatee - Contact Info                 ,ZIPCODE                  ,Zip Code:
Salv. Army Manatee - Dom. Violence                ,ABUSERAGE                ,Abuser Age:
Salv. Army Manatee - Dom. Violence                ,ABUSERETHNICITY          ,Abuser Ethnicity:
Salv. Army Manatee - Dom. Violence                ,ABUSERHAIRCOLOR          ,Abuser Hair Color:
Salv. Army Manatee - Dom. Violence                ,ABUSERHEIGHT             ,Abuser Height:
Salv. Army Manatee - Dom. Violence                ,ABUSERNAME               ,Abuser Name:
Salv. Army Manatee - Dom. Violence                ,ABUSERRACE               ,Abuser Race:
Salv. Army Manatee - Dom. Violence                ,ABUSERWEIGHT             ,Abuser Weight:
Salv. Army Manatee - Dom. Violence                ,ABUSERSIDENTIFYINGFEA    ,Abuser's Identifying Features:
Salv. Army Manatee - Dom. Violence                ,ABUSERSLASTKNOWNWHERE    ,Abuser's Last Known Whereabouts:
Salv. Army Manatee - Dom. Violence                ,CLIENTHASBEENOFFEREDC    ,Client has been offered counseling at HOPE?
Salv. Army Manatee - Dom. Violence                ,DESCRIPTIONOFABUSER      ,Description of Abuser
Salv. Army Manatee - Dom. Violence                ,IFNOTOFFEREDHOPECOUNS    ,If client not offered HOPE counslng, list reason:
Salv. Army Manatee - Dom. Violence                ,IFCLIENTNOTREFERREDTO    ,If client not referred to a DV shelter, reason:
Salv. Army Manatee - Dom. Violence                ,PLEASEATTACHCOPYOFABU    ,Please Attach Copy of Abuser Photo and Label Photo
Salv. Army Manatee - Intake                       ,ADDRESSANDPOBOX          ,Address and PO Box
Salv. Army Manatee - Intake                       ,CITYOFRESIDENCE          ,City of Residence
Salv. Army Manatee - Intake                       ,CLIENTPHONENUMBERS       ,Client Phone Numbers
                                                  ,TYPE_1                   ,# Type
                                                  ,CLIENTPHONENUMBERSEND    ,End Date
                                                  ,NOTES                    ,Notes
                                                  ,NUMBER_1                 ,Number
                                                  ,CLIENTPHONENUMBERSSTART  ,Start Date
Salv. Army Manatee - Intake                       ,SVPPROFDOB               ,Date of Birth
Salv. Army Manatee - Intake                       ,SVPPROFETH               ,Ethnicity
Salv. Army Manatee - Intake                       ,HAVEYOUEVERBEENHEREBE    ,Have you ever been here before?
Salv. Army Manatee - Intake                       ,HIGHESTLEVELOFEDUCATI    ,Highest Level of Education Attained
Salv. Army Manatee - Intake                       ,HOWLONGHAVEYOULIVEDIN    ,How long have you lived in Manatee County?
Salv. Army Manatee - Intake                       ,IFNOTINTHEPICKLISTPLE    ,If other agency, please enter agency name:
Salv. Army Manatee - Intake                       ,IFYOUVEBEENHEREBEFORE    ,If you've been here before, how long ago?
Salv. Army Manatee - Intake                       ,INCOMEEMPLOYMENT         ,INCOME/EMPLOYMENT
Salv. Army Manatee - Intake                       ,ISCLIENTHOMELESS         ,Is Client Homeless?
Salv. Army Manatee - Intake                       ,MARITALSTATUS_1          ,Marital Status
Salv. Army Manatee - Intake                       ,MONTHLYEXPENSESEXTIMA    ,Monthly Expenses: Estimated and Actual
Salv. Army Manatee - Intake                       ,MONTHLYINCOME            ,Monthly Income (non-Employment)
                                                  ,MONTHLYINCOMEEND         ,End Date
                                                  ,AMOUNTMONTHLYINCOME      ,Last 30 Day Income
                                                  ,LAST90DAYMONTHLYINCOME   ,Last 90 Day Income
                                                  ,SOURCEOFINCOME           ,Source of Income
                                                  ,MONTHLYINCOMESTART       ,Start Date
Salv. Army Manatee - Intake                       ,SVPPROFRACE              ,Primary Race
Salv. Army Manatee - Intake                       ,SVPPROFSECONDARYRACE     ,Secondary Race
Salv. Army Manatee - Intake                       ,SHELTERSTAYNOTES         ,Shelter Stay Notes
Salv. Army Manatee - Intake                       ,TYPEOFEXPENSE            ,Type of Expense
                                                  ,ACTUALEXPENSE            ,Actual Expense
                                                  ,TYPEOFEXPENSEEND         ,End Date
                                                  ,ESTIMATEDEXPENSE         ,Estimated Expense
                                                  ,MONTHLYEXPENSE_1         ,Monthly Expense Type
                                                  ,TYPEOFEXPENSESTART       ,Start Date
Salv. Army Manatee - Intake                       ,VETERAN                  ,U.S. Military Veteran?
Salv. Army Manatee - Intake                       ,WARNINGSANDBANREQUESTS   ,Warnings and Ban Requests
                                                  ,BANREQUESTED             ,Ban Requested
                                                  ,DATEWARNINGGIVEN         ,Date Warning Given
                                                  ,REASONFORWARNING         ,Reason for Warning
                                                  ,WARNINGSANDBANREQUESEND  ,Requested End Date
                                                  ,WARNINGSANDBANREQUESS    ,Requested Start Date
                                                  ,WARNINGGIVEN             ,Warning Given
Salv. Army Manatee - Intake                       ,WARNINGSANDBANREQUESTS_1 ,Warnings and Ban Requests
Salv. Army Manatee - Intake                       ,WHATHAPPENEDTHATBROUG    ,What happened that brought you here today?
Salv. Army Manatee - Intake                       ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
Salv. Army Manatee - Intake                       ,ZIPCODE                  ,Zip Code:
Salv. Army Manatee - Temp Housing                 ,CITYOFBIRTH_3            ,City of Birth
Salv. Army Manatee - Temp Housing                 ,CLIENTHEIGHT             ,Client Height:
Salv. Army Manatee - Temp Housing                 ,CLIENTINFORMATION        ,Client Residential Information
Salv. Army Manatee - Temp Housing                 ,CLIENTWEIGHTLBS          ,Client Weight: (lbs.)
Salv. Army Manatee - Temp Housing                 ,ADDRESS_1                ,Client's Residence
                                                  ,CELLPHONE                ,Cell Phone#
                                                  ,CLIENTSAPARTMENTNUMBER   ,Client's Apartment Number
                                                  ,CLIENTSCITY              ,Client's City
                                                  ,CLIENTSSTATE             ,Client's State
                                                  ,STREETADDRESS            ,Client's Street Address
                                                  ,CLIENTSZIP_1             ,Client's Zip
                                                  ,COUNTYOFRESIDENCE        ,County of Residence
                                                  ,ADDRESS_1END             ,End Date
                                                  ,HOMEPHONENUMBER_1        ,Home Phone Number
                                                  ,ADDRESSOFLANDLORD        ,Landlord's Address
                                                  ,LANDLORDCITY             ,Landlord's City
                                                  ,NAMEOFLANDLORD           ,Landlord's Name
                                                  ,LANDLORDPHONE            ,Landlord's Phone
                                                  ,LANDLORDSTATE            ,Landlord's State
                                                  ,REASONFORLEAVINGTHISR    ,Reason for Leaving this Residence
                                                  ,RESIDENCESTREETNAME      ,Residence Street Name
                                                  ,ADDRESS_1START           ,Start Date
Salv. Army Manatee - Temp Housing                 ,DESTINATION              ,Destination:
Salv. Army Manatee - Temp Housing                 ,DRIVERSLICENSENUMBER     ,Driver's License Number
Salv. Army Manatee - Temp Housing                 ,HIGHESTLEVELOFEDUCATI    ,Highest Level of Education Attained
Salv. Army Manatee - Temp Housing                 ,IFNOTRELIGIONNOTABOVE    ,If not religion not above, please type name:
Salv. Army Manatee - Temp Housing                 ,MARITALSTATUS_1          ,Marital Status
Salv. Army Manatee - Temp Housing                 ,MEDICALPROBLEMS          ,Medical Problems
                                                  ,RECENTMEDICALCAREFORC    ,Date Received Care
                                                  ,MEDICALPROBLEMSEND       ,End Date
                                                  ,EXPLAINMEDICALCONDITION  ,Explain Medical Condition
                                                  ,MEDICALCONDITIONS        ,Medical Conditions
                                                  ,PRESENTLEVELOFDISTRESS   ,Present Level Of Distress
                                                  ,RECEIVEDMEDICALCARE      ,Received Medical Care?
                                                  ,REQUIREDHOSPITALCARE     ,Required Hospitalization?
                                                  ,MEDICALPROBLEMSSTART     ,Start Date
Salv. Army Manatee - Temp Housing                 ,THOUGHTCONTENT           ,Mental Health Status
                                                  ,AFFECT                   ,Affect
                                                  ,THOUGHTCONTENTEND        ,End Date
                                                  ,GENERALPRESENTATION_1    ,General Presentation
                                                  ,INTELLECTUALFUNCTIONI    ,Intellectual Functioning
                                                  ,MOOD_1                   ,Mood
                                                  ,SPEECH_1                 ,Speech
                                                  ,THOUGHTCONTENTSTART      ,Start Date
                                                  ,THOUGHTSTATUSTYPE        ,Thought/Content
Salv. Army Manatee - Temp Housing                 ,MONTHLYINCOME            ,Monthly Income (non-Employment)
                                                  ,MONTHLYINCOMEEND         ,End Date
                                                  ,AMOUNTMONTHLYINCOME      ,Last 30 Day Income
                                                  ,LAST90DAYMONTHLYINCOME   ,Last 90 Day Income
                                                  ,SOURCEOFINCOME           ,Source of Income
                                                  ,MONTHLYINCOMESTART       ,Start Date
Salv. Army Manatee - Temp Housing                 ,PRIMARYLANGUAGESPOKEN_2  ,Primary Language Spoken
Salv. Army Manatee - Temp Housing                 ,RELIGIONVOLUNTARY        ,Religion
Salv. Army Manatee - Temp Housing                 ,RESIDENTOFTHISAREA       ,Resident of this area?
Salv. Army Manatee - Temp Housing                 ,SCHOOLATTENDANCE_1       ,School Attendance
                                                  ,COMPLETEDGRADUATED       ,Completed/Graduated?
                                                  ,DEGREECERTIFICATIONEX    ,Degree/Certification Expected
                                                  ,SCHOOLATTENDANCE_1END    ,End Date
                                                  ,EXPECTEDGRADUATIONDATE   ,Expected Graduation Date
                                                  ,SCHOOLATTENDING          ,School Attending
                                                  ,SCHOOLATTENDANCE_1START  ,Start Date
                                                  ,TYPEOFSCHOOL             ,Type of School
Salv. Army Manatee - Temp Housing                 ,SECONDARYLANGUAGESPOKEN  ,Secondary Language Spoken
Salv. Army Manatee - Temp Housing                 ,STATEOFDRIVERSLICENSE    ,State of Driver's License:
Salv. Army Manatee - Temp Housing                 ,VETERAN                  ,U.S. Military Veteran?
Salv. Army Manatee - Temp Housing                 ,WHERESTAYEDLASTNIGHT     ,Where stayed last night?
Salv. Army Manatee - Temp Housing                 ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
Salv. Army Manatee Intoxicant Screening - FS      ,SCREENINGS               ,Screenings
                                                  ,ADMINISTEREDBY           ,Administered By:
                                                  ,SCREENINGSEND            ,End Date
                                                  ,POSITIVE                 ,Positive Result?
                                                  ,SCREENINGSSTART          ,Start Date
                                                  ,TESTDATE                 ,Test Date
                                                  ,TIMEOFTEST               ,Time of Test
                                                  ,TYPEOFTEST               ,Type of Test
Salv. Army Manatee Intoxicant Screening - FS      ,SIGNEDINTOXICANTSTATE    ,Signed Intoxicant Statement Received?
Salv. Army Manatee Medical Hx - FS                ,IFPREGNANTHOWMANYMONTHS  ,If pregnant, how many months?
Salv. Army Manatee Medical Hx - FS                ,IFYESDUEDATE             ,If Yes, Projected Birth Date
Salv. Army Manatee Medical Hx - FS                ,LISTALLERGIES            ,List Allergies
Salv. Army Manatee Medical Hx - FS                ,LISTMEDICATIONALLERGIES  ,List Medication Allergies
Salv. Army Manatee Medical Hx - FS                ,MEDICALPROBLEMS          ,Medical Problems
                                                  ,RECENTMEDICALCAREFORC    ,Date Received Care
                                                  ,MEDICALPROBLEMSEND       ,End Date
                                                  ,EXPLAINMEDICALCONDITION  ,Explain Medical Condition
                                                  ,MEDICALCONDITIONS        ,Medical Conditions
                                                  ,PRESENTLEVELOFDISTRESS   ,Present Level Of Distress
                                                  ,RECEIVEDMEDICALCARE      ,Received Medical Care?
                                                  ,REQUIREDHOSPITALCARE     ,Required Hospitalization?
                                                  ,MEDICALPROBLEMSSTART     ,Start Date
Salv. Army Manatee Medical Hx - FS                ,MEDICATION_1             ,Medication Overview
                                                  ,DOSAGE                   ,Dosage
                                                  ,DRUGTYPE_1               ,Drug Type
                                                  ,MEDICATION_1END          ,End Date
                                                  ,MEDICATION_6             ,Medication
                                                  ,MEDICATIONFREQUENCY      ,Medication Frequency
                                                  ,PHARMACHADDRESS          ,Pharmacy Address
                                                  ,PHARMACYNAME             ,Pharmacy Name
                                                  ,PHARMACYPHONENUMBER      ,Pharmacy Phone Number
                                                  ,PRESCRIBINGPHYSICIANP    ,Physician Phone Number
                                                  ,PRESCRIBINGPHYSICIAN     ,Prescribing Physician
                                                  ,RATIONALEFORMEDICATION   ,Rationale For Medication
                                                  ,ROUTEORMETHOD            ,Route or Method
                                                  ,MEDICATION_1START        ,Start Date
Salv. Army Manatee Medical Hx - FS                ,PREGNANT                 ,Pregnant?
Salv. Army Manatee Pre and Post Test - FS         ,ACCESSHEALTHCARECHILD    ,Access Health Care (Children)
Salv. Army Manatee Pre and Post Test - FS         ,ACCESSTOHEATHCAREADULT   ,Access to Heath Care (Adult):
Salv. Army Manatee Pre and Post Test - FS         ,ADULTEDUCATION           ,Adult Education
Salv. Army Manatee Pre and Post Test - FS         ,CHILDCARE_1              ,Childcare
Salv. Army Manatee Pre and Post Test - FS         ,EMPLOYMENT_2             ,Employment:
Salv. Army Manatee Pre and Post Test - FS         ,FOOD_1                   ,Food:
Salv. Army Manatee Pre and Post Test - FS         ,HISTORYOFMENTALILLNESS   ,History of Mental Illness?
Salv. Army Manatee Pre and Post Test - FS         ,HISTORYOFORCURRENTDRU    ,History of or current drug/alcohol abuse
Salv. Army Manatee Pre and Post Test - FS         ,HOUSING_1                ,Housing
Salv. Army Manatee Pre and Post Test - FS         ,INCOME_2                 ,Income:
Salv. Army Manatee Pre and Post Test - FS         ,ISCLIENTHOMELESS         ,Is Client Homeless?
Salv. Army Manatee Pre and Post Test - FS         ,TRANSPORTATIONMOBILITY_1 ,Transportation/Mobility
Salv. Army Manatee Pre and Post Test - FS         ,VETERAN_1                ,Veteran?
Salvation Army - LIHEAP                           ,ACCOUNTNUMBER            ,Account Number
Salvation Army - LIHEAP                           ,HOMEOWNER_1              ,Home Owner ?
Salvation Army - LIHEAP                           ,NUMBERWITHDISABILITIES_1 ,Number with Disabilities?
Salvation Army - LIHEAP                           ,POVERTYLEVEL             ,Poverty Level
Salvation Army Sarasota - Profile (current vers.) ,ADDRESSANDPOBOX          ,Address and PO Box
Salvation Army Sarasota - Profile (current vers.) ,AGENCYPICKLIST           ,Agency Referred By Picklist
Salvation Army Sarasota - Profile (current vers.) ,CITYOFRESIDENCE          ,City of Residence
Salvation Army Sarasota - Profile (current vers.) ,CLIENTPHONENUMBERS       ,Client Phone Numbers
                                                  ,TYPE_1                   ,# Type
                                                  ,CLIENTPHONENUMBERSEND    ,End Date
                                                  ,NOTES                    ,Notes
                                                  ,NUMBER_1                 ,Number
                                                  ,CLIENTPHONENUMBERSSTART  ,Start Date
Salvation Army Sarasota - Profile (current vers.) ,SVPPROFDOB               ,Date of Birth
Salvation Army Sarasota - Profile (current vers.) ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
Salvation Army Sarasota - Profile (current vers.) ,SVPPROFETH               ,Ethnicity
Salvation Army Sarasota - Profile (current vers.) ,SVPPROFGENDER            ,Gender
Salvation Army Sarasota - Profile (current vers.) ,HAVEYOUEVERBEENHEREBE    ,Have you ever been here before?
Salvation Army Sarasota - Profile (current vers.) ,HIGHESTLEVELOFEDUCATI    ,Highest Level of Education Attained
Salvation Army Sarasota - Profile (current vers.) ,HOWLONGHAVEYOULIVEDIN_3  ,How long have you lived in Sarasota Cty. (years)?
Salvation Army Sarasota - Profile (current vers.) ,IFNOTINTHEPICKLISTPLE    ,If other agency, please enter agency name:
Salvation Army Sarasota - Profile (current vers.) ,INCOMEEMPLOYMENT         ,INCOME/EMPLOYMENT
Salvation Army Sarasota - Profile (current vers.) ,ISCLIENTHOMELESS         ,Is Client Homeless?
Salvation Army Sarasota - Profile (current vers.) ,MARITALSTATUS_1          ,Marital Status
Salvation Army Sarasota - Profile (current vers.) ,MONTHLYEXPENSESEXTIMA    ,Monthly Expenses: Estimated and Actual
Salvation Army Sarasota - Profile (current vers.) ,MONTHLYINCOME            ,Monthly Income (non-Employment)
                                                  ,MONTHLYINCOMEEND         ,End Date
                                                  ,AMOUNTMONTHLYINCOME      ,Last 30 Day Income
                                                  ,LAST90DAYMONTHLYINCOME   ,Last 90 Day Income
                                                  ,SOURCEOFINCOME           ,Source of Income
                                                  ,MONTHLYINCOMESTART       ,Start Date
Salvation Army Sarasota - Profile (current vers.) ,NOTESABOUTCLIENTNEEDS    ,Notes about client needs:
Salvation Army Sarasota - Profile (current vers.) ,SVPPROFRACE              ,Primary Race
Salvation Army Sarasota - Profile (current vers.) ,REFERREDBY               ,Referred By Another Agency
Salvation Army Sarasota - Profile (current vers.) ,SVPPROFSECONDARYRACE     ,Secondary Race
Salvation Army Sarasota - Profile (current vers.) ,TYPEOFEXPENSE            ,Type of Expense
                                                  ,ACTUALEXPENSE            ,Actual Expense
                                                  ,TYPEOFEXPENSEEND         ,End Date
                                                  ,ESTIMATEDEXPENSE         ,Estimated Expense
                                                  ,MONTHLYEXPENSE_1         ,Monthly Expense Type
                                                  ,TYPEOFEXPENSESTART       ,Start Date
Salvation Army Sarasota - Profile (current vers.) ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
Salvation Army Sarasota - Profile (current vers.) ,VETERAN                  ,U.S. Military Veteran?
Salvation Army Sarasota - Profile (current vers.) ,UNEMPLOYED               ,Unemployed?
Salvation Army Sarasota - Profile (current vers.) ,WHATHAPPENEDTHATBROUG    ,What happened that brought you here today?
Salvation Army Sarasota - Profile (current vers.) ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
Salvation Army Sarasota - Profile (current vers.) ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
Salvation Army Sarasota - Profile (current vers.) ,ZIPCODE                  ,Zip Code:
Salvation Army Sarasota - Profile (prior version) ,AGENCYPICKLIST           ,Agency Referred By Picklist
Salvation Army Sarasota - Profile (prior version) ,SVPPROFDOB               ,Date of Birth
Salvation Army Sarasota - Profile (prior version) ,EMERGENCYCONTACTS        ,Emergency Contacts
                                                  ,CONTACTSADDRESS          ,Contact's Address
                                                  ,CONTACTSCITY             ,Contact's City
                                                  ,CONTACTSNAME             ,Contact's Name
                                                  ,CONTACTSSTATE            ,Contact's State
                                                  ,EMERGENCYCONTACTSEND     ,End Date
                                                  ,PHONENUMBER_2            ,Phone Number
                                                  ,RELATIONSHIPTOCLIENT     ,Relationship to Client
                                                  ,SECONDPHONENUMBER        ,Second Phone Number
                                                  ,EMERGENCYCONTACTSSTART   ,Start Date
Salvation Army Sarasota - Profile (prior version) ,SVPPROFETH               ,Ethnicity
Salvation Army Sarasota - Profile (prior version) ,SVPPROFGENDER            ,Gender
Salvation Army Sarasota - Profile (prior version) ,HOWLONGHAVEYOULIVEDIN_3  ,How long have you lived in Sarasota Cty. (years)?
Salvation Army Sarasota - Profile (prior version) ,IFNOTINTHEPICKLISTPLE    ,If other agency, please enter agency name:
Salvation Army Sarasota - Profile (prior version) ,MARITALSTATUS_1          ,Marital Status
Salvation Army Sarasota - Profile (prior version) ,NONCONFIDENTIALNOTES     ,Notes Section
Salvation Army Sarasota - Profile (prior version) ,SVPPROFRACE              ,Primary Race
Salvation Army Sarasota - Profile (prior version) ,REFERREDBY               ,Referred By Another Agency
Salvation Army Sarasota - Profile (prior version) ,LENGTHOFRESIDENCEINSA    ,Resident of Sarasota County? (pick one)
Salvation Army Sarasota - Profile (prior version) ,SVPPROFSECONDARYRACE     ,Secondary Race
Salvation Army Sarasota - Profile (prior version) ,VETERAN                  ,U.S. Military Veteran?
Salvation Army Sarasota - Profile (prior version) ,UNEMPLOYED               ,Unemployed?
Salvation Army Sarasota - Profile (prior version) ,WORKHISTORY              ,Work History
                                                  ,BIWEEKLYEARNINGS         ,Bi-weekly$
                                                  ,EMPLOYERSADDRESS         ,Employer's Address
                                                  ,EMPLOYERSCITY            ,Employer's City
                                                  ,EMPLOYERSFAX_1           ,Employer's FAX
                                                  ,EMPLOYERNAME             ,Employer's Name
                                                  ,EMPLOYERSPHONENUMBER     ,Employer's Phone Number
                                                  ,EMPLOYERSSTATE           ,Employer's State
                                                  ,EMPLOYERSZIP             ,Employer's ZIP
                                                  ,EMPLOYMENTSTATUS_1       ,Employment Status
                                                  ,WORKHISTORYEND           ,End Date
                                                  ,HOURLYWAGE               ,Hourly Wage
                                                  ,HOURSOFWORKPERWEEK       ,Hours of Work Per Week
                                                  ,REASONEMPLOYMENTENDED    ,If Ended, Reason
                                                  ,MONTHLY_2                ,Monthly$
                                                  ,RECEIVINGHEALTHINSURA    ,Receiving Health Insurance This Employer?
                                                  ,WORKHISTORYSTART         ,Start Date
                                                  ,SUPERVISORSNAME          ,Supervisor's Name
                                                  ,CATEGORYOFEMPLOYMENT     ,Type of Work
                                                  ,WEEKLYEARNINGS           ,Weekly Earnings$
Salvation Army Social Services Intake - Manatee   ,_12MONTHHOUSINGSTATUS    ,12 Month Housing Status Followup
Salvation Army Social Services Intake - Manatee   ,_3MONTHHOUSINGSTATUSF    ,3 Month Housing Status Followup
Salvation Army Social Services Intake - Manatee   ,_6MONTHHOUSINGSTATUSF    ,6 Month Housing Status Followup
Salvation Army Social Services Intake - Manatee   ,ADDRESSANDPOBOX          ,Address and PO Box
Salvation Army Social Services Intake - Manatee   ,AGENCYFORWORKFORCEINN    ,Agency for Workforce Innovation (Jobs Etc.)
Salvation Army Social Services Intake - Manatee   ,ASSISTANCEWITHCHILDCA    ,Assistance with Child Care
Salvation Army Social Services Intake - Manatee   ,CHECKPREVENTIONSERVIC    ,Check prevention services coordinated:
Salvation Army Social Services Intake - Manatee   ,CHRONICSUBSTANCEABUSE    ,Chronic Substance Abuse
Salvation Army Social Services Intake - Manatee   ,CITYOFRESIDENCE          ,City of Residence
Salvation Army Social Services Intake - Manatee   ,SVPPROFDOB               ,Date of Birth
Salvation Army Social Services Intake - Manatee   ,DCFEFAHPSERVICES         ,DCF EFAHP Services
Salvation Army Social Services Intake - Manatee   ,DOMESTICABUSEVIOLENCE    ,Domestic Abuse/Violence Services
Salvation Army Social Services Intake - Manatee   ,EDUCATIONTRAINING        ,Education/Training
Salvation Army Social Services Intake - Manatee   ,ELDERLY                  ,Elderly (Age 62 or over)
Salvation Army Social Services Intake - Manatee   ,ENTEROTHERPREVENTIONS    ,Enter Other prevention service description
Salvation Army Social Services Intake - Manatee   ,ENTERTOTALNUMBERINHOU    ,Enter total number in household w/following :
Salvation Army Social Services Intake - Manatee   ,SVPPROFETH               ,Ethnicity
Salvation Army Social Services Intake - Manatee   ,SVPPROFGENDER            ,Gender
Salvation Army Social Services Intake - Manatee   ,ISCLIENTHOMELESS         ,Is Client Homeless?
Salvation Army Social Services Intake - Manatee   ,MAINSTREAMBENEFITSASS    ,Mainstream Benefits Assistance
Salvation Army Social Services Intake - Manatee   ,MARITALSTATUS_1          ,Marital Status
Salvation Army Social Services Intake - Manatee   ,MEDICALASSISTANCE        ,Medical Assistance
Salvation Army Social Services Intake - Manatee   ,OTHERSPECIFYBELOW        ,Other (specify below)
Salvation Army Social Services Intake - Manatee   ,OTHERDISABILITY          ,Other Disability
Salvation Army Social Services Intake - Manatee   ,PERSONSWITHHIVAIDS       ,Persons with HIV/AIDS
Salvation Army Social Services Intake - Manatee   ,PHONENUMBER_1            ,Phone Number
Salvation Army Social Services Intake - Manatee   ,POVERTYLEVEL             ,Poverty Level
Salvation Army Social Services Intake - Manatee   ,SVPPROFRACE              ,Primary Race
Salvation Army Social Services Intake - Manatee   ,SVPPROFSECONDARYRACE     ,Secondary Race
Salvation Army Social Services Intake - Manatee   ,SEVERELYMENATALLYILL     ,Severely Mentally Ill
Salvation Army Social Services Intake - Manatee   ,SUBSTANCEABUSEMENTALH    ,Substance Abuse/Mental Health
Salvation Army Social Services Intake - Manatee   ,HUD_TOTALMONTHLYINCOME   ,Total Monthly Income
Salvation Army Social Services Intake - Manatee   ,VETERAN                  ,U.S. Military Veteran?
Salvation Army Social Services Intake - Manatee   ,VETERANS                 ,Veterans
Salvation Army Social Services Intake - Manatee   ,VICTIMSOFDOMESTICVIOL    ,Victims of Domestic Violence
Salvation Army Social Services Intake - Manatee   ,ZIPCODE                  ,Zip Code:
Second Chance - Profile                           ,ADDRESSANDPOBOX          ,Address and PO Box
Second Chance - Profile                           ,AREWEABLETOLEAVEYOUAM    ,Are we able to leave you a message?
Second Chance - Profile                           ,cityofbirth              ,City of Birth
Second Chance - Profile                           ,CLIENTPHONENUMBERS       ,Client Phone Numbers
                                                  ,TYPE_1                   ,# Type
                                                  ,CLIENTPHONENUMBERSEND    ,End Date
                                                  ,NOTES                    ,Notes
                                                  ,NUMBER_1                 ,Number
                                                  ,CLIENTPHONENUMBERSSTART  ,Start Date
Second Chance - Profile                           ,COUNTYOFRESIDENCE_1      ,County of Residence:
Second Chance - Profile                           ,SVPPROFDOB               ,Date of Birth
Second Chance - Profile                           ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
Second Chance - Profile                           ,DOYOUHAVEFAMILYLIVING    ,Do you have family living in this area?
Second Chance - Profile                           ,DOYOUSTAYINCONTACTWIT    ,Do you stay in contact with them?
Second Chance - Profile                           ,SVPPROFETH               ,Ethnicity
Second Chance - Profile                           ,SVPPROFGENDER            ,Gender
Second Chance - Profile                           ,HOWDIDYOUHEARABOUTOUR    ,How did you hear about our agency?
Second Chance - Profile                           ,HOWLONGHAVEYOULIVEDIN_2  ,How long have you lived in Manatee Cty. (years)?
Second Chance - Profile                           ,HOWLONGHAVEYOULIVEDIN_3  ,How long have you lived in Sarasota Cty. (years)?
Second Chance - Profile                           ,IFNOTINCONTACTWHY        ,If not in contact, why?
Second Chance - Profile                           ,ISCLIENTHOMELESS         ,Is Client Homeless?
Second Chance - Profile                           ,NONCONFIDENTIALNOTES     ,Notes Section
Second Chance - Profile                           ,SVPPROFRACE              ,Primary Race
Second Chance - Profile                           ,SVPPROFSECONDARYRACE     ,Secondary Race
Second Chance - Profile                           ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
Second Chance - Profile                           ,VETERAN                  ,U.S. Military Veteran?
Second Chance - Profile                           ,WHEREDOESYOURFAMILYLIVE  ,Where does your family live?
Second Chance - Profile                           ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
Second Chance - Profile                           ,ZIPCODE                  ,Zip Code:
Strengths-Manatee Glens                           ,ABLETOCONNECTTORESOURCES ,Able to Connect to Resources
Strengths-Manatee Glens                           ,ABLETOHANDLESTRESS       ,Able to Handle Stress
Strengths-Manatee Glens                           ,ACCEPTSAUTHORITY         ,Accepts Authority
Strengths-Manatee Glens                           ,ACCEPTSRESPONSIBILITY    ,Accepts Responsibility
Strengths-Manatee Glens                           ,ADEQUATEJOBSKILLS        ,Adequate Job Skills
Strengths-Manatee Glens                           ,ADEQUATEWORKEXPERIENCE   ,Adequate Work Experience
Strengths-Manatee Glens                           ,BUDGETINGSKILLS          ,Budgeting Skills
Strengths-Manatee Glens                           ,FAMILYSUPPORTSYSTEM      ,Family Support System
Strengths-Manatee Glens                           ,FRIENDSANDOTHERCOMMUN    ,Friends And Other Community Support
Strengths-Manatee Glens                           ,HASSECUREDCHILDCARE      ,Has Secured Child Care
Strengths-Manatee Glens                           ,HEALTHYNUTRITIONANDEX    ,Healthy Nutrition and Exercise
Strengths-Manatee Glens                           ,HOMEMAINTENANCE          ,Home Maintenance
Strengths-Manatee Glens                           ,HONEST                   ,Honest
Strengths-Manatee Glens                           ,LIFESKILLS               ,Life Skills
Strengths-Manatee Glens                           ,MAINTAINSAPPEARANCE      ,Maintains Appearance
Strengths-Manatee Glens                           ,MATHSKILLS               ,Math Skills
Strengths-Manatee Glens                           ,PARENTINGSKILLS          ,Parenting Skills
Strengths-Manatee Glens                           ,PERSONALSKILLS           ,Personal Skills
Strengths-Manatee Glens                           ,RELATESWELLTOOTHERS      ,Relates Well To Others
Strengths-Manatee Glens                           ,RELATIONSHIPSANDFAMIL    ,Relationships and Family Issues
Strengths-Manatee Glens                           ,RELIABLE                 ,Reliable
Strengths-Manatee Glens                           ,RISKFREELIFESTYLE        ,Risk-Free Lifestyle
Strengths-Manatee Glens                           ,SEEKSTOIMPROVESELF       ,Seeks To Improve Self
Strengths-Manatee Glens                           ,VERBALSKILLS             ,Verbal Skills
Substance Abuse                                   ,SUBSTANCEUSAGE           ,Addiction Information
                                                  ,SUBSTANCEUSAGEEND        ,End Date
                                                  ,FREQUENCYOFUSE           ,Frequency Of Use
                                                  ,METHOD_1                 ,Method
                                                  ,SUBSTANCEUSAGESTART      ,Start Date
                                                  ,TYPEOFSUBSTANCE          ,Type of Addiction
Substance Abuse                                   ,DOYOUGAMBLE              ,Do You Gamble?
Substance Abuse                                   ,DRUGTESTING              ,Drug Testing
                                                  ,DATEOFTEST               ,Date Of Test
                                                  ,DRUGTESTINGEND           ,End Date
                                                  ,RESULTS                  ,Results
                                                  ,DRUGTESTINGSTART         ,Start Date
Substance Abuse                                   ,EVERBEENTREATEDFORGAM    ,Ever Been Treated For Gambling?
Substance Abuse                                   ,EVERHADDTS               ,Ever Had DTs?
Substance Abuse                                   ,IFYESFAMILYADDICTIONI    ,Explain Family Addiction
Substance Abuse                                   ,EXPLAINPROBLEMSRELATE    ,Explain Problems
Substance Abuse                                   ,FAMILYHISTORYOFADDICTION ,Family History of Addiction?
Substance Abuse                                   ,GAMBLINGADDICTION        ,Gambling Addiction
Substance Abuse                                   ,HAVEYOUHADSEIZURESREL    ,Had Seizures Related to Use?
Substance Abuse                                   ,HAVEYOUHADBLACKOUTS      ,Have You Had Blackouts?
Substance Abuse                                   ,IFYESFREQUENCYOFGAMBLING ,If Yes, Gambling Frequency
Substance Abuse                                   ,IFYESGAMBLINGTREATMEN    ,If Yes, Gambling Treatment Information
Substance Abuse                                   ,STAFFSUSPECTSSUBSTANC    ,Staff Suspects Substance Abuse?
Substance Abuse                                   ,SUBSTANCEABUSETREATMENT  ,Substance Abuse Treatment
                                                  ,SUBSTANCEABUSETREATMEND  ,End Date
                                                  ,SUBSTANCEABUSETREATMS    ,Start Date
                                                  ,LOCATIONOFTHISSUBSTAN    ,Treatment Location
                                                  ,TREATMENTTYPE            ,Treatment Type
Substance Abuse                                   ,HASUSECAUSEDYOUPROBLEMS  ,Usage Caused You Problems?
Substance Abuse                                   ,USEALCOHOLORDRUGS        ,Use Alcohol or Drugs?
Substance Abuse-Manatee Glens                     ,SUBSTANCEUSAGE           ,Addiction Information
                                                  ,SUBSTANCEUSAGEEND        ,End Date
                                                  ,FREQUENCYOFUSE           ,Frequency Of Use
                                                  ,METHOD_1                 ,Method
                                                  ,SUBSTANCEUSAGESTART      ,Start Date
                                                  ,TYPEOFSUBSTANCE          ,Type of Addiction
Substance Abuse-Manatee Glens                     ,DOYOUGAMBLE              ,Do You Gamble?
Substance Abuse-Manatee Glens                     ,EVERBEENTREATEDFORGAM    ,Ever Been Treated For Gambling?
Substance Abuse-Manatee Glens                     ,IFYESFAMILYADDICTIONI    ,Explain Family Addiction
Substance Abuse-Manatee Glens                     ,EXPLAINPROBLEMSRELATE    ,Explain Problems
Substance Abuse-Manatee Glens                     ,FAMILYHISTORYOFADDICTION ,Family History of Addiction?
Substance Abuse-Manatee Glens                     ,HAVEYOUHADSEIZURESREL    ,Had Seizures Related to Use?
Substance Abuse-Manatee Glens                     ,HAVEYOUHADBLACKOUTS      ,Have You Had Blackouts?
Substance Abuse-Manatee Glens                     ,IFYESFREQUENCYOFGAMBLING ,If Yes, Gambling Frequency
Substance Abuse-Manatee Glens                     ,IFYESGAMBLINGTREATMEN    ,If Yes, Gambling Treatment Information
Substance Abuse-Manatee Glens                     ,STAFFSUSPECTSSUBSTANC    ,Staff Suspects Substance Abuse?
Substance Abuse-Manatee Glens                     ,SUBSTANCEABUSETREATMENT  ,Substance Abuse Treatment
                                                  ,SUBSTANCEABUSETREATMEND  ,End Date
                                                  ,SUBSTANCEABUSETREATMS    ,Start Date
                                                  ,LOCATIONOFTHISSUBSTAN    ,Treatment Location
                                                  ,TREATMENTTYPE            ,Treatment Type
Substance Abuse-Manatee Glens                     ,HASUSECAUSEDYOUPROBLEMS  ,Usage Caused You Problems?
Substance Abuse-Manatee Glens                     ,USEALCOHOLORDRUGS        ,Use Alcohol or Drugs?
Test Assessment                                   ,ADDRESS_2                ,Address
Test Assessment                                   ,COUNTY_1                 ,County
Test Assessment                                   ,DATEOFBIRTH              ,Date of Birth
Test Assessment                                   ,LEADCASEWORKERNAME       ,Lead Caseworker Name
Test Assessment                                   ,USCITIZEN_1              ,US Citizen
United Way 2-1-1 of Manasota, Inc.                ,ADDRESSANDPOBOX          ,Address and PO Box
United Way 2-1-1 of Manasota, Inc.                ,AGEINYEARSNOTDOB         ,Age (in years - not DOB)
United Way 2-1-1 of Manasota, Inc.                ,CALLERRECEIVEDBETTERK    ,Caller Received Better Knowledge?
United Way 2-1-1 of Manasota, Inc.                ,CALLERREFERREDTOAPPRO    ,Caller Referred to Appropriate Service?
United Way 2-1-1 of Manasota, Inc.                ,CASEWORKERISREFERREDT    ,Caseworker Is Referred to Appropriate Service?
United Way 2-1-1 of Manasota, Inc.                ,CITYOFRESIDENCE          ,City of Residence
United Way 2-1-1 of Manasota, Inc.                ,CLIENTPHONENUMBERS       ,Client Phone Numbers
                                                  ,TYPE_1                   ,# Type
                                                  ,CLIENTPHONENUMBERSEND    ,End Date
                                                  ,NOTES                    ,Notes
                                                  ,NUMBER_1                 ,Number
                                                  ,CLIENTPHONENUMBERSSTART  ,Start Date
United Way 2-1-1 of Manasota, Inc.                ,COUNTYOFRESIDENCE_1      ,County of Residence:
United Way 2-1-1 of Manasota, Inc.                ,SVPPROFDOB               ,Date of Birth
United Way 2-1-1 of Manasota, Inc.                ,SVPPROFETH               ,Ethnicity
United Way 2-1-1 of Manasota, Inc.                ,FOLLOWUP211              ,Follow Up
United Way 2-1-1 of Manasota, Inc.                ,FROMWHICHSTATEISEVACU_1  ,From which state is evacuee displaced?
United Way 2-1-1 of Manasota, Inc.                ,SVPPROFGENDER            ,Gender
United Way 2-1-1 of Manasota, Inc.                ,HASPERSONBEENDISPLACE    ,Has person been DISPLACED by a hurricane?
United Way 2-1-1 of Manasota, Inc.                ,HURRICANERELATEDCALL     ,Hurricane related call?
United Way 2-1-1 of Manasota, Inc.                ,IFYESSELECTHURRICANEN    ,If "YES", select hurricane name:
United Way 2-1-1 of Manasota, Inc.                ,ISCLIENTHOMELESS_1       ,Is client homeless?
United Way 2-1-1 of Manasota, Inc.                ,MEETSMANATEEDCFCRITERIA  ,Meets Manatee/DCF Criteria
United Way 2-1-1 of Manasota, Inc.                ,NONCONFIDENTIALNOTES     ,Notes Section
United Way 2-1-1 of Manasota, Inc.                ,NUMBERINHOUSEHOLD_2      ,Number in Household
United Way 2-1-1 of Manasota, Inc.                ,NUMBEROFMINORSINHOUSE    ,Number of Minors in Household
United Way 2-1-1 of Manasota, Inc.                ,OUTCOMESTRACKINGSECTI    ,Outcomes Tracking Section (Must Be Completed)
United Way 2-1-1 of Manasota, Inc.                ,PARTICIPANTSATISFIED     ,Participant Satisfied?
United Way 2-1-1 of Manasota, Inc.                ,PHONENUMBER_1            ,Phone Number
United Way 2-1-1 of Manasota, Inc.                ,SVPPROFRACE              ,Primary Race
United Way 2-1-1 of Manasota, Inc.                ,SVPPROFSECONDARYRACE     ,Secondary Race
United Way 2-1-1 of Manasota, Inc.                ,ZIPCODE                  ,Zip Code:
United Way of Sarasota County                     ,ADDRESS_2                ,Address
United Way of Sarasota County                     ,MEDICATION_1             ,Medication Overview
                                                  ,DOSAGE                   ,Dosage
                                                  ,DRUGTYPE_1               ,Drug Type
                                                  ,MEDICATION_1END          ,End Date
                                                  ,MEDICATION_6             ,Medication
                                                  ,MEDICATIONFREQUENCY      ,Medication Frequency
                                                  ,PHARMACHADDRESS          ,Pharmacy Address
                                                  ,PHARMACYNAME             ,Pharmacy Name
                                                  ,PHARMACYPHONENUMBER      ,Pharmacy Phone Number
                                                  ,PRESCRIBINGPHYSICIANP    ,Physician Phone Number
                                                  ,PRESCRIBINGPHYSICIAN     ,Prescribing Physician
                                                  ,RATIONALEFORMEDICATION   ,Rationale For Medication
                                                  ,ROUTEORMETHOD            ,Route or Method
                                                  ,MEDICATION_1START        ,Start Date
Volunteers of America                             ,AREYOURECEIVINGGOVTOR    ,Are you receiving govt. or private agency help?
Volunteers of America                             ,AXISIIDIAGNOSISMRPERS    ,Axis II Diagnosis: M.R. & Personality Disorders
                                                  ,AXISIIDESCRIPTION_1      ,Axis II Description
                                                  ,AXISIDIAGNOSIS_3         ,Axis II Diagnosis
                                                  ,AXISIIDIAGNOSIS_1        ,Axis II Diagnosis Code
                                                  ,AXISIIDIAGNOSISCOMMENTS  ,Axis II Diagnosis Comments
                                                  ,AXISIIDIAGNOSISMRPEREND  ,End Date
                                                  ,AXISIIDIAGNOSISMRPERS_1  ,Start Date
Volunteers of America                             ,AXISIIIGENERALMEDICAL    ,Axis III: General Medical Condition
                                                  ,AXISIIIDESCRIPTION       ,Axis III Description
                                                  ,AXISIIIDIAGNOSIS_1       ,Axis III Diagnosis
                                                  ,AXISIIIDIAGNOSIS         ,Axis III Diagnosis Code
                                                  ,AXISIIIDIAGNOSISCOMMENTS ,Axis III Diagnosis Comments
                                                  ,AXISIIIDIAGNOSISTEXT     ,Axis III Diagnosis Text
                                                  ,AXISIIIGENERALMEDICAEND  ,End Date
                                                  ,AXISIIIGENERALMEDICAS    ,Start Date
Volunteers of America                             ,cityofbirth              ,City of Birth
Volunteers of America                             ,SVPPROFDOB               ,Date of Birth
Volunteers of America                             ,HUD_DISABLINGCONDITION   ,Do you have a disability of long duration?
Volunteers of America                             ,DSMIVTRAXISI_1           ,DSM-IV-TR Axis I: Clinical Disorders
                                                  ,DESCRIBE_1               ,Axis I Description
                                                  ,AXISIDIAGNOSIS_2         ,Axis I Diagnosis
                                                  ,AXISIDIAGNOSISCODE       ,Axis I Diagnosis Code
                                                  ,AXISIDIAGNOSISCOMMENTS   ,Axis I Diagnosis Comments
                                                  ,DSMIVTRAXISI_1END        ,End Date
                                                  ,DSMIVTRAXISI_1START      ,Start Date
Volunteers of America                             ,SVPPROFETH               ,Ethnicity
Volunteers of America                             ,SVPPROFGENDER            ,Gender
Volunteers of America                             ,HAVEMEDICALCARECOVERAGE  ,Has Medical Insurance?
Volunteers of America                             ,HIGHESTLEVELOFEDUCATI    ,Highest Level of Education Attained
Volunteers of America                             ,IFYESPAROLEOFFICER       ,If Yes, Parole Officer
Volunteers of America                             ,IFYESWHATASSISTANCEDO    ,If yes, what assistance do you receive?
Volunteers of America                             ,ISCLIENTHOMELESS         ,Is Client Homeless?
Volunteers of America                             ,MARITALSTATUS_1          ,Marital Status
Volunteers of America                             ,MEANSOFTRANSPORTATION    ,Means of Transportation
Volunteers of America                             ,DOYOUHAVEMEDICALINSUR    ,Medical Insurance
                                                  ,C0PAYAMOUNT              ,Co-Pay Amount
                                                  ,DEDUCTIBLESATISFIED      ,Deductible Satisfied?
                                                  ,EMPLOYER_1               ,Employer
                                                  ,DOYOUHAVEMEDICALINSUEND  ,End Date
                                                  ,GROUP                    ,Group #
                                                  ,INSURANCECOMPANYCLAIM    ,Insurance Claims Address
                                                  ,INSURANCECLAIMSCITY      ,Insurance Claims City
                                                  ,INSURANCECOMPANYPHONE_1  ,Insurance Claims Phone No.
                                                  ,INSURANCECOMPANYSTATE_1  ,Insurance Claims State
                                                  ,INSURANCECOMPANYZIP_1    ,Insurance Claims Zip
                                                  ,INSURANCECOMPNAYADDRESS  ,Insurance Co. Address
                                                  ,INSURANCECOCITY          ,Insurance Co. City
                                                  ,INSURANCECOMPANYNAME     ,Insurance Co. Name
                                                  ,INSURANCECOMPANYPHONE    ,Insurance Co. Phone #
                                                  ,INSURANCECOMPANYSTATE    ,Insurance Co. State
                                                  ,INSURANCECOMPANYZIP      ,Insurance Co. Zipcode
                                                  ,INSUREDSFIRSTNAME        ,Insured's  Name
                                                  ,INSUREDSSOCIALSECURITY   ,Insured's Social Security #
                                                  ,POLICY                   ,Policy #
                                                  ,DOYOUHAVEMEDICALINSUS    ,Start Date
                                                  ,TYPEOFINSURANCE_1        ,Type of Insurance
                                                  ,YEARLYDEDUCTIBLE         ,Yearly Deductible
Volunteers of America                             ,MONTHLYINCOME            ,Monthly Income (non-Employment)
                                                  ,MONTHLYINCOMEEND         ,End Date
                                                  ,AMOUNTMONTHLYINCOME      ,Last 30 Day Income
                                                  ,LAST90DAYMONTHLYINCOME   ,Last 90 Day Income
                                                  ,SOURCEOFINCOME           ,Source of Income
                                                  ,MONTHLYINCOMESTART       ,Start Date
Volunteers of America                             ,ONPROBATION              ,On Probation?
Volunteers of America                             ,SVPPROFRACE              ,Primary Race
Volunteers of America                             ,REGISTEREDTOVOTE         ,Registered To Vote?
Volunteers of America                             ,SVPPROFSECONDARYRACE     ,Secondary Race
Volunteers of America                             ,STAFFSUSPECTSSUBSTANC    ,Staff Suspects Substance Abuse?
Volunteers of America                             ,TYPEOFLIVINGSITUATION    ,Type of Living Situation
Volunteers of America                             ,VETERAN                  ,U.S. Military Veteran?
Volunteers of America                             ,UNEMPLOYED               ,Unemployed?
Volunteers of America                             ,HASUSECAUSEDYOUPROBLEMS  ,Usage Caused You Problems?
Volunteers of America                             ,USEALCOHOLORDRUGS        ,Use Alcohol or Drugs?
Volunteers of America                             ,WHATISTHEAMOUNTAMONTH_1  ,What is the amount a month?
Volunteers of America                             ,HUD_ZIPCODELASTPERMADDR  ,Zip Code of Last Permanent Address
YMCA Child Homeless Information                   ,ACADEMIC                 ,Academic
YMCA Child Homeless Information                   ,ATTENDANCE               ,Attendance
YMCA Child Homeless Information                   ,BARRIERS                 ,BARRIERS
YMCA Child Homeless Information                   ,BEHAVIOREMOTIONAL        ,Behavior/Emotional
YMCA Child Homeless Information                   ,CASEWORKERNAME           ,Caseworker Name
YMCA Child Homeless Information                   ,DATEBECAMEHOMELESS       ,Date of Present Homelessness
YMCA Child Homeless Information                   ,FIRSTTIMEHOMELESS_1      ,Extent of Homelessness?
YMCA Child Homeless Information                   ,FOSTERCAREDCF            ,Foster Care/DCF
YMCA Child Homeless Information                   ,HIGHESTLEVELOFEDUCATI    ,Highest Level of Education Attained
YMCA Child Homeless Information                   ,HOMELESSINFORMATION      ,HOMELESS INFORMATION
YMCA Child Homeless Information                   ,PRIMARYREASONFORHOMLE    ,Homelessness Primary Reason
YMCA Child Homeless Information                   ,IFYESWORKERNAMEANDPHO    ,If yes, worker name and phone number
YMCA Child Homeless Information                   ,IMMUNIZATIONS_2          ,Immunizations
YMCA Child Homeless Information                   ,INSHELTER                ,In Shelter
YMCA Child Homeless Information                   ,LEADCASEWORKERNAME       ,Lead Caseworker Name
YMCA Child Homeless Information                   ,OTHERSPECIALNEEDS        ,List Special Needs
YMCA Child Homeless Information                   ,MEDICAID_1               ,Medicaid
YMCA Child Homeless Information                   ,MEDICAIDNUMBERS          ,Medicaid Numbers
YMCA Child Homeless Information                   ,NOTENROLLED              ,Not Enrolled
YMCA Child Homeless Information                   ,NUTRITION                ,Nutrition
YMCA Child Homeless Information                   ,OTHER_2                  ,Other
YMCA Child Homeless Information                   ,OTHERNEEDS_1             ,Other Needs
YMCA Child Homeless Information                   ,SCHOOLCLOTHING           ,School Clothing
YMCA Child Homeless Information                   ,SCHOOLSUPPLIES           ,School Supplies
YMCA Child Homeless Information                   ,SERVICESCASEWORKERSIN    ,Services/Caseworkers in Place at Opening
YMCA Child Homeless Information                   ,SHELTERNAMEIFPRESENTL    ,Shelter Name If In a Shelter
YMCA Child Homeless Information                   ,TRANSPORTATION_1         ,Transportation
YMCA Client Information                           ,ADDRESS2                 ,Address #2 & Phone Number
YMCA Client Information                           ,ADDRESS3PHONENUMBER      ,Address #3 & Phone Number
YMCA Client Information                           ,ADDRESSANDPOBOX          ,Address and PO Box
YMCA Client Information                           ,CONTACTSPHONE            ,Contacts/Phone
YMCA Client Information                           ,CONTACTSPHONE_1          ,Contacts/Phone
YMCA Client Information                           ,CURRENTSAVINGS_1         ,Current Savings
YMCA Client Information                           ,SVPPROFDOB               ,Date of Birth
YMCA Client Information                           ,SVPPROFGENDER            ,Gender
YMCA Client Information                           ,GUARDIANADDRESSPHONEN    ,Guardian Address & Phone Number
YMCA Client Information                           ,GUARDIANORCAREGIVER      ,Guardian or Caregiver
YMCA Client Information                           ,INCOMESOURCEAMOUNT       ,Income Source & Amount
YMCA Client Information                           ,INCOMEEMPLOYMENT         ,INCOME/EMPLOYMENT
YMCA Client Information                           ,ISCLIENTHOMELESS         ,Is Client Homeless?
YMCA Client Information                           ,MEDICAIDNUMBERS          ,Medicaid Numbers
YMCA Client Information                           ,OTHER_1                  ,Other
YMCA Client Information                           ,OTHERADDRESSPHONENUMBER  ,Other Address & Phone Number
YMCA Client Information                           ,PARENTS                  ,Parents
YMCA Client Information                           ,PARENTSEDUCATIONLEVEL    ,Parents Education Level
YMCA Client Information                           ,PHONENUMBER_1            ,Phone Number
YMCA Client Information                           ,SVPPROFRACE              ,Primary Race
YMCA Client Information                           ,SCHOOLNAME               ,School Name
YMCA Client Information                           ,SECONDINCOMESOURCEAMOUNT ,Second Income Source & Amount
YMCA Client Information                           ,SVPPROFSECONDARYRACE     ,Secondary Race
YMCA Client Information                           ,WEEKLYNETINCOME_1        ,Weekly Net Income
YMCA Client Information                           ,WORKPHONENUMBER          ,Work Phone Number
-->
    <xsd:include schemaLocation="sp_attrib_groups.xsd"/>
    <xsd:include schemaLocation="sp_service_provider.xsd"/>
    <xsd:complexType name="dynamicContentType">
        <xsd:choice maxOccurs="unbounded" minOccurs="0">
            <xsd:element name="_12monthhousingstatus">
                <!--12 Month Housing Status Followup - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HOUSINGFOLLOWUPPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="_3monthhousingstatusf">
                <!--3 Month Housing Status Followup - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HOUSINGFOLLOWUPPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="_6monthhousingstatusf">
                <!--6 Month Housing Status Followup - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HOUSINGFOLLOWUPPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="abletoconnecttoresources">
                <!--Able to Connect to Resources - Select the present level of ability to obtain and use community resources-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="abletohandlestress">
                <!--Able to Handle Stress - Select level of ability to handle stress and problem solve-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="abuserage">
                <!--Abuser Age: - type a # (years of age)-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max150Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="abuserethnicity">
                <!--Abuser Ethnicity: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ETHNICITYPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="abuserhaircolor">
                <!--Abuser Hair Color: - type text-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max20Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="abuserheight">
                <!--Abuser Height: - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max5Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="abusername">
                <!--Abuser Name: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="abuserrace">
                <!--Abuser Race: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="RACEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="abusersidentifyingfea">
                <!--Abuser's Identifying Features: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="abuserslastknownwhere">
                <!--Abuser's Last Known Whereabouts: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="abuserweight">
                <!--Abuser Weight: - type text or numbers-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max10Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="academic">
                <!--Academic - Are academic accomplishments a barrier-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="acceptsauthority">
                <!--Accepts Authority - Select the present level of ability to accept authority-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="acceptsresponsibility">
                <!--Accepts Responsibility - Note level that the person shows ability to accept responsibility for his/her behavior-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="accesshealthcarechild">
                <!--Access Health Care (Children) - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ACCESHEALTHCHILDSALVARMYMANPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="accesstoheathcareadult">
                <!--Access to Heath Care (Adult): - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ACCESSHEALTHADULTSALVARMYMANPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="accountnumber">
                <!--Account Number - Client's account number-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max11Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="activemilitary">
                <!--Active Military? - Select Yes if person is presently serving in the U.S. military-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="address_1">
                <!--Client's Residence - Information on person's current residence if living in a house or apartment-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="streetaddress">
                            <!--Client's Street Address - Enter a street address if client is presently living in a house or apartment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="clientsapartmentnumber">
                            <!--Client's Apartment Number - Apartment number, if any, for person's current residence-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max20Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="clientszip_1">
                            <!--Client's Zip - Enter zipcode for client's residence-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max50Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="clientscity">
                            <!--Client's City - Select the City of the client's residence-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="CITYPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="clientsstate">
                            <!--Client's State - Select the state of the client's residence-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="STATEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="homephonenumber_1">
                            <!--Home Phone Number - Enter the home phone number for this client-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:token">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="reasonforleavingthisr">
                            <!--Reason for Leaving this Residence - Select the reason that the person moved from this housing-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="REASONLEAVINGRESPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="address_1start">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="address_1end">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="nameoflandlord">
                            <!--Landlord's Name - Enter the name of the landlord for this residence.-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max35Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="addressoflandlord">
                            <!--Landlord's Address - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max35Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="landlordcity">
                            <!--Landlord's City - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="landlordstate">
                            <!--Landlord's State - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="STATEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="landlordphone">
                            <!--Landlord's Phone - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max15Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="countyofresidence">
                            <!--County of Residence - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="COUNTYPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="residencestreetname">
                            <!--Residence Street Name - Enter the name of the Street of the clients residence-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="cellphone">
                            <!--Cell Phone# - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max14Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 61-->
            </xsd:element>
            <xsd:element name="address_2">
                <!--Address - The address where you reside-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:token">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="address2">
                <!--Address #2 & Phone Number - Second address and phone number of childs parents-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="address3phonenumber">
                <!--Address #3 & Phone Number - Third address & phone number of childs parents-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="addressandpobox">
                <!--Address and PO Box - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="adequatejobskills">
                <!--Adequate Job Skills - Note the level of job skills as compared to the need of such to obtain employment-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="adequateworkexperience">
                <!--Adequate Work Experience - Note the level of work experience and/or training as compared to the need of such to obtain employment-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="adulteducation">
                <!--Adult Education - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ADULTEDUSALVARMYMANPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="adultinterventionnotes">
                <!--Adult Intervention Recommendations/Notes - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="adultsinhousehold">
                <!--Adults in Household - List the number of persons 18 years of age and older who are living in this person's household including this person-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min1_max20Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="affectivefunctioning">
                <!--Affective Functioning - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="affectivefunctionings">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="affectivefunctioningend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="appropriate">
                            <!--Appropriate - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="depressed">
                            <!--Depressed - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="irritableanxious">
                            <!--Irritable/Anxious - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="angryaggressive">
                            <!--Angry/Aggressive - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ambivalent">
                            <!--Ambivalent - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="agitatedlabile">
                            <!--Agitated/Labile - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 963-->
            </xsd:element>
            <xsd:element name="ageinyearsnotdob">
                <!--Age (in years - not DOB) - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max150Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="agencyforworkforceinn">
                <!--Agency for Workforce Innovation (Jobs Etc.) - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="agencyhospitalothername">
                <!--Agency/Hospital/Other Name: - If you selected agency, hospital, or other, please type the organization's name in the box.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max30Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="agencypicklist">
                <!--Agency Referred By Picklist - Select one from the list.  If it's not on the list, enter in the text box below.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="REFERREDBYPICKLISTSALVARMYPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="agencyreferredby">
                <!--Agency Referred By: - Please select from this picklist.  If an agency or hospital or other, put the agency/hospital or other name in the second box below.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="REFERREDBYPICKLISTBETHESDAPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="agencyreferredby_1">
                <!--Agency Referred By: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="REFERREDBYCCVPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="agencyreferringtosalv">
                <!--Agency referring to Salvation Army - Manatee: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SALVARMYREFERREDBYPICKLISTPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="agingissues">
                <!--Aging Issues - Explain any mental health issues related to the person aging-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="aidsdiagnosis">
                <!--AIDS Diagnosis? - Select Yes if this person has received a medical diagnosis of AIDS-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="alchohol">
                <!--Alchohol - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="alchoholstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="alchoholend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ageof1stuse">
                            <!--Age of 1st use - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min0_max150Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dateoflastuse">
                            <!--Date of last use - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="frequency_1">
                            <!--Frequency - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="amount_1">
                            <!--Amount - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1079-->
            </xsd:element>
            <xsd:element name="alias">
                <!--Alias - Enter an alias name or nickname used by the person-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max60Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="aliennumber_1">
                <!--Resident Alien Number - Enter the alien number assigned to this person-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max35Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="allergies">
                <!--Medication Allergies? - Select Yes if person is allergic to any medications-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="allergies_1">
                <!--Allergies: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="allergies_2">
                <!--Allergies: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="amphetamines">
                <!--Amphetamines - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="amphetaminesstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="amphetaminesend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ageof1stuse_6">
                            <!--Age of 1st use - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min0_max150Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dateoflastuse_4">
                            <!--Date of last use - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="frequency_6">
                            <!--Frequency - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="amount_6">
                            <!--Amount - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1114-->
            </xsd:element>
            <xsd:element name="angeltreenumber">
                <!--Angel Tree Number - The number assigned to the individual for Christmas Assistance-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max10Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="anydisabilities">
                <!--Any Disabilities? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="appearsstatesbeingdep">
                <!--Appears/States Being Depressed - Select Yes if person either states being depressed, or is observed to be possibly depressed-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="areweabletoleaveyouam">
                <!--Are we able to leave you a message? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="areyouarenterorahomeo">
                <!--Are you a renter or a homeowner? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="RENTORHOMEOWNERPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="areyoucurrentlyresidi">
                <!--Are you currently residing in public housing? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="areyoureceivingchilds">
                <!--Are you receiving child support? - please select yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="areyoureceivinggovtor">
                <!--Are you receiving govt. or private agency help? - please select yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="arrestrecord">
                <!--Arrest Record - Add one arrest record for each arrest-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="arrestcharge">
                            <!--Arrest Charge - Add a charge for this arrest-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dateofarrest">
                            <!--Date of Arrest - Enter the date of arrest-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="convicted">
                            <!--Convicted? - Select Yes if person has been convicted of the crime mentioned-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="servedtime">
                            <!--Served Time? - Select Yes if person has served jail or prison time for this offense-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="prisonjailwheretimese">
                            <!--Prison or Jail - Name the prison or jail where person served time-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="arrestrecordstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="arrestrecordend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 189-->
            </xsd:element>
            <xsd:element name="asamrequirements">
                <!--ASAM Requirements - Select "yes" or "no" to indicate validation or lack of validation for placement into this level of care.  Must meet one of the Dimensions 4,5, or 6 and any identifiable problems in Dimensions 1,2, or 3 that are stable or being addressed through appropriate outpatient medical or mental health services.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="assistancewithchildca">
                <!--Assistance with Child Care - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="attendance">
                <!--Attendance - Is the childs attendance a barrier-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="axisiidiagnosismrpers">
                <!--Axis II Diagnosis: M.R. & Personality Disorders - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisiidiagnosis_1">
                            <!--Axis II Diagnosis Code - Select the Mental Retardation or Personality Disorder diagnostic code-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:token">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisiidescription_1">
                            <!--Axis II Description - The descriptive name for the Axis II diagnosis-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:token">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisiidiagnosiscomments">
                            <!--Axis II Diagnosis Comments - -->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:string">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisiidiagnosismrpers_1">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisiidiagnosismrperend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisidiagnosis_3">
                            <!--Axis II Diagnosis - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="serviceCodeType">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 586-->
            </xsd:element>
            <xsd:element name="axisiiigeneralmedical">
                <!--Axis III: General Medical Condition - Select the medical conditions indicated for this client-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisiiidiagnosis">
                            <!--Axis III Diagnosis Code - Select a medical condition for the list-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max35Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisiiidescription">
                            <!--Axis III Description - Select the name for the medical condition-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max50Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisiiidiagnosiscomments">
                            <!--Axis III Diagnosis Comments - Enter any specific information regrading this medical diagnosis-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:string">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisiiigeneralmedicas">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisiiigeneralmedicaend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisiiidiagnosis_1">
                            <!--Axis III Diagnosis - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="serviceCodeType">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisiiidiagnosistext">
                            <!--Axis III Diagnosis Text - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:token">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 590-->
            </xsd:element>
            <xsd:element name="axisivpsychosocialpro">
                <!--Axis IV: Psychosocial Problems - -->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisivproblem">
                            <!--Axis IV Problem - Select the problem from the list that defines the type of problems-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="DSMPSYCHOSOCIALPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisivspecifics">
                            <!--Axis IV Specifics - Describe the problem related to the selected type-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:string">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisivpsychosocialprs">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisivpsychosocialprend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 595-->
            </xsd:element>
            <xsd:element name="axisvgafscore_1">
                <!--Axis V: GAF Score - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="gafscore">
                            <!--GAF Score - Select the current Global Assessment of Funcitioning score-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min1_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisvgafscore_1start">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisvgafscore_1end">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 598-->
            </xsd:element>
            <xsd:element name="beenaskedtoleavehome">
                <!--Been Asked To Leave Home? - Select Yes if caregiver has indicated that the child is not wanted in the home-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="behavioremotional">
                <!--Behavior/Emotional - Is the childs behavior or emotional state a barrier-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="believesdrugalcoholab">
                <!--Believes drug/alcohol abuse is harmful to health - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="budgetingskills">
                <!--Budgeting Skills - Select level of ability to set up a budget, to live within the budget, and to pay bills in a timely manner-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="callerreceivedbetterk">
                <!--Caller Received Better Knowledge? - Please select yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="callerreferredtoappro">
                <!--Caller Referred to Appropriate Service? - Please select yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="callrelatedtohurrican">
                <!--Person Displaced By Hurricane Katrina? - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="callsearchcritarea">
                <!--Caller Area - Enter caller's area that will auto populate Area field in Search Criteria for a mass referral provider search-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="AREAPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="callsearchcritstate">
                <!--Caller State - Enter caller's state that will auto populate State field in Search Criteria for a mass referral provider search-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="STATEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="callsearchcritzip">
                <!--Caller ZIP - Enter caller's zipcode that will auto populate ZIP field in Search Criteria for a mass referral provider search-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max5Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="caregiveraparent">
                <!--Caregiver a Parent? - Enter Yes if the adult providing care for this child is the child's legal parent-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="caseworkerisreferredt">
                <!--Caseworker Is Referred to Appropriate Service? - Please select yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="caseworkername">
                <!--Caseworker Name - Name of caseworker assigned to client-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max30Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="caseworkerphonenumber">
                <!--Caseworker Phone Number - Telephone number where caseworker can be reached-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max20Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="childage">
                <!--0-5 - Ages for kids in the household-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="AGESPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="childageii">
                <!--6-13 - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="AGESPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="childageiii">
                <!--14-17 - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="AGESPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="childageiv">
                <!--greater than 18 - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="AGESPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="childcare_1">
                <!--Childcare - select one-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="CHILDCAREPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="childcarecostperweek">
                <!--Child care cost per week: - please enter the estimated dollar amount of child care per week (whole dollar amounts).-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddDbl_min0_max9999Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="childhoodandadolescense">
                <!--Childhood and Adolescence - Explain this person's significant  experiences during childhood and adolescence-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="childreninhousehold">
                <!--Children in Household - List the number of persons under 18 years of age living in this client's household-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max30Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="chronicsubstanceabuse">
                <!--Chronic Substance Abuse - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="city_211">
                <!--Caller City - Enter caller's city that will auto populate City field in Search Criteria for a mass referral provider search.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="CITYPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="cityofbirth">
                <!--City of Birth - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="cityofbirth_1">
                <!--City of Birth - Note the city where this person was born-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="cityofbirth_3">
                <!--City of Birth - Please type the city name in the text box.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="cityofresidence">
                <!--City of Residence - please select from drop-down list-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="CITYPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="clienthasbeenofferedc">
                <!--Client has been offered counseling at HOPE? - select yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="clientheight">
                <!--Client Height: - please type in the height in feet (') and inches (")-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max20Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="clientisanagricutlura">
                <!--Client is an agricultural worker? - select yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="clientnotes">
                <!--Client Notes: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="clientphonenumbers">
                <!--Client Phone Numbers - please add new rows for each phone number the client may have-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="clientphonenumbersstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="clientphonenumbersend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="type_1">
                            <!--# Type - pick one from the list-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="PHONENUMBERTYPEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="number_1">
                            <!--Number - enter number here.  you can have dashes, parenthesis, extensions: anything.-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max25Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="notes">
                            <!--Notes - add any notes, for example, when it is appropriate to call this phone number-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max50Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 984-->
            </xsd:element>
            <xsd:element name="clienttype">
                <!--Client Type: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="CCVCLIENTTYPE9902PickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="clientweightlbs">
                <!--Client Weight: (lbs.) - enter an integer for the number of pounds-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max999Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="cocaine">
                <!--Cocaine - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="cocainestart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="cocaineend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ageof1stuse_3">
                            <!--Age of 1st use - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min0_max150Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ageof1stuse_4">
                            <!--Date of last use - -->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="frequency_4">
                            <!--Frequency - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="amount_4">
                            <!--Amount - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1100-->
            </xsd:element>
            <xsd:element name="cognitivefunctioning">
                <!--Cognitive Functioning - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="cognitivefunctionings">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="cognitivefunctioningend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="povertyofthought">
                            <!--Poverty of Thought - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="poorinsightjudgement">
                            <!--Poor Insight/Judgement - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="delusionshallucinations">
                            <!--Delusions/Hallucinations - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="pressuredspeechthought">
                            <!--Pressured Speech/Thought - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="looseassociations">
                            <!--Loose Associations - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="flightsofideas">
                            <!--Flights of Ideas - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 972-->
            </xsd:element>
            <xsd:element name="comments_6">
                <!--Comments - Comments-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="comments_7">
                <!--Comments - treatment comments-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="commentsonmse">
                <!--Comments on MSE: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="commentsrelatedtoeduc">
                <!--Comments Related to Education - Note any information relevant to this person's education history-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="completeddtap">
                <!--Completed DTaP - Enter the date of completion of the DTaP immunization-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="completedhaemophilusi">
                <!--Haemophilus Influenzae Type b - Enter the date for completion of the Haemophilus Influenzae Type b services-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="completedhepatitisa">
                <!--Completed Hepatitis A - Enter the date of completion of the required shots for Hepatitis A-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="completedhepatitisb">
                <!--Completed Hepatitis B - Enter the date for the completion of the Hepatitis B vaccine-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="completedinactivatedp">
                <!--Completed Inactivated Polio(IPV) - Enter the date of completion of the IPV immunization-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="contactsphone">
                <!--Contacts/Phone - Name and phone number of contact-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max40Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="contactsphone_1">
                <!--Contacts/Phone - Name and phone number of contact-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max40Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="convictedsexoffneder">
                <!--Convicted Sex Offender? - Select Yes if person was convicted of a sex offense-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="countryofbirth_1">
                <!--Country of Birth - List the country where this person was born-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max60Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="county_1">
                <!--County - Which county are you located in?-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="MANATEESARASOTAPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="county_211">
                <!--Caller County - Enter caller's county/parish that will auto populate County/Parish field in Search Criteria for a mass referral provider search.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="COUNTYPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="countyoforiginintotheus">
                <!--County of Origin Into the US - List the country from which this person entered into the United States as an immigrant-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max60Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="countyofresidence_1">
                <!--County of Residence: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="COUNTYPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="currentindividualeduc">
                <!--Current Individual Education  Program? - Select Yes if child has an active IEP plan at the school he/she if presently attending-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="currentlyinaselfsuffi">
                <!--Currently in a self-sufficiency program? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="currentmedicationspsy">
                <!--Current Medications (psychiatric and other): - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="currentsavings_1">
                <!--Current Savings - Total amount of current savings-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddDbl_min0_max1000000Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="currentwarrantissued">
                <!--Current Warrant Issued? - Select Yes if there is a current warrant out for this person-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="datebecamehomeless">
                <!--Date of Present Homelessness - Enter the date that this person began this episode of homelessness-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dateofaidsdiagnosis">
                <!--Date Of AIDS Diagnosis - Enter the date of when diagnosis of AIDS was established-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dateofarrivalintous">
                <!--Date of Arrival Into U.S. - Enter the date that the immigrant arrived into the United States-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dateofbirth">
                <!--Date of Birth - The month, day and year of birth using the format XX/XX/XXXX.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dateofbirth_1">
                <!--Date of Birth - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dateoffollowup">
                <!--Date of Follow-Up - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dateofmostrecententra">
                <!--Date of most recent entrance to USA: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="datetodaysdate">
                <!--Date(today's date) - Today's Date-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dcfefahpservices">
                <!--DCF EFAHP Services - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dentalproblems">
                <!--Dental Problems - -->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="typeofproblem">
                            <!--Type Of Problem - Explain the dental problems of this person-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dentalcarereceived">
                            <!--Dental Care Received? - Select Yes if dental care has been received for this problem-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="problemduration_1">
                            <!--Problem Duration - Select the length of time this problem has persisted-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="PROBLEMDURATIONPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dentalproblemsstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dentalproblemsend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 463-->
            </xsd:element>
            <xsd:element name="dependentsofthisclient">
                <!--Dependents of This Client - List the number of persons who are considered this person's dependents-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min1_max20Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="depressionhistory">
                <!--Depression History - Explain the person's history of depression-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="describeheadtrauma">
                <!--Describe Head Trauma - If head trauma noted, describe the type and timeframe for the head trauma -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="destination">
                <!--Destination: - enter text to describe where client is going to stay in the near future-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max80Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="diagnosticimpression">
                <!--Diagnostic Impression - Select category that best describes client's diagnosis.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="FETCDIAGNOSTICIMPRESSIONPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="diagnosticimpression_2">
                <!--Diagnostic Impression - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="COASTALDIAGNOSTICIMPRESSIONPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="didchildreceiveschool">
                <!--Did child receive school uniform? - Indicate yes or no if child received a school uniform-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="didclientreceivemedic">
                <!--Did Client receive medication through IPMS? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dim1acuteintoxicatnan">
                <!--Dim 1: Acute Intoxicatn and/or Withdw'l Potential - The client's status in this dimension is characterized by one of the following:
a. Client is free from intoxication or withdrawal symptoms/risks; or
b. The client's intoxication or withdrawal symptoms/risks can be managed at this level of care.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dim2biomedicalconditi">
                <!--Dim 2: Biomedical Conditions and Complications - None or very stable - Any biomedical conditions are stable or are being actively addressed and will not interfere with interventions at this level of care.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dim3emotnlbehavrlorco">
                <!--Dim 3: Emotn'l, Behavr'l, or Cognitive Conditions - None or very stable - Any emotional, behavioral, or cognitive conditions or complications are being addressed through appropriate mental health services and will not interfere with interventions at this level of service.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dim4readinesstochange">
                <!--Dim 4: Readiness to Change - Willing to understand how current use may affect personal goals - The cliet expresses a willingness to gain an understanding of how his/her current use of alcohol and/or other drugs may interfere with meeting responsibilities and achieving personal goals.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dim5relapsecontinuedu">
                <!--Dim 5: Relapse/Continued Use Potential - Needs understanding of, or skills to change current use patterns.  The situation is characterized by one of the following:
a. The client does not understand the need to alter the current pattern of use of substances to prevent further harm related to such use; or
b. The client needs to acquire the specific skills needed to change his/her current pattern of use.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dim6recoveryenvironment">
                <!--Dim 6: Recovery Environment - Social support system or significant others increase risk for personal conflict about alchol/drug use.  The client's living environment is characterized by one of the following:
a. The social support system is composed primarily of individuals whose substance use patterns prevent them from meeting social, work, school, or family obligations; or
b.Family members currently are abusing substances, increasing the client's risk for substance related disorder; or
c. Significant others express values concerning alcohol or other drug use that create significant conflict for the client; or
d. Significant others condone or encourage inappropriate use of alcohol or other drugs.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="disabilities_1">
                <!--Disabilities - -->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="disabilitytype">
                            <!--Disability Type - Select any disabilities of this person-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="DISABILITYTYPESPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="disabilities_1start">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="disabilities_1end">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="noteondisability">
                            <!--Note on Disability - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:string">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="numberwithdisabilities">
                            <!--Number with Disabilities? - Enter number-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max5Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_disabilitylongterm">
                            <!--Above condition is going to be long term? - Select yes if it is expected to be of longcontinued and indefinite duration and substantially impedes a client's ability to live independently-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 417-->
            </xsd:element>
            <xsd:element name="disabled">
                <!--Disabled? - select one-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dischargedate">
                <!--Military Discharge Date - Enter the date this person was discharged from the U.S. military-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="dischargelocation">
                <!--Discharge Location - Name the location where the person was discharged from-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max100Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="documentedmentalillne">
                <!--Documented Mental Illness - Select from the list the type of mental illness attributed to this person by a clinical provider-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="MENTALILLNESSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="domesticabuseviolence">
                <!--Domestic Abuse/Violence Services - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="domesticviolence_1">
                <!--Domestic Violence? - select one-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="domesticviolenceoffender">
                <!--Domestic Violence Offender? - Select Yes if person is a domestic violence offender-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="domesticviolencevictim">
                <!--Domestic Violence Victim? - Select Yes if this person is a victim of domestic violence-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="doyougamble">
                <!--Do You Gamble? - Select Yes if the person gambles-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="doyouhavefamilyliving">
                <!--Do you have family living in this area? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="doyouhavehomeownersor">
                <!--Do you have homeowner's or renter's insurance? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="YNNAPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="doyouhavemedicalinsur">
                <!--Medical Insurance - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="group">
                            <!--Group # - Group # of medical insurance coverage-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max45Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="policy">
                            <!--Policy # - Policy # of this client's medical insurance-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max45Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="c0payamount">
                            <!--Co-Pay Amount - If HMO or PPO list co-pay amount required for physician visit-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddDbl_min0Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="yearlydeductible">
                            <!--Yearly Deductible - Annual deductible for this health insurance if any-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddDbl_min0Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="deductiblesatisfied">
                            <!--Deductible Satisfied? - If person has insurance deductible, select Yes if the deductible is satisfied-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="insuredsfirstname">
                            <!--Insured's  Name - Enter name of the policy holder for this patient's medical insurance coverage-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max50Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="insuredssocialsecurity">
                            <!--Insured's Social Security # - Social Security number for the person who is responsible for the health insurance-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max40Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="employer_1">
                            <!--Employer - Name of employer providing health insurance coverage-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="insurancecompanyname">
                            <!--Insurance Co. Name - Name of Company providing medical insurance coverage to this person-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="insurancecompnayaddress">
                            <!--Insurance Co. Address - Address of company providing medical coverage to this person-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="insurancecompanystate">
                            <!--Insurance Co. State - State where the insurance company is located-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="STATEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="insurancecompanyzip">
                            <!--Insurance Co. Zipcode - Zipcode for the insurance company-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max20Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="insurancecompanyphone">
                            <!--Insurance Co. Phone # - Phone number for insurance company-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max35Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="insurancecompanyclaim">
                            <!--Insurance Claims Address - Insurance Company street address for mailing claims-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="insurancecompanystate_1">
                            <!--Insurance Claims State - Insurance Company state location-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="STATEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="insurancecompanyzip_1">
                            <!--Insurance Claims Zip - Enter zip code for the location of the claims office for this insurance company-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max20Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="insurancecompanyphone_1">
                            <!--Insurance Claims Phone No. - List phone number for insurance company claims office-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max35Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="typeofinsurance_1">
                            <!--Type of Insurance - Select the type of medical insurance covering this person's medical care-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="MEDICALINSURANCEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="insurancecocity">
                            <!--Insurance Co. City - Enter the City where the Insurance Company is located-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max50Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="insuranceclaimscity">
                            <!--Insurance Claims City - Enter the city where the Insurance Claims Office is located-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max50Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="doyouhavemedicalinsus">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="doyouhavemedicalinsuend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 64-->
            </xsd:element>
            <xsd:element name="doyouneedmedicationsb">
                <!--Do you need medications, but not taking them now? - please select either yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="doyoustayincontactwit">
                <!--Do you stay in contact with them? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="driverslicensenumber">
                <!--Driver's License Number - Enter the person's driver's license number or photo ID number.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max35Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="drugtesting">
                <!--Drug Testing - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dateoftest">
                            <!--Date Of Test - Enter the date of drug testing-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="results">
                            <!--Results - Explain the results of this drug screening-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max60Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="drugtestingstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="drugtestingend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 298-->
            </xsd:element>
            <xsd:element name="dsmivtraxisi_1">
                <!--DSM-IV-TR Axis I: Clinical Disorders - -->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="describe_1">
                            <!--Axis I Description - Descriptive name of Axis I disorder-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisidiagnosiscomments">
                            <!--Axis I Diagnosis Comments - Explain any important information regarding this Axis I diagnosis-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:string">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisidiagnosiscode">
                            <!--Axis I Diagnosis Code - Select an Axis I clinical diagnosis code-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:token">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dsmivtraxisi_1start">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dsmivtraxisi_1end">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="axisidiagnosis_2">
                            <!--Axis I Diagnosis - Code/Description of Axis I diagnosis-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="serviceCodeType">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 394-->
            </xsd:element>
            <xsd:element name="dtshallucinationparanoia">
                <!--D.T.'s [Hallucination, paranoia] - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="economicemploymentfac">
                <!--Economic/Employment Factors: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="educationtraining">
                <!--Education/Training - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="elderly">
                <!--Elderly (Age 62 or over) - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:integer">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="eligibleforwic">
                <!--Eligible For WIC? - Select Yes if this person is eligible for Federal Women's, Infants, and Children's benefits-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="emailaddress">
                <!--Email Address - Email address of the client-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="emergencycontacts">
                <!--Emergency Contacts - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="contactsname">
                            <!--Contact's Name - Enter name of family member or friend that could be contacted in case of an emergency.-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max50Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="contactsaddress">
                            <!--Contact's Address - Enter the street address for this contact.-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max50Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="contactscity">
                            <!--Contact's City - Enter city of residence for this contact.-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max50Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="contactsstate">
                            <!--Contact's State - Select the name of the state of residence for this contact-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="STATEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="relationshiptoclient">
                            <!--Relationship to Client - Enter the relationship of this contact to the client.-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max50Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="phonenumber_2">
                            <!--Phone Number - Enter phone number for the contact person-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="secondphonenumber">
                            <!--Second Phone Number - Enter an additional phone number for this contact-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="emergencycontactsstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="emergencycontactsend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 554-->
            </xsd:element>
            <xsd:element name="employed_1">
                <!--Employed? - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="employed_2">
                <!--Employed? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="employedinschool">
                <!--Employed/In School - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="employment_2">
                <!--Employment: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="EMPLOYMENTSALVARMYMANPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="employmentexperiencet">
                <!--Employment/ Job Training - List each job training experience that this person has received-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="jobskills">
                            <!--Job Skill - Select the type of job skill training received-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="WORKPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="explainlevelofability">
                            <!--Skill Training - Explain the training the person has received for the listed skill-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:string">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="employmentexperiences">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="employmentexperienceend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 157-->
            </xsd:element>
            <xsd:element name="endingdateoflastperma">
                <!--Ending date of last permanent address: - enter date-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="endtime">
                <!--End Time - Time assesment ended-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max5Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="englishreadingskills">
                <!--English Reading Skills - Select from the scale the present reading skill level for this person-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ENGLISHSPEAKINGSKILLSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="englishspeakingskills">
                <!--English Speaking Skills - Select the level of ability to speak English-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ENGLISHSPEAKINGSKILLSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="englishwritingskills">
                <!--English Writing Skills - Select from the scale the present English writing skill level for this person-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ENGLISHSPEAKINGSKILLSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="enterotherpreventions">
                <!--Enter Other prevention service description - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max80Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="entrylocation">
                <!--Entry Location - Name the location where the person entered into military service-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max100Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ethinicityhispanic">
                <!--Ethinicity Hispanic? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="everadmittedtodetxhsp">
                <!--Ever admitted to Detx/Hsptl due to Drnkg/Drug Use? - Full Question is:Ever admitted to a Detox or Hospital due Drinking or drig use?-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="everbeentreatedforgam">
                <!--Ever Been Treated For Gambling? - Select Yes if person has received gambling treatment at any time-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="everhaddts">
                <!--Ever Had DTs? - Select Yes if person has ever experienced "delirium tremens" as a result of withdrawal from alcohol-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="evictionnotice">
                <!--Eviction/Foreclosure Notice: - please select yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="exceptionalitycode">
                <!--Exceptionality Code - Exceptionality Code-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="EXCEPTIONALITYCODESPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="explaination_1">
                <!--Explaination - Comments-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="explainhomelesssituation">
                <!--Explain Homeless situation - Offer full explaination of why this person is considered homeless according to HUD's definitions-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="explainproblemsrelate">
                <!--Explain Problems - Explain the problems caused by the use of drugs or alcohol-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="explainsuicideconcrn">
                <!--Explain Suicide Concern - Explain staff's concerns regarding this person's suicide risk-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="familyhistoryofaddiction">
                <!--Family History of Addiction? - Select Yes if any family member has an addiction problem-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="familyhistoryofsubsta">
                <!--Family History of Substance Abuse - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="familypeerpersonalfac">
                <!--Family/Peer/Personal Factors: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="familyphysicansphone">
                <!--Family Physican's Phone #: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max30Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="familyphysiciansnamei">
                <!--Family Physician's Name, if applicable - please type in text box-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="familypsychiatrichistory">
                <!--Family Psychiatric History - Explain any history of psychiatric illness within this person's family-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="familysupportsystem">
                <!--Family Support System - Select the present level of family support for this person-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="federalstateemploymen">
                <!--Federal/State Employment Assistance Eligibility? - Select Yes if person is eligible for federal or state funded job search or job training assistance, if not eligible select No-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="fhacasenoifany">
                <!--FHA Case No. (if any): - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max60Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="firstchoice">
                <!--First Choice: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="firsttimehomeless">
                <!--First Time Homeless? - Select Yes if person is homeless for the first time, no if had had prior homelessness-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="firsttimehomeless_1">
                <!--Extent of Homelessness? - Select the item that identifies this person's homlessness situation-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HOMELESSNESSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="followup211">
                <!--Follow Up - Follow Up Outcome-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="POSNEGPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="followupnotes">
                <!--FOLLOW-UP NOTES - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="food_1">
                <!--Food: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="FOODSALVARMYMANPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="fostercaredcf">
                <!--Foster Care/DCF - Is the child living in Foster Care with DCF involvement-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="friendsandothercommun">
                <!--Friends And Other Community Support - Select the present level of support system-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="fromwhichstateisevacu_1">
                <!--From which state is evacuee displaced? - Select state from which evacuee has been displaced.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="EVACUEESTATESPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="gafscore_1">
                <!--GAF Score - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max20Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="gender">
                <!--Gender - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SEXPick">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="goodcopingskillsinter">
                <!--Good coping skills/internal locus of control - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="goodsocialsupportsystem">
                <!--Good social support system - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="gradeattending">
                <!--Grade Attending - Select the grade this child is presently attending-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="GRADELEVELPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="gradelevellastcomplet">
                <!--Grade level last completed - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="GRADELEVELPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="guardianaddressphonen">
                <!--Guardian Address & Phone Number - The address and phone number of the childs guardian or caregiver-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="guardianorcaregiver">
                <!--Guardian or Caregiver - Note name of the person(s) providing the care for this child-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max100Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="guardianshiporfamilys">
                <!--Guardianship or Family Situation - Select the type of family situation in which the child lives-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="GUARDIANHIPTYPEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="guradianphone">
                <!--Caregiver Phone Number - List the caregiver's phone number-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max35Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hasbeenabused">
                <!--Has Been Abused? - Select Yes if child has been physically or sexually abused at any time-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hasclientbeenlinkedto">
                <!--Has client been linked to treatment? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hascooccurrusedisorders">
                <!--Has co-occurring substance use disorders? - Has co-occurring substance abuse disorders (dual diagnoses)-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hasfriendswhodrinkabu">
                <!--Has friends who drink/abuse drugs - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hasorisclientbeingevi">
                <!--Actual or Pending Eviction? - Indicate whether this person has been given an eviction notice from current residence, or has indicated he/she has been evicted-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="haspersonbeendisplace">
                <!--Has person been DISPLACED by a hurricane? - Select YES if this client is displaced due to a hurricane.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hassecuredchildcare">
                <!--Has Secured Child Care - Select present level of adequate, affordable, dependable child care-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hasusecausedyouproblems">
                <!--Usage Caused You Problems? - Select Yes if person notes that the use of drugs or alcohol has caused problems with life, including relationships and jobs.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="havemedicalcarecoverage">
                <!--Has Medical Insurance? - Select Yes if person has medical insurance. Use Insurance Assessment for recording or viewing insurance information-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="havevaliddriverslicense">
                <!--Have Valid Drivers License or ID? - Select Yes if person has a current valid driver's license-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="haveyoueverbeenherebe">
                <!--Have you ever been here before? - select yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="haveyouhadblackouts">
                <!--Have You Had Blackouts? - Select Yes if the person has ever experienced blackouts when using drugs-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="haveyouhadseizuresrel">
                <!--Had Seizures Related to Use? - Select Yes if person has ever had a seizure that was related to the use of drugs or alcohol-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="haveyouownedahomewith">
                <!--Have you owned a home within the past three years? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="headofhousehold">
                <!--Head of Household? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="healthynutritionandex">
                <!--Healthy Nutrition and Exercise - Note the level of ability to maintain a healthy diet and to obtain a healthy level of physical exercise-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="highestlevelofeducati">
                <!--Highest Level of Education Attained - Select from the drop list the level of education this person has attained-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="EDUCATIONLEVELPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="histofmentalhlthpsych">
                <!--Hist. of Mental Hlth./Psychiatric Prblms/Treatmnt: - Include personal and family history.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="historyofheadtrauma">
                <!--Past Head Trauma? - Select Yes if this person has had any instances of diagnosed head trauma-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="historyofmentalillness">
                <!--History of Mental Illness? - select one-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="historyoforcurrentchr">
                <!--History of or current chronic physical pain - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="historyoforcurrentdru">
                <!--History of or current drug/alcohol abuse - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="historyoforcurrentmen">
                <!--History of or current mental illness - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="historyofoverdose">
                <!--History of Overdose - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="historyofviolence">
                <!--History of Violence? - Select Yes if person has instances of becoming violent-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hivtesting">
                <!--HIV Testing - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hivtestdate">
                            <!--HIV Test Date - Enter the date of most current HIV Test-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hivtestresults">
                            <!--HIV Test Results - Select either positive or negative for HIV test results-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="POSNEGPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ifpositivepartnernoti">
                            <!--If Positive, Partner Notified? - If HIV test was positive, select Yes if person's partner we notified of the positve test result-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="pretestcounseling">
                            <!--Pre-Test Counseling? - Select Yes if person received counseling prior to this HIV Test-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="pretestcounseling_1">
                            <!--Post-Test Counseling? - Select Yes if test results were positive and person received counseling after receiving results-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hivtestingstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hivtestingend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 444-->
            </xsd:element>
            <xsd:element name="homemaintenance">
                <!--Home Maintenance - Note the level of ability to care for a home and do basic maintenance -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="homeneighborhoodenvir">
                <!--Home/neighborhood envirnmt is supprtve of sobriety - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="homeowner_1">
                <!--Home Owner ? - Is the client a home owner.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="homeownersrentersinsu">
                <!--Homeowners/Renter's Insurance - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="homeownersrentersinss">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="homeownersrentersinsend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="insurancecompanyname_1">
                            <!--Insurance Company Name - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max25Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="policy_1">
                            <!--Policy # - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max25Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="homeowners_1">
                            <!--Homeowners? - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="renters">
                            <!--Renter's? - -->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1329-->
            </xsd:element>
            <xsd:element name="homiciderisk">
                <!--Homicide Risk - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="homicideriskstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="homicideriskend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="harmtoselforothers_1">
                            <!--Harm to Self or Others - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ideation_1">
                            <!--Ideation - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="intent_1">
                            <!--Intent - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="plan_1">
                            <!--Plan - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="comments_2">
                            <!--Comments - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1011-->
            </xsd:element>
            <xsd:element name="homiciderisk_1">
                <!--Homicide Risk - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="homiciderisk_1start">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="homiciderisk_1end">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ideation_3">
                            <!--Ideation - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="intent_3">
                            <!--Intent - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="plan_3">
                            <!--Plan - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="comments_4">
                            <!--Comments - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1187-->
            </xsd:element>
            <xsd:element name="honest">
                <!--Honest - Note the level of honesty as necessary for healthy relationships and employment-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hopepresentingproblem">
                <!--HopePresentingProblem - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HOPEPRESENTINGPROBLEMPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hospitalsclincis">
                <!--Hospitals/Clinicshttps://www3.servicept.com/saraso - List all clinics, hospitals and physicians utilized by this person-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="name">
                            <!--Facility Name - Name of hospital or Clinic providing services to this person-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="address">
                            <!--Facility Address - Street address for Clinic/Hospital-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="zip">
                            <!--Facility Zip - Zipcode for Clinic/hospital providing services to this person-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max15Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="phone">
                            <!--Facility Phone Number - Phone number for clinic/hospital-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max20Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="cliniccity">
                            <!--Facility City - Select the city where the hospital or clinic is located-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="CITYPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hospitalclinicstate_1">
                            <!--Facility State - Select the state where the hospital or clinic is located.-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="STATEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hospitalsclincisstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hospitalsclincisend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 2-->
            </xsd:element>
            <xsd:element name="householdincome">
                <!--Household Income - Enter the amount of income that totals all income of household members-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddDbl_min0_max9999Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="householdinformation_1">
                <!--Household Information - Enter information on household size and income for all, even if members are not entered into ServicePoint-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="householdinformations">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="householdinformationend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="numberinhousehold_1">
                            <!--Number in Household - Enter information on household whether or not the members are entered into ServicePoint as Household members in Profile-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min1_max99Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="numberofadults">
                            <!--Number of Adults - Enter number of adults in this persons household-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min1_max25Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="numberofchildren">
                            <!--Number of Children  - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min0_max25Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="numberofdependents">
                            <!--Number of Dependents - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min0_max25Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="householdincome_1">
                            <!--Household Income - Enter total combined income from all household members-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddDbl_min1_max9999Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 915-->
            </xsd:element>
            <xsd:element name="housing_1">
                <!--Housing - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HOUSINGSALVARMYMANATEEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="housingstatus">
                <!--Housing Status - Please select housing status of a client as of first contact (either on entry or re-entry)-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HOUSINGSTATUSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="howdidyouhearaboutour">
                <!--How did you hear about our agency? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="howdidyouhearaboutus">
                <!--How did you hear about us? - select one-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="REFERREDBYSALVARMYMAN2PickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="howlonghasthisperiodo">
                <!--How long has this period of homelessness lasted - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max5Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="howlonghaveyoulivedin">
                <!--How long have you lived in Manatee County? - select one-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="LENGTHRESIDENCEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="howlonghaveyoulivedin_1">
                <!--How long have you lived in Manatee Co? (mos/yrs) - Length of time living in Manatee County-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max15Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="howlonghaveyoulivedin_2">
                <!--How long have you lived in Manatee Cty. (years)? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max99Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="howlonghaveyoulivedin_3">
                <!--How long have you lived in Sarasota Cty. (years)? - please type in the number of years in the box-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max999Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="howmanytimeshaveyoube">
                <!--How many times have you been divorced? - enter number-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max99Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="howmanytimeshaveyoube_1">
                <!--How many times have you been married? - enter number-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max99Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="howmanytimeshaveyoube_2">
                <!--How many times have you been homeless this year - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max5Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="howmanyyearshaveyouli">
                <!--How many years have you lived in Sarasota? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max99Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="howwasclientcontacted">
                <!--How was client contacted? - Please select how was client contacted for path report purposes-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="CLIENTCONTACTEDPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="howwillyourmovingaffe">
                <!--How will your moving affect your childcare? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_childenrolldiff">
                <!--Child Enrollment Difficulties - select all the problems faced by head of the household in getting the child into a school-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_childenrolldiffstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_childenrolldiffend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="enrollmentproblem">
                            <!--Enrollment Problem  - select the problem faced by the client in getting the child into a school-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="HUD_CHILDENROLLMENTPROBLEMSPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1453-->
            </xsd:element>
            <xsd:element name="hud_childlastenrdate">
                <!--If no, Date Last Enrolled in School - if the child is currently not enrolled in the school, when was the child last enrolled in school-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_childtypeofschool">
                <!--If Child Enrolled, Type of School - please select type of school if the child is currenlty enrolled in school-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HUD_SCHOOLTYPEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_currentemptenure">
                <!--If Currently Employed, Select Tenure - Select the employment status or tenure if the client is currently employed-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HUD_EMPLOYMENTTENUREPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_currentlyinschool">
                <!--Currently in School or Working on any Degree? - Select yes if the client is in school now or working on any degree or certificate-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_degreesearnedinfo">
                <!--Degrees Earned Information - select the degree(s) the client has earned-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_degreesearnedinfs">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_degreesearnedinfend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_educationdegearned">
                            <!--Degree Earned - select the degree if the client has earned-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="HUD_EDUCATIONDEGREESPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1443-->
            </xsd:element>
            <xsd:element name="hud_disablingcondition">
                <!--Do you have a disability of long duration? - Select yes if a client has a physical, mental, emotional or developmental disability, HIV/AIDS, or a diagnosable substance abuse problem that is expected to be of long duration and substantially limits your ability to live on your own-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ENHANCEDYESNOPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_dischargetype">
                <!--Discharge Type - Select the discharge type of a client from US military-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HUD_DISCHARGETYPEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_extentofdv">
                <!--Extent of Domestic Violence - Record how long a client have domestic violence experience-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HUD_DVEXPERIENCEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_healthcondition">
                <!--Health Condition Compared to People of Your Age - select the health condition of the client when compared to people of his/her age-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HUD_HEALTHCONDITIONPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_hrsworkedlastweek">
                <!--If Employed, Hours Worked Last Week? - if the client is employed, record number of hours client worked last week-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_lengthofstay">
                <!--Length of Stay - Length of the stay at the residence just prior to program-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HUD_LENGTHOFTHESTAYPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_lookingforwork">
                <!--If Unemployed, Looking for Work? - if the client is unemployed, select if he/she looking for work-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_militarybranchinfo">
                <!--Military Branches - select all the military branches the client belong to or served in-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="militarybranch">
                            <!--Military Branch - Select branch of U.S. military in which the person was/is active-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="MILITARYBRANCHPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_militarybranchins">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_militarybranchinend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1471-->
            </xsd:element>
            <xsd:element name="hud_militaryserverainfo">
                <!--Military Service Era Information - select all the military service eras the client served in-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_militaryserviceera">
                            <!--Military Service Era - Select the miliatry service era the client served in-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="SERVICEERAPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_militaryserverais">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_militaryserveraiend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1462-->
            </xsd:element>
            <xsd:element name="hud_monthsinmilitary">
                <!--Months Served on Active Duty in the Military - Record number of months if a client serve on active duty in the military-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_receivedvoctraining">
                <!--Received Vocational Training? - Select yes if the client has received any vocational training or apprenticeship certificates-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_servedwarzone">
                <!--Did You Serve in a War Zone? - Select yes if the client served in a war zone, otherwise select no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_totalmonthlyincome">
                <!--Total Monthly Income - record the total monthly income of a client-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddDbl_min0Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_warzoneinfo">
                <!--War Zone Information - select all the war zones the client served in-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_warzoneinfostart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_warzoneinfoend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_warzone">
                            <!--War Zone  - select the war zone the client served in-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="HUD_WARZONETYPESPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_monthsservedwarzone">
                            <!--Months Served in a War Zone - Record number of months if a client served in a war zone-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min0Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hud_receivedfire">
                            <!--Received hostile or friendly fire in a War Zone? - Select yes if a client received either a friendly fire or hostile fire in a war zone-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1465-->
            </xsd:element>
            <xsd:element name="hud_zipcodelastpermaddr">
                <!--Zip Code of Last Permanent Address - Record the five-digit zip code of the apartment, room, or house where the client last lived for 90 days or more-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max10Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hud_zipdataquality">
                <!--Zip data quality - Please select the quality of the zip code data recorded-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HUD_ZIPDATAQUALITYCODEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="hurricanerelatedcall">
                <!--Hurricane related call? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifapplicabledoyouhave">
                <!--If applicable, do you have child care arrangemnts? - please select yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifclientnotreferredto">
                <!--If client not referred to a DV shelter, reason: - select one-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="REASONNODVREFERRALPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifdisplacedfromwhichs">
                <!--If displaced, from which state? - Select from which state person has been displaced.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="KATRINAEVACUEESTATEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifnodoyouhaveachildsu">
                <!--If no, do you have a child support case pending? - please select yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifnoiscaregiverlegalg">
                <!--Is Caregiver Legal Guardian? - If caregiver is not a parent select Yes if person has legal guardianship-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifnotincontactwhy">
                <!--If not in contact, why? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifnotinthepicklistple">
                <!--If other agency, please enter agency name: - Please type in the text box-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifnotofferedhopecouns">
                <!--If client not offered HOPE counslng, list reason: - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max80Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifnotreligionnotabove">
                <!--If not religion not above, please type name: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max80Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifotherclienttypeplea">
                <!--If other client type, please specify: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifotherexplain">
                <!--Explain Other Living Situation - If living situation is listed as other give an explanation of the situation.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifotherpleasespecifyp">
                <!--If "other" please specify problem: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max70Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifpregnanthowmanymonths">
                <!--If pregnant, how many months? - enter a #-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max99Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifunemployedexplain">
                <!--If Unemployed, Explain - Explain the reason for this person being unemployed-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifunemployedwhenwasyo">
                <!--If unemployed, when was your last stable Job? - Date of last good job-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesdateofeviction">
                <!--If Yes, Date of Eviction - Enter the date of the actual eviction, or the date of the pending eviction-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesdescribetheprogram">
                <!--If yes, describe the program: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesduedate">
                <!--If Yes, Projected Birth Date - If pregnant, record due date for the birth of child-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesexpecteddegree">
                <!--If Yes, Expected Degree - Enter the degree that the person anticipates receiving-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max100Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesexpectedfinishdate">
                <!--If Yes, Expected Finish Date - Enter the date that the person anticipates completing the listed educational program-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesexplain_1">
                <!--If Yes, Explain Reason - If there is a warrant out for this person, explain the warrant and any particulars-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesexplainviolenceh">
                <!--If Yes, Explain Violence History - Give overview of history of violence-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesexplainwarrant">
                <!--If Yes, Explain Warrant - Explain the particulars regarding the warrant noted-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesfamilyaddictioni">
                <!--Explain Family Addiction - Explain the history of family addiction problems-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesfrequencyofgambling">
                <!--If Yes, Gambling Frequency - If person gambles note how often the person gambles-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max100Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesgamblingtreatmen">
                <!--If Yes, Gambling Treatment Information - Explain gambling treatment received-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyeshowmuchchildcare">
                <!--If yes, how much child care support a month? - please enter a whole dollar amount-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddDbl_min0_max99999Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyeslistveteransserv">
                <!--If Yes, List Veterans Services - If receiving Veterans Services, list all types of service receiving-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesparoleofficer">
                <!--If Yes, Parole Officer - If person on parole note name of the parole officer-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max100Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyespleasedescribeyo">
                <!--If yes, please describe your child care arrangmts: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max80Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesprobationofficer">
                <!--If Yes, Probation Officer - If on probation list the Probation Officer's name-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max100Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesrelationshipwith">
                <!--If Yes, Relationship With Abuser - Note the relationship of the abuser to this child-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesschoolname">
                <!--If Yes, School Name - Enter the name of the school attending-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max100Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesselecthurricanen">
                <!--If "YES", select hurricane name: - Select the appropriate related hurricane name.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HURRICANESPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyestoprobationwhatr">
                <!--If yes to probation, what reason? - type a reason into the blank textbox-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max100Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyestypeofabuse">
                <!--If Yes, Type of Abuse - List type of abuse and any information regarding the abuse-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max60Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyestypeofschool">
                <!--If Yes, Type of School - Select from the drop list the type of educational facility the person is attending-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="EDUCATIONTYPEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyeswhatassistancedo">
                <!--If yes, what assistance do you receive? - please enter a description in the text box-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max80Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyesworkernameandpho">
                <!--If yes, worker name and phone number - Name and phone number of foster parent/DCF worker-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max40Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ifyouvebeenherebefore">
                <!--If you've been here before, how long ago? - eneter whole number-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max150Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="immigrationstatus">
                <!--Immigration Status - Select the status assigned for this immigrant-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="IMMIGRATIONSTATUSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="immunizations_2">
                <!--Immunizations - Is the child current with their immunizations-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="immunizationsuptodate">
                <!--Immunizations Up To Date? - Select Yes if person has received all recommended immunizations-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="income_2">
                <!--Income: - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="INCOMESALVARMYMANPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="incomesource_1">
                <!--Income Source - Source of income-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="INCOMESOURCEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="incomesourceamount">
                <!--Income Source & Amount - Where income is received from and the amount-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="incomesourceiii">
                <!--Income Source III - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="INCOMESOURCEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="influenza">
                <!--Influenza - Enter the date of the most recent Influenza shot-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="inshelter">
                <!--In Shelter - Is the child living in a shelter-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="institutionallivingpr">
                <!--Institutional Living Prior to 18 Years? - Select Yes if this person lived in a youth-serving institution before he/she was an adult-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="isatleastonecaregiver">
                <!--At Least One Caregiver Employed? - Select Yes if one of the child's caregivers is employed outside the home-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="iscallhurricanerelate">
                <!--Is call hurricane RELATED other than displaced? - Select YES if this call is related to a hurricane, but person is NOT displaced.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ischildmigrant">
                <!--Is child migrant? - Indicate yes or no if child is from a migrant family-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="isclienthomeless">
                <!--Is Client Homeless? - Select Yes if person is homeless or at imminent risk of becoming homeless (for path report purposes)-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="isclienthomeless_1">
                <!--Is client homeless? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="isthisatest">
                <!--This is a test? - a test question-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ANEWTABLEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="isthisatest_1">
                <!--Is this a test? - Test question 1-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="isthisatest_2">
                <!--Is this a test? - Test question 2-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="james">
                <!--james - james test-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max99999Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="james_1">
                <!--james - james second test-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max99999Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="landlordmortgageesadd">
                <!--Landlord/Mortgagee's Address: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="landlordsname">
                <!--Landlord/Mortgagee's Name: - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max30Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="landlordstelephone">
                <!--Landlord/Mortgagee's Telephone #: - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max20Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="lastdentalvisit">
                <!--Last Dental Visit - Enter the date of last visit to a dentist-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="lastknowncityofresidence">
                <!--Last Known City of Residence: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="CITYPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="lastknownstateofresid">
                <!--Last Known State of Residence - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="STATEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="lastknownstreetaddress">
                <!--Last Known Street Address: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="lastknownzipcodeofres">
                <!--Last Known Zip Code of Residence: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max10Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="leadcaseworkername">
                <!--Lead Caseworker Name - Name of the Lead Caseworker-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max30Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="legalfactors">
                <!--Legal Factors - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="lengthofresidenceinsa">
                <!--Resident of Sarasota County? (pick one) - pick one of the following from the list depending on how long they have lived in Sarasota County-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="LENGTHRESSARASOTAPICKLISTPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="lengthoftimeoutdoors">
                <!--Length of time outdoors or in short term shelter - Please select length of time client in outdoors or in short time shelter as of first contact (either on entry or re-entry)-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="LENGTHOFTIMEOUTDOORSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="linkedorhousingreferr">
                <!--Linked or Housing referral - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HOUSINGREFERRALPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="linkedtohousingorrefe">
                <!--Linked to housing or referral made? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="listallergies">
                <!--List Allergies - Mention any allergies this person has, including any particular information regarding allergies-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="listanyspecialequipme">
                <!--List Any Special Equipment Needed - List anything special needed to accommodate this person's disability or illness-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="listmedicationallergies">
                <!--List Medication Allergies - List all medications to which  this person is allergic-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="livingsituation">
                <!--Living Situation - List any significant information on this person's living situation-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="mainstreambenefitsass">
                <!--Mainstream Benefits Assistance - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="mainstreamresourcesre">
                <!--Main Stream Resources Received - Information of "main stream" resource that this person is receiving or has received-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="typeofmainstreamresou">
                            <!--Main Stream Resources Type - Select from drop list the type of assistance receiving-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="MAINSTREAMRESOURCESPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ifendedreason">
                            <!--If Ended Reason - Reason the person is no longer receiving the main stream resource-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="mainstreamresourcesrs">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="mainstreamresourcesrend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="amtmonth">
                            <!--$Amt/month - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddDbl_min0_max99999Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 116-->
            </xsd:element>
            <xsd:element name="maintainsappearance">
                <!--Maintains Appearance - Select the present level of ability to maintain a presentable appearance-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="manateeglensreferralp">
                <!--Manatee Glens Referral I - List of referral providers-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="MGREFPROVPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="manateeglensreferralp_1">
                <!--Manatee Glens Referral II - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="MGREFPROVPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="manateeglensreferralp_2">
                <!--Manatee Glens Referral III - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="MGREFPROVPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="manateeglenssite">
                <!--Manatee Glens Site - Which site did you come from-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="MGSITEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="marijuana">
                <!--Marijuana - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="marijuanastart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="marijuanaend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ageof1stuse_2">
                            <!--Age of 1st use - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min0_max150Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dateoflastuse_2">
                            <!--Date of last use - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="frequency_3">
                            <!--Frequency - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="amount_3">
                            <!--Amount - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1093-->
            </xsd:element>
            <xsd:element name="maritalstatus_1">
                <!--Marital Status - Select the present marital status of this person-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="MARITALSTATUSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="maritalstatus_2">
                <!--Marital Status - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="MARITALSTATUSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="mathskills">
                <!--Math Skills - Note the level of mathematical ability as related to that needed for life and employment-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="meaninginlifedreamsgoals">
                <!--Meaning in life (dreams/goals) - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="meansoftransportation">
                <!--Means of Transportation - From drop list select the type of transportation this person has available for employment purposes-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="TRANSPORTATIONPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="measlesmumpsrubellammr">
                <!--Measles, Mumps, Rubella (MMR) - Enter the date of the most recent Measles,Mumps and Rubella immunization-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="medicaid_1">
                <!--Medicaid - Is Medicaid a barrier-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="medicaidnumbers">
                <!--Medicaid Numbers - Assigned Medicaid Numbers-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max40Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="medicalalert">
                <!--Medical Alert? - please select one-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="medicalassistance">
                <!--Medical Assistance - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="medicalphysicalfactors">
                <!--Medical/Physical Factors: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="medicalproblems">
                <!--Medical Problems - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="recentmedicalcareforc">
                            <!--Date Received Care - Enter the date for the most recent care this person has received for the condition listed-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="requiredhospitalcare">
                            <!--Required Hospitalization? - Select Yes if person received care in a hospital for the illness or condition mentioned-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="medicalconditions">
                            <!--Medical Conditions - Select medical conditions this person has from the drop list-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="MEDICALCONDITIONSPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="presentlevelofdistress">
                            <!--Present Level Of Distress - Note the discomfort level for the health problems listed-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max60Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="receivedmedicalcare">
                            <!--Received Medical Care? - Select Yes if medical care was received for this condition-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="explainmedicalcondition">
                            <!--Explain Medical Condition - Explain details of the selected medical condition-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:string">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="medicalproblemsstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="medicalproblemsend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 239-->
            </xsd:element>
            <xsd:element name="medication_1">
                <!--Medication Overview - -->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dosage">
                            <!--Dosage - Enter the prescribed dosage of this medication-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max60Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="routeormethod">
                            <!--Route or Method - Method of administration prescribed for medication-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="METHODOFMEDICATOINPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="prescribingphysician">
                            <!--Prescribing Physician - List name of the physician who prescribed this medication-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="rationaleformedication">
                            <!--Rationale For Medication - List the reason that this medication was prescribed-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:string">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="pharmacyname">
                            <!--Pharmacy Name - Name of pharmacy that provided this medication-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:token">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="pharmachaddress">
                            <!--Pharmacy Address - Enter the address of the pharmacy providing this medication-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:token">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="pharmacyphonenumber">
                            <!--Pharmacy Phone Number - Enter the phone number of the pharmacy providing this medication-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:token">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="prescribingphysicianp">
                            <!--Physician Phone Number - Enter phone number of the physician prescribing the medication-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:token">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="medicationfrequency">
                            <!--Medication Frequency - Select the prescribed times medication is  to be taken-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="MEDICATIONFREQUENCYPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="medication_1start">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="medication_1end">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="medication_6">
                            <!--Medication - A medication taken by client for either mental health and medical condition.-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:string">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="drugtype_1">
                            <!--Drug Type - Type of drug/medication the client is taking-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:string">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 328-->
            </xsd:element>
            <xsd:element name="meetsmanateedcfcriteria">
                <!--Meets Manatee/DCF Criteria - please select yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="meningococcal">
                <!--Meningococcal(polysaccharide) - Enter date that this person received the Meningococal immunization-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="mentalhealthtreatment">
                <!--Mental Health Treatment - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="treatmenttype_1">
                            <!--Treatment Type - Select the type of mental health treatment received-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="MHTREATMENTYPEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="locationoftreatment">
                            <!--Location Of Treatment - Name the location where mental health treatment was provided-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="mentalhealthtreatmens">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="mentalhealthtreatmenend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 323-->
            </xsd:element>
            <xsd:element name="mglinkedservicesdate">
                <!--MG Linked Services Date - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="migrantseasonalworker">
                <!--Migrant/Seasonal Worker? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="militarydateentrance">
                <!--Military Entrance Date - Enter the date for entrance into U.S. military service-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="misnumber">
                <!--MIS Number - Manatee Glens ID Number-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max6Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="monthlyincome">
                <!--Monthly Income (non-Employment) - -->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="sourceofincome">
                            <!--Source of Income - Select the source of this listed income-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="INCOMETYPESPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="amountmonthlyincome">
                            <!--Last 30 Day Income - Enter the amount of income from the source selected that was received during the last 30 day period.-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddDbl_min1_max99999Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="last90daymonthlyincome">
                            <!--Last 90 Day Income - Enter the amount of income for the selected source that was received during the last 90 day period. If this income amount was also received  during the last 30 days it should also be noted in the 30 day field. If recieved between past 31 days and 90 days enter only in 90 day field.-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddDbl_min1_max99999Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="monthlyincomestart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="monthlyincomeend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 140-->
            </xsd:element>
            <xsd:element name="morningdrinking">
                <!--Morning Drinking - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="motivationfortreatment">
                <!--Motivation For Treatment - List impressions regarding the person's attitude toward treatment, and ability to participate in the treatment process-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="name_1">
                <!--Name - Name of person-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:token">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="nameofchildsupportcas">
                <!--Name of Child Support Case Manager: - please enter name in box-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="nameofsupervisor">
                <!--Name of Supervisor - Enter name of person's immediated supervisor-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="supervisorsfirstname">
                            <!--Supervisor's First Name - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:token">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="nameofsupervisorstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="nameofsupervisorend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 528-->
            </xsd:element>
            <xsd:element name="nameofteacher">
                <!--Name Of Teacher - Note name of child's present teacher-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max100Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="needshelpwithchoressh">
                <!--Needs Help With Chores, Shopping? - Select Yes if person requires assistance with household chores and shopping.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="needshelpwithdressing">
                <!--Needs Help With Dressing/Bathing? - Pick yes if person needs assistance with personal care-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="negativelifeconsequen">
                <!--Negative life consequences due to substance use: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="nonconfidentialnotes">
                <!--Notes Section - type notes in box.  can be many lines long.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="notenrolled">
                <!--Not Enrolled - Is child currently not enrolled-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="notesaboutclientneeds">
                <!--Notes about client needs: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="numberinhousehold">
                <!--Number in Household - Field which lists the number of persons living in a household, that may or may not be clients entered into ServicePoint-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min1_max25Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="numberinhousehold_2">
                <!--Number in Household - Enter Number of Individuals in Household-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min1_max25Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="numberofbedrooms">
                <!--Number of Bedrooms: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max9Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="numberofminorsinhouse">
                <!--Number of Minors in Household - Enter Number of Minors in Household-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max25Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="numberwithdisabilities_1">
                <!--Number with Disabilities? - Enter total number of individuals in household with disabilities-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max5Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="nutrition">
                <!--Nutrition - Is getting proper nutrition a barrier-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="occupation">
                <!--Occupation: - type occupation in text box-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="onparole">
                <!--On Parole? - Select Yes if person on parole-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="onprobation">
                <!--On Probation? - Select Yes if person is presently on probation-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="opiates">
                <!--Opiates - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="opiatesstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="opiatesend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ageof1stuse_7">
                            <!--Age of 1st use - -->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min0_max150Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dateoflastuse_5">
                            <!--Date of last use - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dateoflastuse_6">
                            <!--Frequency - -->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="amount_7">
                            <!--Amount - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1121-->
            </xsd:element>
            <xsd:element name="orientation">
                <!--Orientation - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="orientationstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="orientationend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="time">
                            <!--Time - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="person_1">
                            <!--Person - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="place">
                            <!--Place - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="immediatememory">
                            <!--Immediate Memory - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="shorttermmemory">
                            <!--Short Term Memory - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="longtermmemory">
                            <!--Long Term Memory - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 981-->
            </xsd:element>
            <xsd:element name="orientation_1">
                <!--Orientation - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="orientation_1start">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="orientation_1end">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="time_1">
                            <!--Time - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="person_2">
                            <!--Person - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="place_1">
                            <!--Place - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="immediatememory_1">
                            <!--Immediate Memory - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="shorttermmemory_1">
                            <!--Short Term Memory - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="longtermmemory_1">
                            <!--Long Term Memory - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1229-->
            </xsd:element>
            <xsd:element name="other_1">
                <!--Other - Name of any other caregiver-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max30Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="other_2">
                <!--Other - Any other barriers-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="otheraddressphonenumber">
                <!--Other Address & Phone Number - Address and Phone Number for any other caregiver-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="otherdisability">
                <!--Other Disability - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="otherkatrinarelatedca">
                <!--Other Katrina Related Call (not displaced)? - Is this a hurricane Katrina related call not from a displaced person. EX. An offer of help.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="otherneeds_1">
                <!--Other Needs - List any other needs that the child has-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="otherrx">
                <!--Other Rx - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="otherrxstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="otherrxend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ageof1stuse_8">
                            <!--Age of 1st use - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min0_max150Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dateoflastuse_7">
                            <!--Date of last use - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="frequency_7">
                            <!--Frequency - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="amount_8">
                            <!--Amount - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1128-->
            </xsd:element>
            <xsd:element name="otherspecialneeds">
                <!--List Special Needs - Note all special needs this child has, including physical, emotional and social-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="otherspecifybelow">
                <!--Other (specify below) - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="overage60_211">
                <!--Over Age 60? - Please select yes if the client is over the age 60-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="overallmentalhealthim">
                <!--Overall Mental Health Impression - Explain impressions of this person's mental health-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="overviewofdvhistory">
                <!--Overview of Domestic Violence - Explain the history of domestic abuse that this person has encountered-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="painmanagementissues">
                <!--Pain Management Issues: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="pantsize">
                <!--Pant Size - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max10Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="parentingskills">
                <!--Parenting Skills - Select level of ability for healthy parenting-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="parents">
                <!--Parents - Name of childs parents-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max40Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="parentseducationlevel">
                <!--Parents Education Level - Highest level of education that parents of child completed-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max30Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="paroleenddate">
                <!--Parole End Date - If person on parole enter the date of the end of the parole period-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="paroleenddate_1">
                <!--Probation End Date - If person on probation enter date of the end of the probation period-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="paroleofficerphone">
                <!--Parole Officer Phone - If on parole list the Parole Officer's phone-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max35Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="participantsatisfied">
                <!--Participant Satisfied? - Please select yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="pastdueamounts">
                <!--Past Due Amounts - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="pastdueamountsstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="pastdueamountsend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="type_3">
                            <!--Type - select one from list-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="PASTDUETYPESPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="months">
                            <!--# Months - type in a number-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min0_max99Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="totalamountpastdue">
                            <!--Total Amount Past Due - enter a whole dollar amount-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddDbl_min0_max99999Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="nameonaccount_1">
                            <!--Name on Account - type name in textbox-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="account">
                            <!--Account # - enter account number in box-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max40Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1061-->
            </xsd:element>
            <xsd:element name="pathenrollmentineligi">
                <!--IS Client Ineligible for Path Enrollment? -  Select yes if client is found to be ineligible for path enrollment otherwise no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="pathenrollmentineligr">
                <!--PATH Enrollment Ineligible Reason - If client found to be ineligible for path enrollment, please select reason-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="PATHENROLLMENTINELIGIBLEREASONPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="peacetimeserviceonly">
                <!--Peace Time Service Only? - Select Yes if service in U.S. military was not during war time-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="personswithhivaids">
                <!--Persons with HIV/AIDS - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:integer">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="phonenumber_1">
                <!--Phone Number - Telephone number of parents-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max20Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="phonenumber_211">
                <!--Caller's Phone Number - Please select the county of a caller-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max35Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="physicianinformation">
                <!--Physician Information - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="physicianname">
                            <!--Physician Name - Note name of physician providing treatment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="physicianaddress">
                            <!--Address - Street address for listed physician-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="physiciancity">
                            <!--City - Select city where the physician's office is located-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="CITYPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="physicianstate">
                            <!--State - Select state where this physician is located-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="STATEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="zip_1">
                            <!--Zip - Select Zip code for this physician's location-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max20Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="phonenumber">
                            <!--Phone Number - Phone number for listed physician-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:token">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="primarycarephysician">
                            <!--Primary Care Physician? - Pick yes if this is the client's Primary Care Physician (PCP) according to insurance-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="treatingpatientfor">
                            <!--Treating Patient for? - Explain the reason this physician is treating this person-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:token">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="physicianinformations">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="physicianinformationend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 404-->
            </xsd:element>
            <xsd:element name="pneumococcalpolysacch">
                <!--Pneumococcal(polysaccharide) - Enter the date of the most recent Pneumococcal shot-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="positverelatnshpwspou">
                <!--Positve relatnshp w/ spouse/parnts/signfcnt other - Full question is: Positive relationship with spouse/parents/significant other-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="povertylevel">
                <!--Poverty Level - select one-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="POVERTYLEVELSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="pregnant">
                <!--Pregnant? - Select Yes if person is pregnant-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="presentingmentalhealt">
                <!--Presenting Mental Health Problem - Explain the mental health problem that concerns the person-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="presentingproblem">
                <!--Presenting Problem: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="presentingproblemprec">
                <!--Presenting Problem/Precipitating Events: - If suicidal/homicidal ideation is present, complete Suicide Risk Assessment.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="presentlyattendingschool">
                <!--Presently Attending School? - Select Yes if person is attending school at present time-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="previousinterventions">
                <!--Previous Interventions on Presenting Problem: - Include previous visits to FETC.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="previousintervntnstrt">
                <!--Previous Intervntns/Trtmnt for Presenting Problem: - Include previous visits to FETC-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="primarylanguagespoken">
                <!--Primary Language Spoken At Home - List the primary language spoken in this child's home-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="primarylanguagespoken_1">
                <!--Primary Language Spoken (if other) - Enter the primary language spoken and understood by this person if it wasn't listed in the picklist above.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="primarylanguagespoken_2">
                <!--Primary Language Spoken - pick one-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="LANGUAGEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="primaryreasonforhomle">
                <!--Homelessness Primary Reason - From drop list pick the primary reason that the person is homeless at this time-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HOMELESSREASONPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="principalmentalilldiag">
                <!--Principal Mental Illness Diagnosis - As diagnosed at first contact (either on entry or re-entry)-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="PRINCIPALMENTALILLNESSDIAGNOSISPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="prisonerofwar">
                <!--Prisoner of War? - Select Yes if person had ever been a prisoner of war-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="probationofficerphone">
                <!--Probation Officer Phone - If on probation list the Probation Officer's phone-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max35Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="race_1">
                <!--Race - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="RACETSAPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="rankatdischarge">
                <!--Rank At Discharge - List the person's rank in U.S. military at the time of discharge-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="reasonifnotattendings">
                <!--Reason If Not Attending School - If child not attending school give explanation-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="receivedanyatypicalan">
                <!--Received any atypical anti-psychotic medication? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="receivedmedicationthr">
                <!--Received medication through Patient Asst. Program? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="receivingprenatalcare">
                <!--Receiving Prenatal  MedicalCare? - Select Yes if person is pregnant and receiving care during pregnancy-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="receivingveteransserv">
                <!--Receiving Veterans Services? - Select Yes if person is receiving any type of U.S. Veterans Service-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="receivingwic">
                <!--Receiving WIC? - Select Yes if person receiving Women's, Infants, and Children's Federal benefits during/after pregnancy-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="recentapplicationforp">
                <!--Recent Application for Public Assistance? - Select Yes if person has recently applied for any type of Public Assistance-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="registeredtovote">
                <!--Registered To Vote? - Select Yes if person registered to vote, select No if person not registered-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="relateswelltoothers">
                <!--Relates Well To Others - Select level of ability to relate effectively to other persons-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="relationshiphistory">
                <!--Relationship History - List significant information regarding key relationships in the life of the person-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="reliable">
                <!--Reliable - Select level of ability to be reliable, especially as related to employment-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="religionvoluntary">
                <!--Religion - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="RELIGIONPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="rentmortgagepaidby">
                <!--Rent/Mortgage Paid By - Name of the person who pays the rent or mortgage for this person's residence.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max60Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="reportingunit">
                <!--Reporting Unit - pick from the list-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="MANATEEGLENSREPORTINGUNITPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="requestedservices">
                <!--Requested Services - The type of needs that the client has-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max20Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="residentofthisarea">
                <!--Resident of this area? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="riskfreelifestyle">
                <!--Risk-Free Lifestyle - Note the level of ability to live free from risky behaviors, i.e. free from drugs and unsafe sexual behavior-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="runaway">
                <!--Run Away? - Select Yes if this child has run away from home-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="sameresidencefor12mon">
                <!--Same residence for 12 months? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="sameresidencefor3mont">
                <!--Same residence for 3 months? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="sameresidencefor6mont">
                <!--Same residence for 6 months? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="schoolattendance_1">
                <!--School Attendance - -->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="schoolattendance_1start">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="schoolattendance_1end">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="schoolattending">
                            <!--School Attending - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max35Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="typeofschool">
                            <!--Type of School - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="EDUCATIONTYPEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="expectedgraduationdate">
                            <!--Expected Graduation Date - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="degreecertificationex">
                            <!--Degree/Certification Expected - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max35Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="completedgraduated">
                            <!--Completed/Graduated? - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 897-->
            </xsd:element>
            <xsd:element name="schoolclothing">
                <!--School Clothing - Is obtaining clothes for school a barrier-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="schoolcodeandname">
                <!--School Name and Code - Choose the school that the child attends-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCHOOLCODEANDNAMEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="schoolname">
                <!--School Name - Name of School that child attends-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max20Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="schoolsupplies">
                <!--School Supplies - Is obtaining school supplies a barrier for the child-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="screenings">
                <!--Screenings - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="screeningsstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="screeningsend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="testdate">
                            <!--Test Date - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="timeoftest">
                            <!--Time of Test - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max15Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="typeoftest">
                            <!--Type of Test - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max50Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="administeredby">
                            <!--Administered By: - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="positive">
                            <!--Positive Result? - -->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1278-->
            </xsd:element>
            <xsd:element name="secondarylanguage">
                <!--Secondary Language Spoken (if other) - Enter another language spoken and understood by this person if not listed in the picklist.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="secondarylanguagespoken">
                <!--Secondary Language Spoken - pick one if client speaks a second language-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="LANGUAGEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="secondaryreasonforhom">
                <!--Homelessness Secondary Reason - From the drop list pick the secondary reason that the person is homeless at this time-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="HOMELESSREASONPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="secondchoice">
                <!--Second Choice: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="secondincomesourceamount">
                <!--Second Income Source & Amount - Second source of income and the amount-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="sedativebenzo">
                <!--Sedative/Benzo - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="sedativebenzostart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="sedativebenzoend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ageof1stuse_5">
                            <!--Age of 1st use - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min0_max150Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dateoflastuse_3">
                            <!--Date of last use - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="frequency_5">
                            <!--Frequency - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="amount_5">
                            <!--Amount - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1107-->
            </xsd:element>
            <xsd:element name="seekstoimproveself">
                <!--Seeks To Improve Self - Note level of interest in self improvement, including seeking self-expansion through education and experiences-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="seizurehistory">
                <!--Seizure History - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="selectone">
                <!--Select One: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="COASTALINNEEDSERVICESPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="selectone_1">
                <!--Select One: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="COASTALAPPROPRIATESITEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="selfreportedmentalill">
                <!--Self-reported Mental Illness - Select from the list the type of mental illness claimed by the person-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="MENTALILLNESSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="servicecode">
                <!--Service Code - Manatee Glens Service code-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max10Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="servicenumber_1">
                <!--Service Number - Enter the U.S. militiary service number assigned to this person-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max35Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="servicerelateddisability">
                <!--Military Service Related Disability? - Select Yes if the person has a disability that has been determined to be service related-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="servicescaseworkersin">
                <!--Services/Caseworkers in Place at Opening - Name of all caseworkers and services provided-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="severelymenatallyill">
                <!--Severely Mentally Ill - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="shelternameifpresentl">
                <!--Shelter Name If In a Shelter - If presently staying in a shelter or other homeless residential situation list name of facility-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max100Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="shelterstaynotes">
                <!--Shelter Stay Notes - Information relating to clients shelter stay(s)-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="shirtsize">
                <!--Shirt Size - please type shirt size in box provided-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max10Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="shoesize">
                <!--Shoe Size - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max10Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="signedintoxicantstate">
                <!--Signed Intoxicant Statement Received? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="significanttraumatice">
                <!--Significant Traumatic Events - List any events that could have impact on this person's mental health or emotional status-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="single">
                <!--Single? - Are you single-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="smallpox">
                <!--Smallpox - Enter the date of the most recent smallpox vaccination-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="socialsecurity">
                <!--Social Security - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max12Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="socioeconomicissues">
                <!--Socioeconomic Issues: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="socioeconomicissues_1">
                <!--Socioeconomic Issues: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="sourceofincomeii">
                <!--Income Source II - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="INCOMETYPESPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="speaksenglish">
                <!--Speaks English? - Select Yes if person has English language speaking ability, No is person has no English language ability.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="specialcodes">
                <!--Special Codes - Indicate appropriate special code-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SPECIALCODESPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="specialneeds_1">
                <!--Special Needs: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max100Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="sponosrscity">
                <!--Sponsor's City - Select city of residence of the immigrant's sponsor-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="CITYPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="sponsorsaddress">
                <!--Sponsor's Address - Enter the street address of the immigrant's sponsor-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max100Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="sponsorsname">
                <!--Sponsor's Name - List the name of the immigrant's sponsor-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max100Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="sponsorsphonenumber">
                <!--Sponsor's Phone Number - Enter phone number for the immigrant's sponser-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max35Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="sponsorsrelationshipt">
                <!--Sponsor's Relationship to Client - Describe how the sponsor is related to the immigrant-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="sponsorsstate_1">
                <!--Sponsor's State - Select state of residence for immigrant's sponsor-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="STATEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="sponsorszip">
                <!--Sponsor's Zip - Immigrant's sponsor's zip code-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="spousesimmigrationstatus">
                <!--Spouse's Immigration Status: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="IMMIGRATIONSTATUSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="ssn">
                <!--SSN - Social Security Number-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max12Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="staffsuspectssubstanc">
                <!--Staff Suspects Substance Abuse? - Select Yes if staff is concerned the the person has a substance abuse problem-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="starttime">
                <!--Start Time - Time Assesment started-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max5Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="stateofbirth">
                <!--State of Birth - Select the state where this person was born.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="STATEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="stateofdriverslicense">
                <!--State of Driver's License: - select one-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="STATEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="stateofresidence">
                <!--State of Residence - Please select a state from the list.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="STATEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="statusofpublicassista">
                <!--Status of Public Assistance Application - Select from drop list the status of the application for public assistance chosen-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="PUBLICASSISTANCESTATUSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="substanceabusefactors">
                <!--Substance Abuse Factors (see note): - If substance abuse significantly impacts treatment, complete Substance Abuse Screening Form.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="substanceabusementalh">
                <!--Substance Abuse/Mental Health - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="substanceabusetreatment">
                <!--Substance Abuse Treatment - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="treatmenttype">
                            <!--Treatment Type - Select the type of treatment received for substance abuse from the drop list-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="SUBSTANCEABUSETREATPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="locationofthissubstan">
                            <!--Treatment Location - Name the place where this substance abuse treatment was located-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max60Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="substanceabusetreatms">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="substanceabusetreatmend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 291-->
            </xsd:element>
            <xsd:element name="substanceusage">
                <!--Addiction Information - Information on  the type of addiction problem affecting this person.-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="typeofsubstance">
                            <!--Type of Addiction - Select from the drop list the type of substance this person uses-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="DRUGALCOHOLPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="frequencyofuse">
                            <!--Frequency Of Use - Select the frequency of use of the listed drug-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="DRUGUSEFREQUENCYPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="method_1">
                            <!--Method - Select the method for drug usage from the drop list-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="METHODOFMEDICATOINPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="substanceusagestart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="substanceusageend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 288-->
            </xsd:element>
            <xsd:element name="suicidal">
                <!--Suicide Potential - Select the appropriate level of suicide potential-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SUICIDELEVELPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="suiciderisk">
                <!--Suicide Risk - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="suicideriskstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="suicideriskend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="harmtoselforothers">
                            <!--Harm to Self or Others - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ideation">
                            <!--Ideation - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="intent">
                            <!--Intent - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="plan">
                            <!--Plan - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="comments_1">
                            <!--Comments - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1003-->
            </xsd:element>
            <xsd:element name="suiciderisk_1">
                <!--Suicide Risk - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="suiciderisk_1start">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="suiciderisk_1end">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ideation_2">
                            <!--Ideation - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="intent_2">
                            <!--Intent - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="plan_2">
                            <!--Plan - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="comments_3">
                            <!--Comments - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1180-->
            </xsd:element>
            <xsd:element name="summaryandrecommendat">
                <!--Summary and Recommendations: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="summaryandrecommendat_1">
                <!--Summary and Recommendations: - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="summaryofreferral">
                <!--Summary of referral - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="supportsystems">
                <!--Support Systems - List the type and quality of the support systems in this person's life-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="svpchronichomeless">
                <!--Is Client Chronically Homeless? - An unaccompanied homeless individual with a disabling condition who has either been continuously homeless for a year or more OR has had at least four (4) episodes of homelessness in the past three (3) years. The individual must have been on the streets or in an emergency shelter (not transitional housing) during these episodes.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="svpmassreferralzipcode">
                <!--Referral Zip Code - Enter zipcode that will be displayed with the client's name on the Mass Referral Page-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max12Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="svpprofdob">
                <!--Date of Birth - Birth date of the client.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="svpprofeth">
                <!--Ethnicity - Ethnicity of the client.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ETHNICITYPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="svpprofgender">
                <!--Gender - Gender of the client.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SEXPick">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="svpprofrace">
                <!--Primary Race - Race of the client.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="RACEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="svpprofsecondaryrace">
                <!--Secondary Race - Secondary Race of the client-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="RACEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="test_1">
                <!--Affective Functioning - -->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="test_1start">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="test_1end">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="appropriate_2">
                            <!--Appropriate - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="depressed_1">
                            <!--Depressed - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="irritableanxious_1">
                            <!--Irritable/Anxious - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="angryaggressive_1">
                            <!--Angry/Aggressive - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ambivalent_1">
                            <!--Ambivalent - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="agitatedlabile_1">
                            <!--Agitated/Labile - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1208-->
            </xsd:element>
            <xsd:element name="test2">
                <!--Cognitive Functioning - -->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="test2start">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="test2end">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="povertyofthought_1">
                            <!--Poverty of Thought - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="poorinsightjudgement_1">
                            <!--Poor Insight/Judgement - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="delusionshallucinatio">
                            <!--Delusions/Hallucinations - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="pressuredspeechthought_1">
                            <!--Pressured Speech/Thought - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="looseassociations_1">
                            <!--Loose Associations - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="flightsofideas_2">
                            <!--Flights of Ideas - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1219-->
            </xsd:element>
            <xsd:element name="tetanusdiphtheria">
                <!--Tetanus/Diphtheria - Enter the date of the most recent Tetanus/Diphtheria shot-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="thoughtcontent">
                <!--Mental Health Status - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="thoughtstatustype">
                            <!--Thought/Content - Select the drop list item that best describes the person at this time-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="MHTHOUGHTTYPEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="generalpresentation_1">
                            <!--General Presentation - Select the drop list item that best describes the person at this time-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="MHPRESENTATIONPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="speech_1">
                            <!--Speech - Select from drop list the type of speech displayed by person-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="MHSPEECHTYPEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="affect">
                            <!--Affect - Select the drop list item that best describes the person at this time-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="MHAFFECTPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="mood_1">
                            <!--Mood - Select the drop list item that best describes the person at this time-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="MHSTATUSMOODPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="intellectualfunctioni">
                            <!--Intellectual Functioning - Select the drop list item that best describes the person at this time-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="MHINTELLECTFUNCTPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="thoughtcontentstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="thoughtcontentend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 373-->
            </xsd:element>
            <xsd:element name="tobacco">
                <!--Tobacco - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="tobaccostart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="tobaccoend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="ageof1stuse_1">
                            <!--Age of 1st use - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min0_max150Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="dateoflastuse_1">
                            <!--Date of last use - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="frequency_2">
                            <!--Frequency - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="amount_2">
                            <!--Amount - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max30Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1086-->
            </xsd:element>
            <xsd:element name="toysrequested">
                <!--Toys Requested - add a new entry for each separate toy-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="toysrequestedstart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="toysrequestedend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="nameoftoy">
                            <!--Name of Toy (under $30) - -->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max40Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1358-->
            </xsd:element>
            <xsd:element name="transitionalhousinglog">
                <!--Transitional Housing Log - please click add to add new occurances of transitional housing stays for this client-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="transitionalhousingls">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="transitionalhousinglend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="provider">
                            <!--Provider - Please select a provider from the list-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="TRANSITIONALHOUSINGPROVIDERSPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1039-->
            </xsd:element>
            <xsd:element name="transportation_1">
                <!--Transportation - Is transportation a barrier-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="transportationmobility_1">
                <!--Transportation/Mobility - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="TRANSPORTATIONMOBILITYSALVARMYMANPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="treatmentsymptomsacti">
                <!--Treatment/Symptoms/Activity in last 30 days: - Please list mental health/substance abuse treatment/symptoms/activity in the last 30 days.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="tuberculosisscreening">
                <!--Tuberculosis Screening - null-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="latesttbtest">
                            <!--Latest TB Test - Enter the date of most recent TB Test-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="tbtestresult">
                            <!--TB Test Result - Select whether this TB test was positive or negative-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="POSNEGPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="experiencingproductiv">
                            <!--Experiencing Productive, Prolonged Cough? - Select Yes if person claims to have experienced a cough that is productive and prolonged-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="experiencingchestpain">
                            <!--Experiencing Chest Pain? - Select yes if person cites experiencing chest pain-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="experiencingfever">
                            <!--Experiencing Fever? - Select Yes if person has had recent episodes of fever-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="experiencingnightsweats">
                            <!--Experiencing Night Sweats? - Select Yes if person has had recent episodes of "night sweats"-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="experiencingchills">
                            <!--Experiencing Chills - Select Yes if person is having periodic chills-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="experiencingfatigueor">
                            <!--Experiencing Fatigue or Tiredness? - Select Yes if person claims fatigue or tiredness not explained by other reasons.-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="presentlossofappetite">
                            <!--Loss of Appetite? - Select Yes if person has had recent loss of appetite-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="recentweightloss">
                            <!--Recent Weight Loss - Select Yes if person has had recent unexplained weight loss-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="tuberculosisscreenins">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="tuberculosisscreeninend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 452-->
            </xsd:element>
            <xsd:element name="typeofassistanceappli">
                <!--Type of Assistance Applied for? - Select from drop list the type of assistance for which person has applied-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="PUBLICASSISTANCETYPEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="typeofemploymentasses">
                <!--Type of Employment Assessment - From drop list select the stage of program delivery for employment services-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="TYPEASSESSMENTTYPESPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="typeofexpense">
                <!--Type of Expense - Select the type of expense category from the drop list-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="monthlyexpense_1">
                            <!--Monthly Expense Type - Select a type of expense from the drop list-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="EXPENSETYPEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="estimatedexpense">
                            <!--Estimated Expense - Enter an estimated (budget) amount for this expense-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddDbl_min0Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="actualexpense">
                            <!--Actual Expense - List actual monthly cost for the expense cited-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddDbl_min0Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="typeofexpensestart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="typeofexpenseend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 199-->
            </xsd:element>
            <xsd:element name="typeofhomelessverific">
                <!--Homeless Verification on File - From drop list pick the type of documentation on file to prove that this person is homeless-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="VERIFICATIONHOMELESSNESSPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="typeoflivingsituation">
                <!--Type of Living Situation - Select a choice from a list of living arrangements or situations for this person.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="LIVINGSITTYPESPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="typeoflivingsituation_1">
                <!--Type of living situation - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="LIVINGSITTYPESPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="typeofservice">
                <!--Type of Service - Select the type of military service from the drop list-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SERVICETYPEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="typeoftreatment">
                <!--Type of treatment - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="TREATMENTTYPEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="unemployed">
                <!--Unemployed? - Select Yes if person in not presently employed in any manner.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="upcomingcourtdates">
                <!--Upcoming Court Dates? - Select Yes if person has a court date pending-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="uscitizen">
                <!--U.S. Citizen? - Select Yes If this person is US citizen, No if not a US citizen-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="uscitizen_1">
                <!--US Citizen - Are you a United States Citizen-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="usealcoholordrugs">
                <!--Use Alcohol or Drugs? - Select Yes if person uses either alcohol or drugs-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="usestobacco">
                <!--Uses tobacco - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="useswheelchair">
                <!--Uses Wheelchair? - Select Yes if person requires a wheel chair for mobility-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="varicella">
                <!--Varicella - Enter the date of receiving the Varicella vaccine-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:dateTime">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="verbalskills">
                <!--Verbal Skills - Note the level of ability to express self in order to live in community with others and to obtain full employment-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SCALEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="verificationofeviction">
                <!--Verification of Eviction/Foreclosure: - please select yes or no-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="veteran">
                <!--U.S. Military Veteran? - Select Yes if person has been determined to be a U.S. veteran-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ENHANCEDYESNOPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="veteran_1">
                <!--Veteran? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="veteran_2">
                <!--Veteran? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="veterans">
                <!--Veterans - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="victimsofdomesticviol">
                <!--Victims of Domestic Violence - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:integer">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="warningsandbanrequests">
                <!--Warnings and Ban Requests - the agency administrator will use these ban requests to enter actual banned time periods in the infractions subassessment.-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="warningsandbanrequess">
                            <!--Requested Start Date - -->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="warningsandbanrequesend">
                            <!--Requested End Date - -->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="datewarninggiven">
                            <!--Date Warning Given - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="reasonforwarning">
                            <!--Reason for Warning - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max50Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="banrequested">
                            <!--Ban Requested - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 1362-->
            </xsd:element>
            <xsd:element name="weeklynetincome_1">
                <!--Weekly Net Income - Amount of income each week-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddDbl_min0_max100000Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="whathappenedthatbroug">
                <!--What happened that brought you here today? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="whathaveyoudonetosolv">
                <!--What have you done to solve the problem yourself? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:string">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="whatistheamountamonth_1">
                <!--What is the amount a month? - please eneter a whole dollar amount-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddDbl_min0_max99999Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="whereareyousleeping">
                <!--Where are you sleeping - This question is to ascertain where the client is sleeping.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="SLEEPINGARRANGEMENTPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="wheredidyouhear_211">
                <!--Where did you hear about us? - Where did you hear about our center?-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="_211MARKETINGPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="wheredoesyourfamilylive">
                <!--Where does your family live? - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max50Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="wherestayedlastnight">
                <!--Where stayed last night? - Please enter a description of where client stayed last night.-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max80Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="withdrwlsymptomsshake">
                <!--Withdrw'l symptoms:shakes, sweats, rapid heartbeat - -->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="workhistory">
                <!--Work History - Information on the jobs this person has or has had-->
                <xsd:complexType>
                    <xsd:all>
                        <xsd:element maxOccurs="1" minOccurs="0" name="employername">
                            <!--Employer's Name - Place of employment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="supervisorsname">
                            <!--Supervisor's Name - Note name of immediate supervisor for this employer-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="employersaddress">
                            <!--Employer's Address - Address of company where this person is employed-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max100Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="employerscity">
                            <!--Employer's City - City were employer is located-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="CITYPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="employersstate">
                            <!--Employer's State - State where employer is located-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="STATEPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="employerszip">
                            <!--Employer's ZIP - Zip code of employer-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max20Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="employersphonenumber">
                            <!--Employer's Phone Number - Phone number of company where this person is employed-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max35Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="employmentstatus_1">
                            <!--Employment Status - Select the status of employment for this employer-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="EMPLOYMENTPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hoursofworkperweek">
                            <!--Hours of Work Per Week - Enter number of hours per week that the person works for this employer-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddInt_min1_max99Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="hourlywage">
                            <!--Hourly Wage - Enter the hourly wage person receives from this employer-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddDbl_min0Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="receivinghealthinsura">
                            <!--Receiving Health Insurance This Employer? - Select Yes if receiving health insurance as part of this employer's benefits-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:boolean">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="categoryofemployment">
                            <!--Type of Work - Select from the drop list the type or category of job for this employer-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="WORKPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="employersfax_1">
                            <!--Employer's FAX - Fax number for this employer-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddTok_max50Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="reasonemploymentended">
                            <!--If Ended, Reason - Select the reason for the end of this employment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="REASONLEAVINGEMPPickOption">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="workhistorystart">
                            <!--Start Date - Start Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="workhistoryend">
                            <!--End Date - End Date of Sub Assessment-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="xsd:dateTime">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="biweeklyearnings">
                            <!--Bi-weekly$ - enter dollar amount-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddDbl_min0_max50000Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="weeklyearnings">
                            <!--Weekly Earnings$ - please enter dollar amount-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddDbl_min0_max50000Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                        <xsd:element maxOccurs="1" minOccurs="0" name="monthly_2">
                            <!--Monthly$ - null-->
                            <xsd:complexType>
                                <xsd:simpleContent>
                                    <xsd:extension base="ddDbl_min0_max50000Type">
                                    <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                                    </xsd:extension>
                                </xsd:simpleContent>
                            </xsd:complexType>
                        </xsd:element>
                    </xsd:all>
                    <xsd:attributeGroup ref="recordsetIdentifierGroupOption"/>
                </xsd:complexType>
                <!--UID = 91-->
            </xsd:element>
            <xsd:element name="workingatgradelevelin">
                <!--Working At Grade Level In Math? - Select Yes if child is working at the math level for the grade he/she is in-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="workingatgradelevelin_1">
                <!--Working At Grade Level In Reading? - Select Yes if child is working at the reading level for the grade he/she is presently attending-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="xsd:boolean">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="workphonenumber">
                <!--Work Phone Number - Phone number at work-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max20Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="yearlyincome_211">
                <!--Yearly Income - Please Enter the yearly income of a client or caller-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="YEARLY_INCOMEPickOption">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="yearslivedataboveaddress">
                <!--Years lived at above address: - enter a number of years in the box-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max150Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="zipcode">
                <!--Zip Code: - enter the 5 digit zip code-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddInt_min0_max99999Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
            <xsd:element name="zipcodeoflastaddress">
                <!--Zip code of last address - null-->
                <xsd:complexType>
                    <xsd:simpleContent>
                        <xsd:extension base="ddTok_max5Type">
                            <xsd:attributeGroup ref="dynamicDataDateGroup"/>
                        </xsd:extension>
                    </xsd:simpleContent>
                </xsd:complexType>
            </xsd:element>
        </xsd:choice>
    </xsd:complexType>
    <xsd:simpleType name="ACCESHEALTHCHILDSALVARMYMANPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="covered by affordable adequate health insurance for all members of family"/>
                    <xsd:enumeration value="government subsidized healthcare"/>
                    <xsd:enumeration value="no medical coverage but with immediate medical need"/>
                    <xsd:enumeration value="no medical coverage but with no immediate medical need"/>
                    <xsd:enumeration value="not applicable"/>
                    <xsd:enumeration value="private medical care with no parent coverage"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="ACCESSHEALTHADULTSALVARMYMANPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="covered by affordable adequate health insurance for all members of family"/>
                    <xsd:enumeration value="government subsidized healthcare"/>
                    <xsd:enumeration value="no medical coverage but with immediate medical need"/>
                    <xsd:enumeration value="no medical coverage but with no immediate medical need"/>
                    <xsd:enumeration value="private medical care with no dependent coverage"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="ADULTEDUSALVARMYMANPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="aa degree or technical certification"/>
                    <xsd:enumeration value="has undergraduate degree or higher"/>
                    <xsd:enumeration value="high school diploma or ged"/>
                    <xsd:enumeration value="literacy problems"/>
                    <xsd:enumeration value="no literacy problems, but lacks ged or high school diploma"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="AGESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="1"/>
                    <xsd:enumeration value="2"/>
                    <xsd:enumeration value="3"/>
                    <xsd:enumeration value="4"/>
                    <xsd:enumeration value="5"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="ANEWTABLEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="another entry"/>
                    <xsd:enumeration value="entry 1"/>
                    <xsd:enumeration value="the third"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="AREAPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="  manatee county"/>
                    <xsd:enumeration value="  northeast states"/>
                    <xsd:enumeration value=" 12th judicial district manatee sa"/>
                    <xsd:enumeration value=" 12th judicial district manatee, sa"/>
                    <xsd:enumeration value=" bradenton"/>
                    <xsd:enumeration value=" bradenton                         "/>
                    <xsd:enumeration value=" manatee and sarasota counties"/>
                    <xsd:enumeration value=" manatee and sarasota county."/>
                    <xsd:enumeration value=" manatee and sarasota county.      "/>
                    <xsd:enumeration value=" manatee county                    "/>
                    <xsd:enumeration value=" manatee county"/>
                    <xsd:enumeration value=" manatee county.                   "/>
                    <xsd:enumeration value=" mid-atlantic states"/>
                    <xsd:enumeration value=" na"/>
                    <xsd:enumeration value=" sarasota county"/>
                    <xsd:enumeration value=" sarasota county and southern manat"/>
                    <xsd:enumeration value=" sarasota, charlotte, desoto and ma"/>
                    <xsd:enumeration value=" south sarasota county."/>
                    <xsd:enumeration value="&quot;north east and central rural and"/>
                    <xsd:enumeration value="&quot;north, east, and central rural and"/>
                    <xsd:enumeration value="15 counties in florida"/>
                    <xsd:enumeration value="15 counties in florida             "/>
                    <xsd:enumeration value="24 hours"/>
                    <xsd:enumeration value="48 counties in florida. disability "/>
                    <xsd:enumeration value="59th street west on the manatee riv"/>
                    <xsd:enumeration value="63rd avenue east and vicinity.     "/>
                    <xsd:enumeration value="63rd avenue east and vicinity."/>
                    <xsd:enumeration value="abel elementary school and vicinity"/>
                    <xsd:enumeration value="alachua"/>
                    <xsd:enumeration value="alachua bradford dixie gilchrist le"/>
                    <xsd:enumeration value="alachua county"/>
                    <xsd:enumeration value="alachua, bradford, putman, union co"/>
                    <xsd:enumeration value="alachua, bradford, putnam, union co"/>
                    <xsd:enumeration value="all"/>
                    <xsd:enumeration value="all areas"/>
                    <xsd:enumeration value="all of manatee county              "/>
                    <xsd:enumeration value="all of manatee county"/>
                    <xsd:enumeration value="all of palmetto and sections of hil"/>
                    <xsd:enumeration value="all of sarasota county."/>
                    <xsd:enumeration value="anna maria island and longboat key."/>
                    <xsd:enumeration value="anna maria island and vicinity.    "/>
                    <xsd:enumeration value="anna maria island and vicinity."/>
                    <xsd:enumeration value="anna maria island."/>
                    <xsd:enumeration value="anna maria island.                 "/>
                    <xsd:enumeration value="baker clay duval flagler  nassau st"/>
                    <xsd:enumeration value="baker, bradford, clay, columbia, du"/>
                    <xsd:enumeration value="baker, clay, duval, nassau counties"/>
                    <xsd:enumeration value="baker, clay, duval, nassau, st john"/>
                    <xsd:enumeration value="baker, duval, nassau counties"/>
                    <xsd:enumeration value="bay"/>
                    <xsd:enumeration value="bay, calhoun, franklin, bulf, holme"/>
                    <xsd:enumeration value="bay, calhoun, franklin, gulf, holme"/>
                    <xsd:enumeration value="bay, holmes, washington counties"/>
                    <xsd:enumeration value="blackburn school area"/>
                    <xsd:enumeration value="blackburn school area              "/>
                    <xsd:enumeration value="bradenton                          "/>
                    <xsd:enumeration value="bradenton"/>
                    <xsd:enumeration value="bradenton and vicinity."/>
                    <xsd:enumeration value="bradenton and vicinity.            "/>
                    <xsd:enumeration value="bradenton, manatee county"/>
                    <xsd:enumeration value="bradenton, sarasota and venice"/>
                    <xsd:enumeration value="bradford county"/>
                    <xsd:enumeration value="bradford putnam union counties"/>
                    <xsd:enumeration value="brevard"/>
                    <xsd:enumeration value="brevard county"/>
                    <xsd:enumeration value="broward"/>
                    <xsd:enumeration value="broward county"/>
                    <xsd:enumeration value="calhoun, franklin, gulf, jackson, l"/>
                    <xsd:enumeration value="calhoun, gadsden, jefferson, leon, "/>
                    <xsd:enumeration value="call for availability.             "/>
                    <xsd:enumeration value="call for availability."/>
                    <xsd:enumeration value="cape haze peninsula"/>
                    <xsd:enumeration value="central"/>
                    <xsd:enumeration value="central manatee county."/>
                    <xsd:enumeration value="central manatee county.            "/>
                    <xsd:enumeration value="charlotte"/>
                    <xsd:enumeration value="charlotte county"/>
                    <xsd:enumeration value="charlotte county and sarasota count"/>
                    <xsd:enumeration value="charlotte county, sarasota county"/>
                    <xsd:enumeration value="charlotte, collier, desoto, glades,"/>
                    <xsd:enumeration value="charlotte, collier, glades, hendry,"/>
                    <xsd:enumeration value="charlotte, collier, hendry, hillsbo"/>
                    <xsd:enumeration value="charlotte, desoto, and sarasota cou"/>
                    <xsd:enumeration value="charlotte, desoto, lee and sarasota"/>
                    <xsd:enumeration value="charlotte, desoto, manatee and sara"/>
                    <xsd:enumeration value="charlotte, hernando, hillsborough, "/>
                    <xsd:enumeration value="charlotte, lee, manatee and sarasot"/>
                    <xsd:enumeration value="charlotte, manatee and sarasota cou"/>
                    <xsd:enumeration value="citrus county"/>
                    <xsd:enumeration value="citrus, hernando, lake, marion, sum"/>
                    <xsd:enumeration value="citrus, marion county"/>
                    <xsd:enumeration value="city of bradenton designated area. "/>
                    <xsd:enumeration value="city of bradenton designated area."/>
                    <xsd:enumeration value="city of bradenton only."/>
                    <xsd:enumeration value="city of bradenton only.            "/>
                    <xsd:enumeration value="city of bradenton rogers gardens a"/>
                    <xsd:enumeration value="city of bradenton.                 "/>
                    <xsd:enumeration value="city of bradenton."/>
                    <xsd:enumeration value="city of bradenton; rogers gardens a"/>
                    <xsd:enumeration value="city of north port"/>
                    <xsd:enumeration value="city of sarasota"/>
                    <xsd:enumeration value="collier"/>
                    <xsd:enumeration value="collier county"/>
                    <xsd:enumeration value="collier, hendry, lee counties"/>
                    <xsd:enumeration value="columbia, dixie, gilchrist, hamilto"/>
                    <xsd:enumeration value="columbia, hamilton, lafayette, madi"/>
                    <xsd:enumeration value="columbia, hamilton, lafayette, suwa"/>
                    <xsd:enumeration value="counties of hardee, highlands, polk"/>
                    <xsd:enumeration value="covering manatee sarasota and e. "/>
                    <xsd:enumeration value="covering manatee, sarasota, and e. "/>
                    <xsd:enumeration value="dade"/>
                    <xsd:enumeration value="dade county"/>
                    <xsd:enumeration value="dade, monroe county"/>
                    <xsd:enumeration value="de soto manatee and sarasota count"/>
                    <xsd:enumeration value="de soto, manatee and sarasota count"/>
                    <xsd:enumeration value="desoto"/>
                    <xsd:enumeration value="desoto and sarasota county"/>
                    <xsd:enumeration value="desoto county"/>
                    <xsd:enumeration value="desoto county, sarasota county"/>
                    <xsd:enumeration value="desoto, hardee, manatee and sarasot"/>
                    <xsd:enumeration value="desoto, manatee and sarasota county"/>
                    <xsd:enumeration value="desoto, sarasota counties"/>
                    <xsd:enumeration value="desoto, sarasota county"/>
                    <xsd:enumeration value="desoto____"/>
                    <xsd:enumeration value="district 68 including manatee coun"/>
                    <xsd:enumeration value="district 68, including manatee coun"/>
                    <xsd:enumeration value="dixie"/>
                    <xsd:enumeration value="downtown bradenton and vicinity."/>
                    <xsd:enumeration value="downtown bradenton and vicinity.   "/>
                    <xsd:enumeration value="duval county"/>
                    <xsd:enumeration value="east"/>
                    <xsd:enumeration value="east &amp; west 13th avenue in bradento"/>
                    <xsd:enumeration value="east amp west 13th avenue in bradento"/>
                    <xsd:enumeration value="east and west 13th avenue in braden"/>
                    <xsd:enumeration value="east bradenton 11th and 13th avenu"/>
                    <xsd:enumeration value="east bradenton 26th street east an"/>
                    <xsd:enumeration value="east bradenton and vicinity."/>
                    <xsd:enumeration value="east bradenton and vicinity.       "/>
                    <xsd:enumeration value="east bradenton area."/>
                    <xsd:enumeration value="east bradenton area.               "/>
                    <xsd:enumeration value="east bradenton; 11th and 13th avenu"/>
                    <xsd:enumeration value="east bradenton; 26th street east an"/>
                    <xsd:enumeration value="eastern and southern manatee county"/>
                    <xsd:enumeration value="eastern manatee county and vicinity"/>
                    <xsd:enumeration value="eastern manatee county north of th"/>
                    <xsd:enumeration value="eastern manatee county on the brade"/>
                    <xsd:enumeration value="eastern manatee county, north of th"/>
                    <xsd:enumeration value="eastern manatee county."/>
                    <xsd:enumeration value="eastern manatee county.            "/>
                    <xsd:enumeration value="eight counties on the west coast of"/>
                    <xsd:enumeration value="ellenton and vicinity.             "/>
                    <xsd:enumeration value="ellenton and vicinity."/>
                    <xsd:enumeration value="ellenton palmetto and vicinity.   "/>
                    <xsd:enumeration value="ellenton, palmetto and vicinity."/>
                    <xsd:enumeration value="englewood"/>
                    <xsd:enumeration value="englewood area"/>
                    <xsd:enumeration value="englewood, north port, nokomis, por"/>
                    <xsd:enumeration value="escambia county"/>
                    <xsd:enumeration value="escambia, okalooosa, santa rosa, wa"/>
                    <xsd:enumeration value="escambia, santa rosa counties"/>
                    <xsd:enumeration value="flagler county"/>
                    <xsd:enumeration value="flagler, st johns, volusia counties"/>
                    <xsd:enumeration value="flagler, volusia counties"/>
                    <xsd:enumeration value="florida"/>
                    <xsd:enumeration value="florida                            "/>
                    <xsd:enumeration value="florida district 13 us house of re"/>
                    <xsd:enumeration value="florida district 13, us house of re"/>
                    <xsd:enumeration value="florida georgia south carolina a"/>
                    <xsd:enumeration value="florida gulf coast."/>
                    <xsd:enumeration value="florida gulf coast.                "/>
                    <xsd:enumeration value="florida."/>
                    <xsd:enumeration value="florida___"/>
                    <xsd:enumeration value="franklin, gadsden, jefferson, leon,"/>
                    <xsd:enumeration value="franklin, leon, liberty, gadsden, j"/>
                    <xsd:enumeration value="gadsden, jefferson, leon, liberty, "/>
                    <xsd:enumeration value="gadson, liberty, franklin, leon, wa"/>
                    <xsd:enumeration value="gilchrist county"/>
                    <xsd:enumeration value="glades, hendry counties"/>
                    <xsd:enumeration value="glades, hendry, lee counties"/>
                    <xsd:enumeration value="global"/>
                    <xsd:enumeration value="greater englewood"/>
                    <xsd:enumeration value="haiti.                             "/>
                    <xsd:enumeration value="haiti."/>
                    <xsd:enumeration value="hardee, highlands, polk counties"/>
                    <xsd:enumeration value="hernando county"/>
                    <xsd:enumeration value="hernando, pasco, pinellas counties"/>
                    <xsd:enumeration value="hillsborough and northern manatee c"/>
                    <xsd:enumeration value="hillsborough county"/>
                    <xsd:enumeration value="hillsborough county                "/>
                    <xsd:enumeration value="hillsborough manatee and sarasota "/>
                    <xsd:enumeration value="hillsborough pinellas manatee sa"/>
                    <xsd:enumeration value="hillsborough, manatee and sarasota "/>
                    <xsd:enumeration value="hillsborough, pinellas, and surroun"/>
                    <xsd:enumeration value="hillsbourgh county"/>
                    <xsd:enumeration value="immediate sarasota area"/>
                    <xsd:enumeration value="indian river, martin, okeechobe, st"/>
                    <xsd:enumeration value="indian river, martin, okeechobee, s"/>
                    <xsd:enumeration value="international, national"/>
                    <xsd:enumeration value="island and vicinity."/>
                    <xsd:enumeration value="island and vicinity.               "/>
                    <xsd:enumeration value="lake, sumpter county"/>
                    <xsd:enumeration value="lake, sumter counties"/>
                    <xsd:enumeration value="laurel, nokomis, venice, englewood,"/>
                    <xsd:enumeration value="lee"/>
                    <xsd:enumeration value="long boat key"/>
                    <xsd:enumeration value="longboat key"/>
                    <xsd:enumeration value="longboat key and vicinity.         "/>
                    <xsd:enumeration value="longboat key and vicinity."/>
                    <xsd:enumeration value="longboat key bradenton and sarasot"/>
                    <xsd:enumeration value="longboat key, bradenton and sarasot"/>
                    <xsd:enumeration value="manasota - manatee and sarasota cou"/>
                    <xsd:enumeration value="manat-se__"/>
                    <xsd:enumeration value="manat-sw__"/>
                    <xsd:enumeration value="manatee"/>
                    <xsd:enumeration value="manatee                            "/>
                    <xsd:enumeration value="manatee  and sarasota counties.    "/>
                    <xsd:enumeration value="manatee  and sarasota counties."/>
                    <xsd:enumeration value="manatee &amp; sarasota counties"/>
                    <xsd:enumeration value="manatee &amp; sarasota counties."/>
                    <xsd:enumeration value="manatee and de soto counties for ho"/>
                    <xsd:enumeration value="manatee and desoto counties."/>
                    <xsd:enumeration value="manatee and desoto counties.       "/>
                    <xsd:enumeration value="manatee and hardee counties.       "/>
                    <xsd:enumeration value="manatee and hardee counties."/>
                    <xsd:enumeration value="manatee and hillsborough counties"/>
                    <xsd:enumeration value="manatee and hillsborough counties  "/>
                    <xsd:enumeration value="manatee and hillsborough counties."/>
                    <xsd:enumeration value="manatee and hillsborough counties. "/>
                    <xsd:enumeration value="manatee and hillsborough county all"/>
                    <xsd:enumeration value="manatee and north sarasota counties"/>
                    <xsd:enumeration value="manatee and sarasota  counties.    "/>
                    <xsd:enumeration value="manatee and sarasota  counties."/>
                    <xsd:enumeration value="manatee and sarasota and charlotte "/>
                    <xsd:enumeration value="manatee and sarasota counties      "/>
                    <xsd:enumeration value="manatee and sarasota counties"/>
                    <xsd:enumeration value="manatee and sarasota counties."/>
                    <xsd:enumeration value="manatee and sarasota counties.     "/>
                    <xsd:enumeration value="manatee and sarasota county"/>
                    <xsd:enumeration value="manatee and sarasota county."/>
                    <xsd:enumeration value="manatee and sarasote counties.     "/>
                    <xsd:enumeration value="manatee and sarasote counties."/>
                    <xsd:enumeration value="manatee and southern hillsborough c"/>
                    <xsd:enumeration value="manatee charlotte citrus collier"/>
                    <xsd:enumeration value="manatee charlotte polk highlands"/>
                    <xsd:enumeration value="manatee citrus hernando pasco p"/>
                    <xsd:enumeration value="manatee county"/>
                    <xsd:enumeration value="manatee county                     "/>
                    <xsd:enumeration value="manatee county - 12th judicial circ"/>
                    <xsd:enumeration value="manatee county and other florida c"/>
                    <xsd:enumeration value="manatee county and vicinity.       "/>
                    <xsd:enumeration value="manatee county and vicinity."/>
                    <xsd:enumeration value="manatee county including north end"/>
                    <xsd:enumeration value="manatee county north of cortez road"/>
                    <xsd:enumeration value="manatee county north of the manate"/>
                    <xsd:enumeration value="manatee county sarasota county de"/>
                    <xsd:enumeration value="manatee county south of cortez road"/>
                    <xsd:enumeration value="manatee county, and other florida c"/>
                    <xsd:enumeration value="manatee county, including north end"/>
                    <xsd:enumeration value="manatee county, north of the manate"/>
                    <xsd:enumeration value="manatee county, sarasota county, de"/>
                    <xsd:enumeration value="manatee county."/>
                    <xsd:enumeration value="manatee county.                    "/>
                    <xsd:enumeration value="manatee county.  (will accept patie"/>
                    <xsd:enumeration value="manatee desoto sarasota and charl"/>
                    <xsd:enumeration value="manatee hillboror polk hardee h"/>
                    <xsd:enumeration value="manatee hillsborough hardee high"/>
                    <xsd:enumeration value="manatee hillsborough pinellas pa"/>
                    <xsd:enumeration value="manatee hillsborough polk hardee"/>
                    <xsd:enumeration value="manatee hillsborough polk highla"/>
                    <xsd:enumeration value="manatee palms neighborhood.        "/>
                    <xsd:enumeration value="manatee palms neighborhood."/>
                    <xsd:enumeration value="manatee pasco pinellas hillsboro"/>
                    <xsd:enumeration value="manatee pinellas hillsborough po"/>
                    <xsd:enumeration value="manatee sarasota and charlotte co"/>
                    <xsd:enumeration value="manatee sarasota and charlotte cou"/>
                    <xsd:enumeration value="manatee sarasota and desoto count"/>
                    <xsd:enumeration value="manatee sarasota and desoto counti"/>
                    <xsd:enumeration value="manatee sarasota and hardee counti"/>
                    <xsd:enumeration value="manatee sarasota and pinellas coun"/>
                    <xsd:enumeration value="manatee sarasota charlotte and de"/>
                    <xsd:enumeration value="manatee sarasota charlotte colli"/>
                    <xsd:enumeration value="manatee sarasota charlotte desot"/>
                    <xsd:enumeration value="manatee sarasota charlotte lee "/>
                    <xsd:enumeration value="manatee sarasota charlotte lee a"/>
                    <xsd:enumeration value="manatee sarasota de soto and cha"/>
                    <xsd:enumeration value="manatee sarasota de soto charlot"/>
                    <xsd:enumeration value="manatee sarasota desoto and harde"/>
                    <xsd:enumeration value="manatee sarasota desoto charlott"/>
                    <xsd:enumeration value="manatee sarasota desoto counties."/>
                    <xsd:enumeration value="manatee sarasota desoto hardee "/>
                    <xsd:enumeration value="manatee sarasota desoto hardee a"/>
                    <xsd:enumeration value="manatee sarasota desoto highland"/>
                    <xsd:enumeration value="manatee sarasota hardee and desot"/>
                    <xsd:enumeration value="manatee sarasota hardee desoto "/>
                    <xsd:enumeration value="manatee sarasota hendry and lee c"/>
                    <xsd:enumeration value="manatee sarasota highlands desot"/>
                    <xsd:enumeration value="manatee sarasota hillsborough coun"/>
                    <xsd:enumeration value="manatee sarasota hillsborough pi"/>
                    <xsd:enumeration value="manatee sarasota lee and charlott"/>
                    <xsd:enumeration value="manatee sarasota lee collier ch"/>
                    <xsd:enumeration value="manatee sarasota port charlotte "/>
                    <xsd:enumeration value="manatee sarasote hardede desoto "/>
                    <xsd:enumeration value="manatee, charlotte, citrus, collier"/>
                    <xsd:enumeration value="manatee, charlotte, polk, highlands"/>
                    <xsd:enumeration value="manatee, citrus, hernando, pasco, p"/>
                    <xsd:enumeration value="manatee, hillboror, polk, hardee, h"/>
                    <xsd:enumeration value="manatee, hillsborough polk, hardee,"/>
                    <xsd:enumeration value="manatee, hillsborough, hardee, high"/>
                    <xsd:enumeration value="manatee, hillsborough, pinellas, pa"/>
                    <xsd:enumeration value="manatee, hillsborough, polk, hardee"/>
                    <xsd:enumeration value="manatee, hillsborough, polk, highla"/>
                    <xsd:enumeration value="manatee, pasco, pinellas, hillsboro"/>
                    <xsd:enumeration value="manatee, pinellas, hillsborough, po"/>
                    <xsd:enumeration value="manatee, polk, hardee, hillsbourgh "/>
                    <xsd:enumeration value="manatee, sarasota and charlotte cou"/>
                    <xsd:enumeration value="manatee, sarasota and desoto counti"/>
                    <xsd:enumeration value="manatee, sarasota and hardee counti"/>
                    <xsd:enumeration value="manatee, sarasota and pinellas coun"/>
                    <xsd:enumeration value="manatee, sarasota hillsborough coun"/>
                    <xsd:enumeration value="manatee, sarasota, and charlotte co"/>
                    <xsd:enumeration value="manatee, sarasota, charlotte and de"/>
                    <xsd:enumeration value="manatee, sarasota, charlotte, colli"/>
                    <xsd:enumeration value="manatee, sarasota, charlotte, desot"/>
                    <xsd:enumeration value="manatee, sarasota, charlotte, lee a"/>
                    <xsd:enumeration value="manatee, sarasota, charlotte, lee, "/>
                    <xsd:enumeration value="manatee, sarasota, de soto, and cha"/>
                    <xsd:enumeration value="manatee, sarasota, desoto, hardee a"/>
                    <xsd:enumeration value="manatee, sarasota, hardee and desot"/>
                    <xsd:enumeration value="manatee, sarasota, hardee, desoto, "/>
                    <xsd:enumeration value="manatee, sarasota, highlands, desot"/>
                    <xsd:enumeration value="manatee, sarasota, hillsborough, pi"/>
                    <xsd:enumeration value="manatee, sarasota, lee and charlott"/>
                    <xsd:enumeration value="manatee, sarasota, lee, collier, ch"/>
                    <xsd:enumeration value="manatee, sarasota, port charlotte, "/>
                    <xsd:enumeration value="manateesarasota desoto and hardee"/>
                    <xsd:enumeration value="manateesarasota desoto highlands"/>
                    <xsd:enumeration value="marion , county"/>
                    <xsd:enumeration value="marion county"/>
                    <xsd:enumeration value="martin, st lucie counties"/>
                    <xsd:enumeration value="miami, hialeah, coral gables, miami"/>
                    <xsd:enumeration value="mid-florida chapter"/>
                    <xsd:enumeration value="mid-manatee county.                "/>
                    <xsd:enumeration value="mid-manatee county."/>
                    <xsd:enumeration value="monroe"/>
                    <xsd:enumeration value="monroe county"/>
                    <xsd:enumeration value="most areas in florida"/>
                    <xsd:enumeration value="most areas in florida              "/>
                    <xsd:enumeration value="myakka city and vicinity."/>
                    <xsd:enumeration value="myakka city and vicinity.          "/>
                    <xsd:enumeration value="n/a"/>
                    <xsd:enumeration value="na"/>
                    <xsd:enumeration value="national"/>
                    <xsd:enumeration value="national &amp; international"/>
                    <xsd:enumeration value="nationwide."/>
                    <xsd:enumeration value="nationwide.                        "/>
                    <xsd:enumeration value="newtown"/>
                    <xsd:enumeration value="newtown and north sarasota county"/>
                    <xsd:enumeration value="newtown area"/>
                    <xsd:enumeration value="nokomis"/>
                    <xsd:enumeration value="nokomis and south county area."/>
                    <xsd:enumeration value="north"/>
                    <xsd:enumeration value="north county"/>
                    <xsd:enumeration value="north of manatee river and vicinity"/>
                    <xsd:enumeration value="north of the river.                "/>
                    <xsd:enumeration value="north of the river."/>
                    <xsd:enumeration value="north port"/>
                    <xsd:enumeration value="north sarasota county"/>
                    <xsd:enumeration value="northeast"/>
                    <xsd:enumeration value="northeastern states"/>
                    <xsd:enumeration value="northern sarasota county"/>
                    <xsd:enumeration value="northport"/>
                    <xsd:enumeration value="northwest"/>
                    <xsd:enumeration value="northwest sarasota county"/>
                    <xsd:enumeration value="not limited to manatee and sarasota"/>
                    <xsd:enumeration value="okaloosa county"/>
                    <xsd:enumeration value="okaloosa, walton counties"/>
                    <xsd:enumeration value="okeechobee county"/>
                    <xsd:enumeration value="oneco and south county area.       "/>
                    <xsd:enumeration value="oneco and south county area."/>
                    <xsd:enumeration value="orange county"/>
                    <xsd:enumeration value="orange seminole counties"/>
                    <xsd:enumeration value="orange, osceola, seminole counties"/>
                    <xsd:enumeration value="orange, osceola, seminole county"/>
                    <xsd:enumeration value="orange, seminole counties"/>
                    <xsd:enumeration value="orange, seminole county"/>
                    <xsd:enumeration value="osceola county"/>
                    <xsd:enumeration value="other_____"/>
                    <xsd:enumeration value="palm beach"/>
                    <xsd:enumeration value="palm beach county"/>
                    <xsd:enumeration value="palmetto and vicinity.             "/>
                    <xsd:enumeration value="palmetto and vicinity."/>
                    <xsd:enumeration value="parrish and vicinity."/>
                    <xsd:enumeration value="parrish and vicinity.              "/>
                    <xsd:enumeration value="pasco"/>
                    <xsd:enumeration value="pasco county"/>
                    <xsd:enumeration value="pine village and vicinity."/>
                    <xsd:enumeration value="pine village and vicinity.         "/>
                    <xsd:enumeration value="pinellas but will accept out of co"/>
                    <xsd:enumeration value="pinellas county"/>
                    <xsd:enumeration value="pinellas pasco hillsboro and man"/>
                    <xsd:enumeration value="pinellas, but will accept out of co"/>
                    <xsd:enumeration value="pinellas, pasco, hillsboro, and man"/>
                    <xsd:enumeration value="polk, highlands county"/>
                    <xsd:enumeration value="port charlotte"/>
                    <xsd:enumeration value="port manatee."/>
                    <xsd:enumeration value="port manatee.                      "/>
                    <xsd:enumeration value="preference is given to manatee and "/>
                    <xsd:enumeration value="putnam county"/>
                    <xsd:enumeration value="rubonia and vicinity.              "/>
                    <xsd:enumeration value="rubonia and vicinity."/>
                    <xsd:enumeration value="samoset and vicinity."/>
                    <xsd:enumeration value="samoset and vicinity.              "/>
                    <xsd:enumeration value="santa rosa county"/>
                    <xsd:enumeration value="saras-ne__"/>
                    <xsd:enumeration value="saras-nw__"/>
                    <xsd:enumeration value="saras-se__"/>
                    <xsd:enumeration value="saras-sw__"/>
                    <xsd:enumeration value="sarasota"/>
                    <xsd:enumeration value="sarasota  county"/>
                    <xsd:enumeration value="sarasota  county."/>
                    <xsd:enumeration value="sarasota &amp; desoto county"/>
                    <xsd:enumeration value="sarasota &amp; manatee counties"/>
                    <xsd:enumeration value="sarasota &amp; manatee county"/>
                    <xsd:enumeration value="sarasota &amp; southern manatee countie"/>
                    <xsd:enumeration value="sarasota &amp; surrounding counties"/>
                    <xsd:enumeration value="sarasota and  manatee county."/>
                    <xsd:enumeration value="sarasota and desoto county."/>
                    <xsd:enumeration value="sarasota and manatee counties      "/>
                    <xsd:enumeration value="sarasota and manatee counties and s"/>
                    <xsd:enumeration value="sarasota and manatee counties.     "/>
                    <xsd:enumeration value="sarasota and manatee counties."/>
                    <xsd:enumeration value="sarasota and manatee counties.  nor"/>
                    <xsd:enumeration value="sarasota and manatee county"/>
                    <xsd:enumeration value="sarasota and venice"/>
                    <xsd:enumeration value="sarasota county"/>
                    <xsd:enumeration value="sarasota county                    "/>
                    <xsd:enumeration value="sarasota county and desoto county"/>
                    <xsd:enumeration value="sarasota county and manatee county"/>
                    <xsd:enumeration value="sarasota county and manatee."/>
                    <xsd:enumeration value="sarasota county and south west flor"/>
                    <xsd:enumeration value="sarasota county except venice and "/>
                    <xsd:enumeration value="sarasota county, manatee county, ch"/>
                    <xsd:enumeration value="sarasota county, with locations in "/>
                    <xsd:enumeration value="sarasota county."/>
                    <xsd:enumeration value="sarasota county.                   "/>
                    <xsd:enumeration value="sarasota couny"/>
                    <xsd:enumeration value="sarasota desoto and hardee counti"/>
                    <xsd:enumeration value="sarasota desoto and manatee count"/>
                    <xsd:enumeration value="sarasota desoto charlotte lee c"/>
                    <xsd:enumeration value="sarasota manatee and limited numbe"/>
                    <xsd:enumeration value="sarasota prospect house only."/>
                    <xsd:enumeration value="sarasota, charlotte and manatee cou"/>
                    <xsd:enumeration value="sarasota, desoto, and hardee counti"/>
                    <xsd:enumeration value="sarasota, desoto, charlotte, lee, c"/>
                    <xsd:enumeration value="sarasota, highlands, charlotte, man"/>
                    <xsd:enumeration value="sarasota, manatee"/>
                    <xsd:enumeration value="sarasota, manatee &amp; charlotte count"/>
                    <xsd:enumeration value="sarasota, manatee and  charlotte co"/>
                    <xsd:enumeration value="sarasota, manatee and charlotte cou"/>
                    <xsd:enumeration value="sarasota, manatee and desoto counti"/>
                    <xsd:enumeration value="sarasota, manatee counties"/>
                    <xsd:enumeration value="sarasota, manatee counties and the "/>
                    <xsd:enumeration value="sarasota, manatee counties."/>
                    <xsd:enumeration value="sarasota, manatee county"/>
                    <xsd:enumeration value="sarasota, manatee, charlotte"/>
                    <xsd:enumeration value="sarasota, manatee, charlotte &amp; deso"/>
                    <xsd:enumeration value="sarasota, manatee, charlotte, lee, "/>
                    <xsd:enumeration value="sarasota, manatee, desoto &amp; charlot"/>
                    <xsd:enumeration value="sarasota, manatee, desoto and harde"/>
                    <xsd:enumeration value="sarasota, manatee, hardee &amp; desoto "/>
                    <xsd:enumeration value="sarasota, manatee, hardee and desot"/>
                    <xsd:enumeration value="sarasota, manatee, hardee, desoto c"/>
                    <xsd:enumeration value="sarasota, manatee, lee, charlotte c"/>
                    <xsd:enumeration value="sarasota, venice"/>
                    <xsd:enumeration value="sarasota/manatee counties"/>
                    <xsd:enumeration value="sarasota/manatee county"/>
                    <xsd:enumeration value="seminole county"/>
                    <xsd:enumeration value="senate district 26 state of florid"/>
                    <xsd:enumeration value="senate district 26, state of florid"/>
                    <xsd:enumeration value="serves manatee sarasota charlotte"/>
                    <xsd:enumeration value="serves manatee, sarasota, charlotte"/>
                    <xsd:enumeration value="serves sarasota &amp; manatee counties."/>
                    <xsd:enumeration value="south"/>
                    <xsd:enumeration value="south central manatee county.      "/>
                    <xsd:enumeration value="south central manatee county."/>
                    <xsd:enumeration value="south county"/>
                    <xsd:enumeration value="south county - osprey, laurel, noko"/>
                    <xsd:enumeration value="south county, north port"/>
                    <xsd:enumeration value="south county, north port, osprey"/>
                    <xsd:enumeration value="south county-osprey, laurel, nokomi"/>
                    <xsd:enumeration value="south florida"/>
                    <xsd:enumeration value="south manatee county and vicinity."/>
                    <xsd:enumeration value="south manatee county and vicinity. "/>
                    <xsd:enumeration value="south manatee county sarasota coun"/>
                    <xsd:enumeration value="south manatee county, sarasota coun"/>
                    <xsd:enumeration value="south sarasota county"/>
                    <xsd:enumeration value="south sarasota county."/>
                    <xsd:enumeration value="southeast"/>
                    <xsd:enumeration value="southeast sarasota county."/>
                    <xsd:enumeration value="southeastern manatee county."/>
                    <xsd:enumeration value="southeastern manatee county.       "/>
                    <xsd:enumeration value="southeastern united states."/>
                    <xsd:enumeration value="southeastern united states.        "/>
                    <xsd:enumeration value="southern and eastern manatee county"/>
                    <xsd:enumeration value="southern manatee county."/>
                    <xsd:enumeration value="southern manatee county.           "/>
                    <xsd:enumeration value="southwest"/>
                    <xsd:enumeration value="southwest florida"/>
                    <xsd:enumeration value="southwest florida."/>
                    <xsd:enumeration value="southwest sarasota county"/>
                    <xsd:enumeration value="specific areas in the city of brade"/>
                    <xsd:enumeration value="specific schools targeted for this "/>
                    <xsd:enumeration value="st petersburg, clearwater, county o"/>
                    <xsd:enumeration value="state"/>
                    <xsd:enumeration value="state of florida"/>
                    <xsd:enumeration value="state of florida                   "/>
                    <xsd:enumeration value="state of florida house of represent"/>
                    <xsd:enumeration value="state of florida."/>
                    <xsd:enumeration value="state of florida.                  "/>
                    <xsd:enumeration value="state of florida/ national"/>
                    <xsd:enumeration value="statewide"/>
                    <xsd:enumeration value="statewide."/>
                    <xsd:enumeration value="statewide.                         "/>
                    <xsd:enumeration value="tallevast and surrounding community"/>
                    <xsd:enumeration value="therapists who will see patients on"/>
                    <xsd:enumeration value="unincorporated areas of sarasota co"/>
                    <xsd:enumeration value="unincorporated manatee county.     "/>
                    <xsd:enumeration value="unincorporated manatee county."/>
                    <xsd:enumeration value="union county"/>
                    <xsd:enumeration value="united states of america           "/>
                    <xsd:enumeration value="united states of america"/>
                    <xsd:enumeration value="united states of america.          "/>
                    <xsd:enumeration value="unknown___"/>
                    <xsd:enumeration value="urbanized area of manatee county.  "/>
                    <xsd:enumeration value="urbanized area of manatee county."/>
                    <xsd:enumeration value="urbanized areas of manatee county."/>
                    <xsd:enumeration value="urbanized areas of manatee county. "/>
                    <xsd:enumeration value="usa/ global"/>
                    <xsd:enumeration value="venice"/>
                    <xsd:enumeration value="venice and vicinity."/>
                    <xsd:enumeration value="venice and vicinity.               "/>
                    <xsd:enumeration value="venice island residents only."/>
                    <xsd:enumeration value="venice, englewood and north port"/>
                    <xsd:enumeration value="venice, laurel, and north port"/>
                    <xsd:enumeration value="volusia county"/>
                    <xsd:enumeration value="volusia, flagler, st johns, putnam,"/>
                    <xsd:enumeration value="walton county"/>
                    <xsd:enumeration value="washington park and vicinity.      "/>
                    <xsd:enumeration value="washington park and vicinity."/>
                    <xsd:enumeration value="west"/>
                    <xsd:enumeration value="west and south bradenton."/>
                    <xsd:enumeration value="west and south bradenton.          "/>
                    <xsd:enumeration value="west bradenton and vicinity.       "/>
                    <xsd:enumeration value="west bradenton and vicinity."/>
                    <xsd:enumeration value="west coast of florida."/>
                    <xsd:enumeration value="west coast of florida.             "/>
                    <xsd:enumeration value="western and central part of florida"/>
                    <xsd:enumeration value="western manatee county (excluding i"/>
                    <xsd:enumeration value="western southern and eastern count"/>
                    <xsd:enumeration value="western, southern and eastern count"/>
                    <xsd:enumeration value="worldwide"/>
                    <xsd:enumeration value="worldwide                          "/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="CCVCLIENTTYPE9902PickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="homeless"/>
                    <xsd:enumeration value="homeowner (mortgage paid off)"/>
                    <xsd:enumeration value="mortgagor (mortgage on property)"/>
                    <xsd:enumeration value="other (specify below):"/>
                    <xsd:enumeration value="potential mortgagor (wants to buy)"/>
                    <xsd:enumeration value="potential renter (wants to rent)"/>
                    <xsd:enumeration value="renter (occupies rental property)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="CHILDCAREPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="able to select quality childcare of choice"/>
                    <xsd:enumeration value="affordable subsidized childcare is available but limited (waiting list)"/>
                    <xsd:enumeration value="has childcare but it is unreliable and/or unaffordable"/>
                    <xsd:enumeration value="needs childcare but none is available/accessible or is not eligible for childcare"/>
                    <xsd:enumeration value="not applicable"/>
                    <xsd:enumeration value="reliable/affordable childcare is available with no need for subsidy"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="CITYPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value=""/>
                    <xsd:enumeration value="*unknown*"/>
                    <xsd:enumeration value="anna maria island"/>
                    <xsd:enumeration value="arcadia"/>
                    <xsd:enumeration value="atlanta"/>
                    <xsd:enumeration value="avon park"/>
                    <xsd:enumeration value="bowling green"/>
                    <xsd:enumeration value="bradenton"/>
                    <xsd:enumeration value="bradenton beach"/>
                    <xsd:enumeration value="casey key"/>
                    <xsd:enumeration value="casselberry"/>
                    <xsd:enumeration value="chicago"/>
                    <xsd:enumeration value="clearwater"/>
                    <xsd:enumeration value="cocoa"/>
                    <xsd:enumeration value="cocoa beach"/>
                    <xsd:enumeration value="cortez"/>
                    <xsd:enumeration value="daytona"/>
                    <xsd:enumeration value="daytona beach"/>
                    <xsd:enumeration value="delray beach"/>
                    <xsd:enumeration value="duette"/>
                    <xsd:enumeration value="ellenton"/>
                    <xsd:enumeration value="englewood"/>
                    <xsd:enumeration value="fairfax"/>
                    <xsd:enumeration value="fort myers"/>
                    <xsd:enumeration value="ft lauderdale"/>
                    <xsd:enumeration value="ft walton"/>
                    <xsd:enumeration value="ft walton beach"/>
                    <xsd:enumeration value="ft. lauderdale"/>
                    <xsd:enumeration value="ft. myers"/>
                    <xsd:enumeration value="ft. walton"/>
                    <xsd:enumeration value="gainesville"/>
                    <xsd:enumeration value="holmes beach"/>
                    <xsd:enumeration value="inverness"/>
                    <xsd:enumeration value="jacksonville"/>
                    <xsd:enumeration value="kissimmee"/>
                    <xsd:enumeration value="lake butler"/>
                    <xsd:enumeration value="lake city"/>
                    <xsd:enumeration value="lakeland"/>
                    <xsd:enumeration value="lakeview"/>
                    <xsd:enumeration value="lantana"/>
                    <xsd:enumeration value="largo"/>
                    <xsd:enumeration value="laurel"/>
                    <xsd:enumeration value="longboat key"/>
                    <xsd:enumeration value="longwood"/>
                    <xsd:enumeration value="los angeles"/>
                    <xsd:enumeration value="lutz"/>
                    <xsd:enumeration value="maitland"/>
                    <xsd:enumeration value="marathon"/>
                    <xsd:enumeration value="marianna"/>
                    <xsd:enumeration value="menton"/>
                    <xsd:enumeration value="miami"/>
                    <xsd:enumeration value="milton"/>
                    <xsd:enumeration value="minneapolis"/>
                    <xsd:enumeration value="myakka city"/>
                    <xsd:enumeration value="n. ft. myers"/>
                    <xsd:enumeration value="naples"/>
                    <xsd:enumeration value="new port richey"/>
                    <xsd:enumeration value="new york"/>
                    <xsd:enumeration value="nokomis"/>
                    <xsd:enumeration value="north lauderdale"/>
                    <xsd:enumeration value="north port"/>
                    <xsd:enumeration value="ocala"/>
                    <xsd:enumeration value="okeechobee"/>
                    <xsd:enumeration value="oldsmar"/>
                    <xsd:enumeration value="oneco"/>
                    <xsd:enumeration value="orange park"/>
                    <xsd:enumeration value="orlando"/>
                    <xsd:enumeration value="osprey"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="palatka"/>
                    <xsd:enumeration value="palm bay"/>
                    <xsd:enumeration value="palmetto"/>
                    <xsd:enumeration value="panama city"/>
                    <xsd:enumeration value="parrish"/>
                    <xsd:enumeration value="pensacola"/>
                    <xsd:enumeration value="pinellas park"/>
                    <xsd:enumeration value="plant city"/>
                    <xsd:enumeration value="plantation"/>
                    <xsd:enumeration value="pompano beach"/>
                    <xsd:enumeration value="port charlotte"/>
                    <xsd:enumeration value="port lucie"/>
                    <xsd:enumeration value="port richey"/>
                    <xsd:enumeration value="portland"/>
                    <xsd:enumeration value="punta gorda"/>
                    <xsd:enumeration value="rockledge"/>
                    <xsd:enumeration value="rockville"/>
                    <xsd:enumeration value="rotonda"/>
                    <xsd:enumeration value="royal oak"/>
                    <xsd:enumeration value="rubonia"/>
                    <xsd:enumeration value="ruskin"/>
                    <xsd:enumeration value="samoset"/>
                    <xsd:enumeration value="san antonio"/>
                    <xsd:enumeration value="san francisco"/>
                    <xsd:enumeration value="san francisco,"/>
                    <xsd:enumeration value="sarasota"/>
                    <xsd:enumeration value="scottsdale"/>
                    <xsd:enumeration value="shreveport"/>
                    <xsd:enumeration value="siesta key"/>
                    <xsd:enumeration value="st augustine"/>
                    <xsd:enumeration value="st. augustine"/>
                    <xsd:enumeration value="st. petersberg"/>
                    <xsd:enumeration value="st. petersburg"/>
                    <xsd:enumeration value="starke"/>
                    <xsd:enumeration value="stuart"/>
                    <xsd:enumeration value="sun city"/>
                    <xsd:enumeration value="tallahasse"/>
                    <xsd:enumeration value="tallahassee"/>
                    <xsd:enumeration value="tallavast"/>
                    <xsd:enumeration value="tallevast"/>
                    <xsd:enumeration value="tampa"/>
                    <xsd:enumeration value="tierra verde"/>
                    <xsd:enumeration value="toledo"/>
                    <xsd:enumeration value="umatilla"/>
                    <xsd:enumeration value="unknown"/>
                    <xsd:enumeration value="valley forge"/>
                    <xsd:enumeration value="valrico"/>
                    <xsd:enumeration value="venice"/>
                    <xsd:enumeration value="vero beach"/>
                    <xsd:enumeration value="warm mineral springs"/>
                    <xsd:enumeration value="warminster"/>
                    <xsd:enumeration value="washington"/>
                    <xsd:enumeration value="wimauma"/>
                    <xsd:enumeration value="winter haven"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="CLIENTCONTACTEDPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="outreached"/>
                    <xsd:enumeration value="referred"/>
                    <xsd:enumeration value="self referral/walk in"/>
                    <xsd:enumeration value="telephone"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="COASTALAPPROPRIATESITEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="appropriate for referral elsewhere"/>
                    <xsd:enumeration value="not appropriate for services at this site"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="COASTALDIAGNOSTICIMPRESSIONPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="01 add/behavior disorders"/>
                    <xsd:enumeration value="02 substance related disorders"/>
                    <xsd:enumeration value="03 schizophrenia and other psychotic disorders"/>
                    <xsd:enumeration value="04 depressive disorders"/>
                    <xsd:enumeration value="05 bipolar disorders"/>
                    <xsd:enumeration value="06 anxiety disorders"/>
                    <xsd:enumeration value="07 personality disorders"/>
                    <xsd:enumeration value="08 impulse control disorders"/>
                    <xsd:enumeration value="09 adjustment disorders"/>
                    <xsd:enumeration value="10 v-codes"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="COASTALINNEEDSERVICESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="appropriate for fetc services"/>
                    <xsd:enumeration value="not in need of services"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="COUNTYPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="desoto"/>
                    <xsd:enumeration value="manatee"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="sarasota"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="DISABILITYTYPESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="alcohol abuse (hud 40118)"/>
                    <xsd:enumeration value="developmental (hud 40118)"/>
                    <xsd:enumeration value="drug abuse (hud 40118)"/>
                    <xsd:enumeration value="dual diagnosis"/>
                    <xsd:enumeration value="hearing impaired"/>
                    <xsd:enumeration value="hiv/aids (hud 40118)"/>
                    <xsd:enumeration value="mental illness (hud 40118)"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="physical/medical (hud 40118)"/>
                    <xsd:enumeration value="physical/mobility limits (hud 40118)"/>
                    <xsd:enumeration value="vision impaired"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="DRUGALCOHOLPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="alcohol"/>
                    <xsd:enumeration value="cocaine"/>
                    <xsd:enumeration value="crack"/>
                    <xsd:enumeration value="crystal"/>
                    <xsd:enumeration value="heroin"/>
                    <xsd:enumeration value="marijuana"/>
                    <xsd:enumeration value="methadone"/>
                    <xsd:enumeration value="prescription drugs"/>
                    <xsd:enumeration value="sexual addiction"/>
                    <xsd:enumeration value="tobacco"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="DRUGUSEFREQUENCYPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="daily"/>
                    <xsd:enumeration value="periodic"/>
                    <xsd:enumeration value="several times per week"/>
                    <xsd:enumeration value="weekends only"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="DSMPSYCHOSOCIALPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="access to health care problems"/>
                    <xsd:enumeration value="economic problems"/>
                    <xsd:enumeration value="educational problems"/>
                    <xsd:enumeration value="housing problems"/>
                    <xsd:enumeration value="legal system/crime related problems"/>
                    <xsd:enumeration value="occupational problems"/>
                    <xsd:enumeration value="other psychosocial/environ. problems"/>
                    <xsd:enumeration value="problems related to social environment"/>
                    <xsd:enumeration value="problems with primary support group"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="EDUCATIONLEVELPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="10th grade (hud)"/>
                    <xsd:enumeration value="11th grade (hud)"/>
                    <xsd:enumeration value="12th grade, no diploma (hud)"/>
                    <xsd:enumeration value="5th grade or 6th grade (hud)"/>
                    <xsd:enumeration value="7th grade or 8th grade (hud)"/>
                    <xsd:enumeration value="9th grade (hud)"/>
                    <xsd:enumeration value="college degree"/>
                    <xsd:enumeration value="ged (hud)"/>
                    <xsd:enumeration value="graduate degree"/>
                    <xsd:enumeration value="high school diploma (hud)"/>
                    <xsd:enumeration value="less than high school"/>
                    <xsd:enumeration value="no schooling completed (hud)"/>
                    <xsd:enumeration value="nursery school to 4th grade (hud)"/>
                    <xsd:enumeration value="post-secondary school (hud)"/>
                    <xsd:enumeration value="some college"/>
                    <xsd:enumeration value="some high school"/>
                    <xsd:enumeration value="some technical school"/>
                    <xsd:enumeration value="technical school certification"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="EDUCATIONTYPEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="college/university"/>
                    <xsd:enumeration value="community college"/>
                    <xsd:enumeration value="ged"/>
                    <xsd:enumeration value="job training program"/>
                    <xsd:enumeration value="other adult education"/>
                    <xsd:enumeration value="vocational school"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="EMPLOYMENTPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="full time"/>
                    <xsd:enumeration value="part time"/>
                    <xsd:enumeration value="retired"/>
                    <xsd:enumeration value="seasonal work"/>
                    <xsd:enumeration value="volunteer work only"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="EMPLOYMENTSALVARMYMANPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="employed fulltime, $7/hour or greater, but with few or no benefits"/>
                    <xsd:enumeration value="employed fulltime, $7/hour or greater, with good benefits"/>
                    <xsd:enumeration value="employed fulltime, less than $7/hour"/>
                    <xsd:enumeration value="no job"/>
                    <xsd:enumeration value="temporary, part-time or seasonal employment"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="ENGLISHSPEAKINGSKILLSPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="excellent"/>
                    <xsd:enumeration value="fair"/>
                    <xsd:enumeration value="good"/>
                    <xsd:enumeration value="not at all"/>
                    <xsd:enumeration value="poor"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="ENHANCEDYESNOPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="don't know (hud)"/>
                    <xsd:enumeration value="no (hud)"/>
                    <xsd:enumeration value="refused (hud)"/>
                    <xsd:enumeration value="yes (hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="ETHNICITYPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="hispanic/latino"/>
                    <xsd:enumeration value="other (non-hispanic/latino)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="EVACUEESTATESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="al"/>
                    <xsd:enumeration value="fl"/>
                    <xsd:enumeration value="la"/>
                    <xsd:enumeration value="ms"/>
                    <xsd:enumeration value="tx"/>
                    <xsd:enumeration value="unknown"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="EXCEPTIONALITYCODESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="a - educable mentally handicapped"/>
                    <xsd:enumeration value="b - trainable mentally handicapped"/>
                    <xsd:enumeration value="c - orthopedically impaired"/>
                    <xsd:enumeration value="d - occupational therapy"/>
                    <xsd:enumeration value="e - physical therapy"/>
                    <xsd:enumeration value="f - speech impaired"/>
                    <xsd:enumeration value="g - language impaired"/>
                    <xsd:enumeration value="h - deaf or hard of hearing"/>
                    <xsd:enumeration value="i -  visually impaired"/>
                    <xsd:enumeration value="j - emotionally handicapped"/>
                    <xsd:enumeration value="k - specific learning disabled"/>
                    <xsd:enumeration value="l - gifted"/>
                    <xsd:enumeration value="m - hospital homebound"/>
                    <xsd:enumeration value="n - profoundly mentally handicapped"/>
                    <xsd:enumeration value="o - dual-sensory impaired"/>
                    <xsd:enumeration value="p - autistic"/>
                    <xsd:enumeration value="q - severely emotionally disturbed"/>
                    <xsd:enumeration value="s - traumtic brain injured"/>
                    <xsd:enumeration value="t - developmentally delayed"/>
                    <xsd:enumeration value="u - established conditions"/>
                    <xsd:enumeration value="v - other health impaired"/>
                    <xsd:enumeration value="z - not applicable"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="EXPENSETYPEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="auto insurance"/>
                    <xsd:enumeration value="auto maintenance"/>
                    <xsd:enumeration value="auto payment"/>
                    <xsd:enumeration value="bankruptcy"/>
                    <xsd:enumeration value="child care"/>
                    <xsd:enumeration value="child support"/>
                    <xsd:enumeration value="clothing"/>
                    <xsd:enumeration value="credit cards"/>
                    <xsd:enumeration value="electric"/>
                    <xsd:enumeration value="gas"/>
                    <xsd:enumeration value="gas/oil for auto"/>
                    <xsd:enumeration value="groceries"/>
                    <xsd:enumeration value="health insurance"/>
                    <xsd:enumeration value="home/rental insurance"/>
                    <xsd:enumeration value="laundry"/>
                    <xsd:enumeration value="loans"/>
                    <xsd:enumeration value="lunch money"/>
                    <xsd:enumeration value="medical bills"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="rent/mortgage"/>
                    <xsd:enumeration value="telephone"/>
                    <xsd:enumeration value="transportation"/>
                    <xsd:enumeration value="tuition"/>
                    <xsd:enumeration value="wage assignments"/>
                    <xsd:enumeration value="water"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="FETCDIAGNOSTICIMPRESSIONPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="01 add/behavior disorders"/>
                    <xsd:enumeration value="02 substance related disorders"/>
                    <xsd:enumeration value="03 schizophrenia and other psychotic disorders"/>
                    <xsd:enumeration value="04 depressive disorders"/>
                    <xsd:enumeration value="05 bipolar disorders"/>
                    <xsd:enumeration value="06 anxiety disorders"/>
                    <xsd:enumeration value="07 personality disorders"/>
                    <xsd:enumeration value="08 impulse control disorders"/>
                    <xsd:enumeration value="09 adjustment disorders"/>
                    <xsd:enumeration value="10 v-codes"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="FOODSALVARMYMANPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="can meet basic food needs but requires occasional assistance"/>
                    <xsd:enumeration value="can meet basic food needs without assistance"/>
                    <xsd:enumeration value="has no problem meeting any food needs for household"/>
                    <xsd:enumeration value="household is on food stamps or requires subsidy"/>
                    <xsd:enumeration value="no food or means to prepare it or is in shelter"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="GRADELEVELPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="1"/>
                    <xsd:enumeration value="10"/>
                    <xsd:enumeration value="11"/>
                    <xsd:enumeration value="12"/>
                    <xsd:enumeration value="2"/>
                    <xsd:enumeration value="3"/>
                    <xsd:enumeration value="4"/>
                    <xsd:enumeration value="5"/>
                    <xsd:enumeration value="6"/>
                    <xsd:enumeration value="7"/>
                    <xsd:enumeration value="8"/>
                    <xsd:enumeration value="9"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="GUARDIANHIPTYPEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="biological parent(s)"/>
                    <xsd:enumeration value="foster parent(s)"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="relative placement"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HOMELESSNESSPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="1-2 times in the past"/>
                    <xsd:enumeration value="chronic: 4 times in past 3 years"/>
                    <xsd:enumeration value="first time homeless"/>
                    <xsd:enumeration value="long term: 2 years or more"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HOMELESSREASONPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="co-occuring disorders"/>
                    <xsd:enumeration value="criminal activity"/>
                    <xsd:enumeration value="domestic violence victim"/>
                    <xsd:enumeration value="eviction"/>
                    <xsd:enumeration value="financial crisis"/>
                    <xsd:enumeration value="health/safety"/>
                    <xsd:enumeration value="lack of family support"/>
                    <xsd:enumeration value="loss of child care"/>
                    <xsd:enumeration value="loss of job"/>
                    <xsd:enumeration value="loss of public assistance"/>
                    <xsd:enumeration value="loss of transportation"/>
                    <xsd:enumeration value="medical condition"/>
                    <xsd:enumeration value="mental health"/>
                    <xsd:enumeration value="mortage foreclosure"/>
                    <xsd:enumeration value="no affordable housing"/>
                    <xsd:enumeration value="other disability"/>
                    <xsd:enumeration value="release from institution"/>
                    <xsd:enumeration value="substance abuse"/>
                    <xsd:enumeration value="substandard housing"/>
                    <xsd:enumeration value="underemployment/low income"/>
                    <xsd:enumeration value="utility shutoff"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HOPEPRESENTINGPROBLEMPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="children's service"/>
                    <xsd:enumeration value="domestic violence"/>
                    <xsd:enumeration value="other services (specify below)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HOUSINGFOLLOWUPPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="has not remained in housing"/>
                    <xsd:enumeration value="has remained in housing"/>
                    <xsd:enumeration value="unable to contact"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HOUSINGREFERRALPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="alf"/>
                    <xsd:enumeration value="halfway house"/>
                    <xsd:enumeration value="other (please explain)"/>
                    <xsd:enumeration value="rental/lease"/>
                    <xsd:enumeration value="salvation army follow up"/>
                    <xsd:enumeration value="spc"/>
                    <xsd:enumeration value="subsidized"/>
                    <xsd:enumeration value="transitional housing"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HOUSINGSALVARMYMANATEEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="homeless"/>
                    <xsd:enumeration value="stable subsidized housing"/>
                    <xsd:enumeration value="stable unsubsidized housing"/>
                    <xsd:enumeration value="temporary, substandard housing (car, motel)"/>
                    <xsd:enumeration value="transitional housing"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HOUSINGSTATUSPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="halfway house, residential treatment program"/>
                    <xsd:enumeration value="hotel, sro, boarding house"/>
                    <xsd:enumeration value="institution (psychiatric or other hospital, nursing home, etc.)"/>
                    <xsd:enumeration value="jail or correctional facility"/>
                    <xsd:enumeration value="long term shelter"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="outdoors (e.g., street, abandoned or public building, automobile)"/>
                    <xsd:enumeration value="own or someone else's apartment, room, or house"/>
                    <xsd:enumeration value="short term shelter"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HUD_CHILDENROLLMENTPROBLEMSPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="availability of school records (hud)"/>
                    <xsd:enumeration value="birth certificates (hud)"/>
                    <xsd:enumeration value="immunization requirements (hud)"/>
                    <xsd:enumeration value="lack of available preschool programs (hud)"/>
                    <xsd:enumeration value="legal guardianship requirements (hud)"/>
                    <xsd:enumeration value="none (hud)"/>
                    <xsd:enumeration value="other (hud)"/>
                    <xsd:enumeration value="physical examination records (hud)"/>
                    <xsd:enumeration value="residency requirements (hud)"/>
                    <xsd:enumeration value="transportation (hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HUD_DISCHARGETYPEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="bad conduct (hud)"/>
                    <xsd:enumeration value="dishonorable (hud)"/>
                    <xsd:enumeration value="general (hud)"/>
                    <xsd:enumeration value="honorable (hud)"/>
                    <xsd:enumeration value="medical (hud)"/>
                    <xsd:enumeration value="other (hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HUD_DVEXPERIENCEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="don't know (hud)"/>
                    <xsd:enumeration value="from six to twelve months ago (hud)"/>
                    <xsd:enumeration value="more than a year ago (hud)"/>
                    <xsd:enumeration value="refused (hud)"/>
                    <xsd:enumeration value="three to six months ago (hud)"/>
                    <xsd:enumeration value="within the past three months (hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HUD_EDUCATIONDEGREESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="associates degree (hud)"/>
                    <xsd:enumeration value="bachelors (hud)"/>
                    <xsd:enumeration value="doctorate (hud)"/>
                    <xsd:enumeration value="masters (hud)"/>
                    <xsd:enumeration value="none (hud)"/>
                    <xsd:enumeration value="other graduate/professional degree (hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HUD_EMPLOYMENTTENUREPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="permanent (hud)"/>
                    <xsd:enumeration value="seasonal (hud)"/>
                    <xsd:enumeration value="temporary (hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HUD_HEALTHCONDITIONPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="don't know (hud)"/>
                    <xsd:enumeration value="excellent (hud)"/>
                    <xsd:enumeration value="fair (hud)"/>
                    <xsd:enumeration value="good (hud)"/>
                    <xsd:enumeration value="poor (hud)"/>
                    <xsd:enumeration value="very good (hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HUD_LENGTHOFTHESTAYPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="more than one week, but less than one month (hud)"/>
                    <xsd:enumeration value="more than three months, but less than one year (hud)"/>
                    <xsd:enumeration value="one to three months (hud)"/>
                    <xsd:enumeration value="one week or less (hud)"/>
                    <xsd:enumeration value="one year or longer (hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HUD_SCHOOLTYPEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="parochial or other private school (hud)"/>
                    <xsd:enumeration value="public school (hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HUD_WARZONETYPESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="china, burman, india (hud)"/>
                    <xsd:enumeration value="europe (hud)"/>
                    <xsd:enumeration value="korea (hud)"/>
                    <xsd:enumeration value="laos and cambodia (hud)"/>
                    <xsd:enumeration value="north africa (hud)"/>
                    <xsd:enumeration value="other (hud)"/>
                    <xsd:enumeration value="persian gulf (hud)"/>
                    <xsd:enumeration value="south china sea (hud)"/>
                    <xsd:enumeration value="south pacific (hud)"/>
                    <xsd:enumeration value="vietnam (hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HUD_ZIPDATAQUALITYCODEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="don't know (hud)"/>
                    <xsd:enumeration value="full zip code recorded (hud)"/>
                    <xsd:enumeration value="refused (hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="HURRICANESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="charlie"/>
                    <xsd:enumeration value="katrina"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="rita"/>
                    <xsd:enumeration value="wilma"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="IMMIGRATIONSTATUSPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="asylee"/>
                    <xsd:enumeration value="naturalized"/>
                    <xsd:enumeration value="pending"/>
                    <xsd:enumeration value="permanent resident"/>
                    <xsd:enumeration value="refugee section 207"/>
                    <xsd:enumeration value="refugee section 212"/>
                    <xsd:enumeration value="undocumented"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="INCOMESALVARMYMANPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="$1,001—$1,500 per month"/>
                    <xsd:enumeration value="$1,500+per month"/>
                    <xsd:enumeration value="$1—$530 per month"/>
                    <xsd:enumeration value="$531—$1,000 per month"/>
                    <xsd:enumeration value="no income"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="INCOMESOURCEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="employment"/>
                    <xsd:enumeration value="family"/>
                    <xsd:enumeration value="food stamps"/>
                    <xsd:enumeration value="none"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="ssdi"/>
                    <xsd:enumeration value="ssi"/>
                    <xsd:enumeration value="va"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="INCOMETYPESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="a veteran's disability payment (hud)"/>
                    <xsd:enumeration value="alimony"/>
                    <xsd:enumeration value="alimony or other spousal support (hud)"/>
                    <xsd:enumeration value="annuities"/>
                    <xsd:enumeration value="child support (hud)"/>
                    <xsd:enumeration value="contributions from other people"/>
                    <xsd:enumeration value="dividends (investments)"/>
                    <xsd:enumeration value="earned income (hud)"/>
                    <xsd:enumeration value="food stamps (hud)"/>
                    <xsd:enumeration value="general assistance (hud)"/>
                    <xsd:enumeration value="interest (bank)"/>
                    <xsd:enumeration value="medicaid (hud)"/>
                    <xsd:enumeration value="medicare (hud)"/>
                    <xsd:enumeration value="no financial resources (hud)"/>
                    <xsd:enumeration value="other (hud)"/>
                    <xsd:enumeration value="other tanf-funded services (hud)"/>
                    <xsd:enumeration value="pension from a former job (hud)"/>
                    <xsd:enumeration value="pension/retirement"/>
                    <xsd:enumeration value="private disability insurance (hud)"/>
                    <xsd:enumeration value="railroad retirement"/>
                    <xsd:enumeration value="rental income"/>
                    <xsd:enumeration value="retirement disability"/>
                    <xsd:enumeration value="retirement income from social security (hud)"/>
                    <xsd:enumeration value="schip (hud)"/>
                    <xsd:enumeration value="section 8, public housing or rental assistance (hud)"/>
                    <xsd:enumeration value="self employment wages"/>
                    <xsd:enumeration value="special supplemental nutrition program for wic (hud)"/>
                    <xsd:enumeration value="ssdi (hud)"/>
                    <xsd:enumeration value="ssi (hud)"/>
                    <xsd:enumeration value="state disability"/>
                    <xsd:enumeration value="tanf (hud)"/>
                    <xsd:enumeration value="tanf child care services (hud)"/>
                    <xsd:enumeration value="tanf transportation services (hud)"/>
                    <xsd:enumeration value="unemployment insurance (hud)"/>
                    <xsd:enumeration value="veteran's administration (va) medical services (hud)"/>
                    <xsd:enumeration value="veteran's pension (hud)"/>
                    <xsd:enumeration value="worker's compensation (hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="KATRINAEVACUEESTATEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="al"/>
                    <xsd:enumeration value="la"/>
                    <xsd:enumeration value="ms"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="LANGUAGEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="arabic"/>
                    <xsd:enumeration value="chinese"/>
                    <xsd:enumeration value="creole"/>
                    <xsd:enumeration value="english"/>
                    <xsd:enumeration value="french"/>
                    <xsd:enumeration value="german"/>
                    <xsd:enumeration value="hindie"/>
                    <xsd:enumeration value="japanese"/>
                    <xsd:enumeration value="korean"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="polish"/>
                    <xsd:enumeration value="portuguese"/>
                    <xsd:enumeration value="russian"/>
                    <xsd:enumeration value="spanish"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="LENGTHOFTIMEOUTDOORSPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="31-90 days"/>
                    <xsd:enumeration value="91 days to 1 year"/>
                    <xsd:enumeration value="less than 2 days"/>
                    <xsd:enumeration value="over 1 year"/>
                    <xsd:enumeration value="two to 30 days"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="LENGTHRESIDENCEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="1 - 3 years"/>
                    <xsd:enumeration value="4+ years"/>
                    <xsd:enumeration value="6 - under 12 months"/>
                    <xsd:enumeration value="under 6 months"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="LENGTHRESSARASOTAPICKLISTPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="non-resident (less than 1 mo. in county)"/>
                    <xsd:enumeration value="resident (1 month or more)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="LIVINGSITTYPESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="domestic violence situation"/>
                    <xsd:enumeration value="don't know (hud)"/>
                    <xsd:enumeration value="emergency shelter (hud)"/>
                    <xsd:enumeration value="foster care/group home (hud)"/>
                    <xsd:enumeration value="hospital (hud)"/>
                    <xsd:enumeration value="hotel/motel without emergency shelter(hud)"/>
                    <xsd:enumeration value="jail, prison or juvenile facility  (hud)"/>
                    <xsd:enumeration value="living with family (hud)"/>
                    <xsd:enumeration value="living with friends (hud)"/>
                    <xsd:enumeration value="other (hud)"/>
                    <xsd:enumeration value="own house/apartment (hud)"/>
                    <xsd:enumeration value="permanent housing for formerly homeless (hud)"/>
                    <xsd:enumeration value="place not meant for habitation (hud)"/>
                    <xsd:enumeration value="psychiatric hospital or facility (hud)"/>
                    <xsd:enumeration value="refused (hud)"/>
                    <xsd:enumeration value="rental house/apartment (hud)"/>
                    <xsd:enumeration value="subsidized housing"/>
                    <xsd:enumeration value="substance abuse treatment center (hud)"/>
                    <xsd:enumeration value="transitional housing for homeless(hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MAINSTREAMRESOURCESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="case management"/>
                    <xsd:enumeration value="food stamps"/>
                    <xsd:enumeration value="housing/rent assistance"/>
                    <xsd:enumeration value="income support"/>
                    <xsd:enumeration value="job training program"/>
                    <xsd:enumeration value="mental health service"/>
                    <xsd:enumeration value="primary health care"/>
                    <xsd:enumeration value="subsidized day care"/>
                    <xsd:enumeration value="substance abuse treatment"/>
                    <xsd:enumeration value="transportation"/>
                    <xsd:enumeration value="veterans services"/>
                    <xsd:enumeration value="welfare to work"/>
                    <xsd:enumeration value="wia"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MANATEEGLENSREPORTINGUNITPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="ru 871"/>
                    <xsd:enumeration value="ru 875"/>
                    <xsd:enumeration value="ru 885"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MANATEESARASOTAPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token"/>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MARITALSTATUSPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="divorced"/>
                    <xsd:enumeration value="married"/>
                    <xsd:enumeration value="separated"/>
                    <xsd:enumeration value="single"/>
                    <xsd:enumeration value="widowed"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MEDICALCONDITIONSPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="cancer"/>
                    <xsd:enumeration value="diabetes"/>
                    <xsd:enumeration value="fainting"/>
                    <xsd:enumeration value="heart condition"/>
                    <xsd:enumeration value="heart disease"/>
                    <xsd:enumeration value="heart problems"/>
                    <xsd:enumeration value="hepatitis"/>
                    <xsd:enumeration value="high blood pressure"/>
                    <xsd:enumeration value="injuries"/>
                    <xsd:enumeration value="liver disease"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="respiratory problems"/>
                    <xsd:enumeration value="seizure disorder"/>
                    <xsd:enumeration value="seizures"/>
                    <xsd:enumeration value="skin disorder"/>
                    <xsd:enumeration value="stroke"/>
                    <xsd:enumeration value="tuberculosis"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MEDICALINSURANCEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="blue cross"/>
                    <xsd:enumeration value="medicaid"/>
                    <xsd:enumeration value="medicare"/>
                    <xsd:enumeration value="none"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="veterans administration"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MEDICATIONFREQUENCYPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="as needed"/>
                    <xsd:enumeration value="daily"/>
                    <xsd:enumeration value="every 4 hours"/>
                    <xsd:enumeration value="every 6 hours"/>
                    <xsd:enumeration value="every 8 hours"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="three times per day"/>
                    <xsd:enumeration value="twice per day"/>
                    <xsd:enumeration value="twice weekly"/>
                    <xsd:enumeration value="weekly"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MENTALILLNESSPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="anxiety/panic disorder"/>
                    <xsd:enumeration value="bipolar disorder"/>
                    <xsd:enumeration value="dementia/alzheimers"/>
                    <xsd:enumeration value="depression"/>
                    <xsd:enumeration value="dual diagnosis"/>
                    <xsd:enumeration value="eating disorder"/>
                    <xsd:enumeration value="personality disorder"/>
                    <xsd:enumeration value="posttraumatic stress disorder"/>
                    <xsd:enumeration value="schizoaffective disorder"/>
                    <xsd:enumeration value="schizophrenia"/>
                    <xsd:enumeration value="unknown mental illness"/>
                    <xsd:enumeration value="unknown psychotic disorder"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="METHODOFMEDICATOINPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="by mouth"/>
                    <xsd:enumeration value="inter-muscular"/>
                    <xsd:enumeration value="intravenous"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="rectal"/>
                    <xsd:enumeration value="trans-dermal"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MGREFPROVPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="aa/na"/>
                    <xsd:enumeration value="community coalition on homeless"/>
                    <xsd:enumeration value="fetc"/>
                    <xsd:enumeration value="food stamps"/>
                    <xsd:enumeration value="halfway house"/>
                    <xsd:enumeration value="health department"/>
                    <xsd:enumeration value="hope family services"/>
                    <xsd:enumeration value="hospital er"/>
                    <xsd:enumeration value="jobs, etc"/>
                    <xsd:enumeration value="mg access center(crisis only!)"/>
                    <xsd:enumeration value="mg supported employment"/>
                    <xsd:enumeration value="mh/sa eval"/>
                    <xsd:enumeration value="moc"/>
                    <xsd:enumeration value="project manatee"/>
                    <xsd:enumeration value="rc4k"/>
                    <xsd:enumeration value="salvation army"/>
                    <xsd:enumeration value="shelter + care"/>
                    <xsd:enumeration value="social security"/>
                    <xsd:enumeration value="va"/>
                    <xsd:enumeration value="voa"/>
                    <xsd:enumeration value="voc rehab"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MGSITEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="6th avenue"/>
                    <xsd:enumeration value="camp site"/>
                    <xsd:enumeration value="community"/>
                    <xsd:enumeration value="csu/mgh"/>
                    <xsd:enumeration value="drop-in center"/>
                    <xsd:enumeration value="er/hospital"/>
                    <xsd:enumeration value="fetc"/>
                    <xsd:enumeration value="jail"/>
                    <xsd:enumeration value="mg hospital/access"/>
                    <xsd:enumeration value="our daily bread"/>
                    <xsd:enumeration value="phone referral"/>
                    <xsd:enumeration value="shelter"/>
                    <xsd:enumeration value="srt"/>
                    <xsd:enumeration value="street/outdoors"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MHAFFECTPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="appropriate for circumstances"/>
                    <xsd:enumeration value="blunted/flat"/>
                    <xsd:enumeration value="inappropriate"/>
                    <xsd:enumeration value="labile"/>
                    <xsd:enumeration value="restricted"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MHINTELLECTFUNCTPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="comprehension poor"/>
                    <xsd:enumeration value="confused"/>
                    <xsd:enumeration value="intellect poor"/>
                    <xsd:enumeration value="judgement poor"/>
                    <xsd:enumeration value="memory loss"/>
                    <xsd:enumeration value="oriented x3"/>
                    <xsd:enumeration value="poor insight"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MHPRESENTATIONPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="agitated"/>
                    <xsd:enumeration value="cooperative"/>
                    <xsd:enumeration value="distractible"/>
                    <xsd:enumeration value="guarded"/>
                    <xsd:enumeration value="involuntary movements"/>
                    <xsd:enumeration value="psychomotor retardation"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MHSPEECHTYPEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="appropriate for circumstance"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="poverty of speech"/>
                    <xsd:enumeration value="rate/pressure of speech"/>
                    <xsd:enumeration value="rhythmic"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MHSTATUSMOODPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="angry"/>
                    <xsd:enumeration value="anxious"/>
                    <xsd:enumeration value="depressed/sad"/>
                    <xsd:enumeration value="euphoric/elated"/>
                    <xsd:enumeration value="expansive"/>
                    <xsd:enumeration value="irritable"/>
                    <xsd:enumeration value="normal"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MHTHOUGHTTYPEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="compulsions"/>
                    <xsd:enumeration value="delusions"/>
                    <xsd:enumeration value="loose associations"/>
                    <xsd:enumeration value="obsessions"/>
                    <xsd:enumeration value="tangential thoughts"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MHTREATMENTYPEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="day treatment program"/>
                    <xsd:enumeration value="family counseling"/>
                    <xsd:enumeration value="group counseling"/>
                    <xsd:enumeration value="individual counseling"/>
                    <xsd:enumeration value="inpatient evaluation"/>
                    <xsd:enumeration value="mental health case management"/>
                    <xsd:enumeration value="outpatient evaluation"/>
                    <xsd:enumeration value="psychiatric hospitalization"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="MILITARYBRANCHPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="air force (hud)"/>
                    <xsd:enumeration value="army (hud)"/>
                    <xsd:enumeration value="coast guard"/>
                    <xsd:enumeration value="marines (hud)"/>
                    <xsd:enumeration value="national guard"/>
                    <xsd:enumeration value="navy (hud)"/>
                    <xsd:enumeration value="other (hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="PASTDUETYPESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="electric"/>
                    <xsd:enumeration value="gas"/>
                    <xsd:enumeration value="rent"/>
                    <xsd:enumeration value="water"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="PATHENROLLMENTINELIGIBLEREASONPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="enrollment pending"/>
                    <xsd:enumeration value="moved/missing"/>
                    <xsd:enumeration value="refused/decided not to enroll"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="PHONENUMBERTYPEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="cell"/>
                    <xsd:enumeration value="email"/>
                    <xsd:enumeration value="fax"/>
                    <xsd:enumeration value="home"/>
                    <xsd:enumeration value="pager"/>
                    <xsd:enumeration value="voice mail only"/>
                    <xsd:enumeration value="work"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="POSNEGPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="did not receive assistance"/>
                    <xsd:enumeration value="received assistance"/>
                    <xsd:enumeration value="unable to contact"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="POVERTYLEVELSPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="100%"/>
                    <xsd:enumeration value="125%"/>
                    <xsd:enumeration value="150%"/>
                    <xsd:enumeration value="30%"/>
                    <xsd:enumeration value="50%"/>
                    <xsd:enumeration value="75%"/>
                    <xsd:enumeration value="80%"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="PRINCIPALMENTALILLNESSDIAGNOSISPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="affective disorders"/>
                    <xsd:enumeration value="other psychotic disorders"/>
                    <xsd:enumeration value="other serious mental illness"/>
                    <xsd:enumeration value="personality disorders"/>
                    <xsd:enumeration value="schizophrenia and related disorders"/>
                    <xsd:enumeration value="unknown or undiagnosed mental illness"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="PROBLEMDURATIONPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="less than one week"/>
                    <xsd:enumeration value="more than six months"/>
                    <xsd:enumeration value="one month"/>
                    <xsd:enumeration value="one week"/>
                    <xsd:enumeration value="six months"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="PUBLICASSISTANCESTATUSPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="application denied"/>
                    <xsd:enumeration value="application in process"/>
                    <xsd:enumeration value="application resubmitted"/>
                    <xsd:enumeration value="application submitted"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="PUBLICASSISTANCETYPEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="food stamps"/>
                    <xsd:enumeration value="general public assistance"/>
                    <xsd:enumeration value="ssdi"/>
                    <xsd:enumeration value="ssi"/>
                    <xsd:enumeration value="tanf"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="RACEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="american indian or alaska native (hud)"/>
                    <xsd:enumeration value="american indian/alaskan native &amp; black/african american (hud 40118)"/>
                    <xsd:enumeration value="american indian/alaskan native &amp; white (hud 40118)"/>
                    <xsd:enumeration value="american indian/alaskan native (hud 40118)"/>
                    <xsd:enumeration value="asian &amp; white (hud 40118)"/>
                    <xsd:enumeration value="asian (hud)"/>
                    <xsd:enumeration value="black or african american (hud)"/>
                    <xsd:enumeration value="black/african american &amp; white (hud 40118)"/>
                    <xsd:enumeration value="black/african american (hud 40118)"/>
                    <xsd:enumeration value="native hawaiian or other pacific islander (hud)"/>
                    <xsd:enumeration value="native hawaiian/other pacific islander (hud 40118)"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="other multi-racial"/>
                    <xsd:enumeration value="other multi-racial (hud 40118)"/>
                    <xsd:enumeration value="white (hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="RACETSAPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="black"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="white"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="REASONLEAVINGEMPPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="fired"/>
                    <xsd:enumeration value="laid off"/>
                    <xsd:enumeration value="leave of absence"/>
                    <xsd:enumeration value="quit"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="REASONLEAVINGRESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="building condemned"/>
                    <xsd:enumeration value="evicted"/>
                    <xsd:enumeration value="family/friend conflict"/>
                    <xsd:enumeration value="fire"/>
                    <xsd:enumeration value="moved to new residence"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="overcrowding"/>
                    <xsd:enumeration value="unable to pay rent"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="REASONNODVREFERRALPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="client preferences"/>
                    <xsd:enumeration value="domestic violence shelter is full"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="REFERREDBYCCVPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token"/>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="REFERREDBYPICKLISTBETHESDAPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="agency"/>
                    <xsd:enumeration value="court"/>
                    <xsd:enumeration value="hospital"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="priest/pastor"/>
                    <xsd:enumeration value="self"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="REFERREDBYPICKLISTSALVARMYPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="arf - marchman act"/>
                    <xsd:enumeration value="catholic charities"/>
                    <xsd:enumeration value="children's first"/>
                    <xsd:enumeration value="choices"/>
                    <xsd:enumeration value="coastal behavioral health care"/>
                    <xsd:enumeration value="drug court"/>
                    <xsd:enumeration value="fcfh 211"/>
                    <xsd:enumeration value="first step"/>
                    <xsd:enumeration value="first step detox"/>
                    <xsd:enumeration value="manatee county jail"/>
                    <xsd:enumeration value="mental health court"/>
                    <xsd:enumeration value="prison"/>
                    <xsd:enumeration value="probation"/>
                    <xsd:enumeration value="resurrection house"/>
                    <xsd:enumeration value="salvation army"/>
                    <xsd:enumeration value="sarasota county jail"/>
                    <xsd:enumeration value="sarasota memorial hospital"/>
                    <xsd:enumeration value="self"/>
                    <xsd:enumeration value="sparcc"/>
                    <xsd:enumeration value="veterans association"/>
                    <xsd:enumeration value="ymca"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="REFERREDBYSALVARMYMAN2PickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="family"/>
                    <xsd:enumeration value="friend"/>
                    <xsd:enumeration value="other agency"/>
                    <xsd:enumeration value="self"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="RELIGIONPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="catholic"/>
                    <xsd:enumeration value="non-catholic"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="RENTORHOMEOWNERPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="homeowner"/>
                    <xsd:enumeration value="neither"/>
                    <xsd:enumeration value="renter"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="SALVARMYREFERREDBYPICKLISTPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token"/>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="SCALEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="above average"/>
                    <xsd:enumeration value="average"/>
                    <xsd:enumeration value="needs improvement"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="SCHOOLCODEANDNAMEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="abel (0621)"/>
                    <xsd:enumeration value="anna maria (0031)"/>
                    <xsd:enumeration value="ballard (0051)"/>
                    <xsd:enumeration value="bashaw (0641)"/>
                    <xsd:enumeration value="bayshore el (0061)"/>
                    <xsd:enumeration value="bayshore hs (0072)"/>
                    <xsd:enumeration value="blackburn (0541)"/>
                    <xsd:enumeration value="braden river el (0651)"/>
                    <xsd:enumeration value="braden river ms (0652)"/>
                    <xsd:enumeration value="bradenton charter (2108)"/>
                    <xsd:enumeration value="children's haven (2002)"/>
                    <xsd:enumeration value="daughtrey (0411)"/>
                    <xsd:enumeration value="djj (2106)"/>
                    <xsd:enumeration value="duette (0091)"/>
                    <xsd:enumeration value="early intervention (2301)"/>
                    <xsd:enumeration value="easter seals (2003)"/>
                    <xsd:enumeration value="fl sh youth ranch (2062)"/>
                    <xsd:enumeration value="freedom (0781)"/>
                    <xsd:enumeration value="gcmi (2001)"/>
                    <xsd:enumeration value="haile (0711)"/>
                    <xsd:enumeration value="harllee (0591)"/>
                    <xsd:enumeration value="hh (2053)"/>
                    <xsd:enumeration value="home ed (2321)"/>
                    <xsd:enumeration value="horizons (0731)"/>
                    <xsd:enumeration value="jdc (2051)"/>
                    <xsd:enumeration value="jfg (2007)"/>
                    <xsd:enumeration value="johnson (0691)"/>
                    <xsd:enumeration value="kinnan (0741)"/>
                    <xsd:enumeration value="lakewood ranch (0721)"/>
                    <xsd:enumeration value="lee (0761)"/>
                    <xsd:enumeration value="lincoln (0491)"/>
                    <xsd:enumeration value="manasota arc (2011)"/>
                    <xsd:enumeration value="manatee arts &amp; sciences (2101)"/>
                    <xsd:enumeration value="manatee el (0151)"/>
                    <xsd:enumeration value="manatee glens (2054)"/>
                    <xsd:enumeration value="manatee glens arc (2052)"/>
                    <xsd:enumeration value="manatee hs (0181)"/>
                    <xsd:enumeration value="manatee school of the arts (2104)"/>
                    <xsd:enumeration value="mats (2060)"/>
                    <xsd:enumeration value="mckay scholarship (3518)"/>
                    <xsd:enumeration value="mcneal (0771)"/>
                    <xsd:enumeration value="migrant tracking (2303)"/>
                    <xsd:enumeration value="miller (0221)"/>
                    <xsd:enumeration value="mills (0791)"/>
                    <xsd:enumeration value="moody (0601)"/>
                    <xsd:enumeration value="mti (0211)"/>
                    <xsd:enumeration value="myakka (0231)"/>
                    <xsd:enumeration value="nolan (0752)"/>
                    <xsd:enumeration value="oneco (0261)"/>
                    <xsd:enumeration value="orange ridge (0271)"/>
                    <xsd:enumeration value="pace (2004)"/>
                    <xsd:enumeration value="pal charter (2102)"/>
                    <xsd:enumeration value="pal opportunity (2105)"/>
                    <xsd:enumeration value="palm view (0281)"/>
                    <xsd:enumeration value="palma sola (0291)"/>
                    <xsd:enumeration value="palmetto el (0301)"/>
                    <xsd:enumeration value="palmetto hs (0351)"/>
                    <xsd:enumeration value="phoenix/tapp (0212)"/>
                    <xsd:enumeration value="pinnacle academy (2014)"/>
                    <xsd:enumeration value="pk handicap (2302)"/>
                    <xsd:enumeration value="prine (0381)"/>
                    <xsd:enumeration value="ramsey youth svcs (2056)"/>
                    <xsd:enumeration value="richard milburn (2107)"/>
                    <xsd:enumeration value="rowlett (0751)"/>
                    <xsd:enumeration value="samoset (0421)"/>
                    <xsd:enumeration value="seabreeze (0671)"/>
                    <xsd:enumeration value="southeast (0431)"/>
                    <xsd:enumeration value="stewart (0631)"/>
                    <xsd:enumeration value="sugg (0581)"/>
                    <xsd:enumeration value="supplemental svcs (2304)"/>
                    <xsd:enumeration value="tara (0681)"/>
                    <xsd:enumeration value="tillman (0521)"/>
                    <xsd:enumeration value="wakeland (0571)"/>
                    <xsd:enumeration value="witt (0701)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="SERVICEERAPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value=" between korean and vietnam war (february 1955-july 1964) (hud)"/>
                    <xsd:enumeration value=" between wwii and korean war (august 1947-may 1950)(hud)"/>
                    <xsd:enumeration value="afghanistan"/>
                    <xsd:enumeration value="between wwi and wwii (december 1918-august 1940)"/>
                    <xsd:enumeration value="bosnia"/>
                    <xsd:enumeration value="grenada"/>
                    <xsd:enumeration value="korean war (june 1950-january 1955) (hud)"/>
                    <xsd:enumeration value="lebanon"/>
                    <xsd:enumeration value="panama"/>
                    <xsd:enumeration value="persian gulf era (august 1991-present) (hud)"/>
                    <xsd:enumeration value="post vietnam (may 1975-july 1991) (hud)"/>
                    <xsd:enumeration value="vietnam era (august 1964-april 1975)(hud)"/>
                    <xsd:enumeration value="world war i (april 1917-november 1918)(hud)"/>
                    <xsd:enumeration value="world war ii (september 1940-july 1947)(hud)"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="SERVICETYPEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="active duty"/>
                    <xsd:enumeration value="national guard"/>
                    <xsd:enumeration value="reserve duty"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="SEXPick">
        <xsd:restriction base="xsd:token">
            <xsd:enumeration value="female"/>
            <xsd:enumeration value="male"/>
            <xsd:enumeration value="transgender"/>
            <xsd:enumeration value="unknown"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="SLEEPINGARRANGEMENTPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="apartment"/>
                    <xsd:enumeration value="camp"/>
                    <xsd:enumeration value="car"/>
                    <xsd:enumeration value="friends/family"/>
                    <xsd:enumeration value="home"/>
                    <xsd:enumeration value="hotel"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="shelter"/>
                    <xsd:enumeration value="streets"/>
                    <xsd:enumeration value="transitional housing"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="SPECIALCODESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="aut"/>
                    <xsd:enumeration value="dd"/>
                    <xsd:enumeration value="eh"/>
                    <xsd:enumeration value="emh"/>
                    <xsd:enumeration value="gft"/>
                    <xsd:enumeration value="lep"/>
                    <xsd:enumeration value="li"/>
                    <xsd:enumeration value="mig"/>
                    <xsd:enumeration value="ot"/>
                    <xsd:enumeration value="pt"/>
                    <xsd:enumeration value="sed"/>
                    <xsd:enumeration value="sld"/>
                    <xsd:enumeration value="spch"/>
                    <xsd:enumeration value="tmh"/>
                    <xsd:enumeration value="trua"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="STATEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value=""/>
                    <xsd:enumeration value="34"/>
                    <xsd:enumeration value="alabama"/>
                    <xsd:enumeration value="alaska"/>
                    <xsd:enumeration value="arizona"/>
                    <xsd:enumeration value="arkansas"/>
                    <xsd:enumeration value="az"/>
                    <xsd:enumeration value="ca"/>
                    <xsd:enumeration value="california"/>
                    <xsd:enumeration value="colorado"/>
                    <xsd:enumeration value="connecticut"/>
                    <xsd:enumeration value="dc"/>
                    <xsd:enumeration value="delaware"/>
                    <xsd:enumeration value="fk"/>
                    <xsd:enumeration value="fl"/>
                    <xsd:enumeration value="florida"/>
                    <xsd:enumeration value="ga"/>
                    <xsd:enumeration value="georgia"/>
                    <xsd:enumeration value="hawaii"/>
                    <xsd:enumeration value="idaho"/>
                    <xsd:enumeration value="il"/>
                    <xsd:enumeration value="illinois"/>
                    <xsd:enumeration value="indiana"/>
                    <xsd:enumeration value="iowa"/>
                    <xsd:enumeration value="kansas"/>
                    <xsd:enumeration value="kentucky"/>
                    <xsd:enumeration value="ks"/>
                    <xsd:enumeration value="lf"/>
                    <xsd:enumeration value="louisiana"/>
                    <xsd:enumeration value="ma"/>
                    <xsd:enumeration value="maine"/>
                    <xsd:enumeration value="maryland"/>
                    <xsd:enumeration value="massachusetts"/>
                    <xsd:enumeration value="md"/>
                    <xsd:enumeration value="mi"/>
                    <xsd:enumeration value="michigan"/>
                    <xsd:enumeration value="minnesota"/>
                    <xsd:enumeration value="mississippi"/>
                    <xsd:enumeration value="missouri"/>
                    <xsd:enumeration value="mn"/>
                    <xsd:enumeration value="mo"/>
                    <xsd:enumeration value="montana"/>
                    <xsd:enumeration value="nc"/>
                    <xsd:enumeration value="ne"/>
                    <xsd:enumeration value="nebraska"/>
                    <xsd:enumeration value="nevada"/>
                    <xsd:enumeration value="new hampshire"/>
                    <xsd:enumeration value="new jersey"/>
                    <xsd:enumeration value="new mexico"/>
                    <xsd:enumeration value="new york"/>
                    <xsd:enumeration value="nj"/>
                    <xsd:enumeration value="north carolina"/>
                    <xsd:enumeration value="north dakota"/>
                    <xsd:enumeration value="ny"/>
                    <xsd:enumeration value="oh"/>
                    <xsd:enumeration value="ohio"/>
                    <xsd:enumeration value="oklahoma"/>
                    <xsd:enumeration value="or"/>
                    <xsd:enumeration value="oregon"/>
                    <xsd:enumeration value="p."/>
                    <xsd:enumeration value="pa"/>
                    <xsd:enumeration value="pennsylvania"/>
                    <xsd:enumeration value="rhode island"/>
                    <xsd:enumeration value="south carolina"/>
                    <xsd:enumeration value="south dakota"/>
                    <xsd:enumeration value="tennessee"/>
                    <xsd:enumeration value="texas"/>
                    <xsd:enumeration value="tx"/>
                    <xsd:enumeration value="utah"/>
                    <xsd:enumeration value="va"/>
                    <xsd:enumeration value="vermont"/>
                    <xsd:enumeration value="virginia"/>
                    <xsd:enumeration value="vt"/>
                    <xsd:enumeration value="wa"/>
                    <xsd:enumeration value="washington"/>
                    <xsd:enumeration value="washington, d.c."/>
                    <xsd:enumeration value="west virginia"/>
                    <xsd:enumeration value="wisconsin"/>
                    <xsd:enumeration value="wyoming"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="SUBSTANCEABUSETREATPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="aa/na"/>
                    <xsd:enumeration value="day treatment program"/>
                    <xsd:enumeration value="detoxification"/>
                    <xsd:enumeration value="follow-up outpatient"/>
                    <xsd:enumeration value="half-way house"/>
                    <xsd:enumeration value="intensive outpatient"/>
                    <xsd:enumeration value="other"/>
                    <xsd:enumeration value="residential/inpatient"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="SUICIDELEVELPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="attempt within last 30 days"/>
                    <xsd:enumeration value="ideation in the past"/>
                    <xsd:enumeration value="ideation, lethal threat"/>
                    <xsd:enumeration value="ideation, no current plans"/>
                    <xsd:enumeration value="none"/>
                    <xsd:enumeration value="unknown"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="TRANSITIONALHOUSINGPROVIDERSPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="coastal behavioral"/>
                    <xsd:enumeration value="hope"/>
                    <xsd:enumeration value="manatee glens"/>
                    <xsd:enumeration value="our mothers house"/>
                    <xsd:enumeration value="salvation army"/>
                    <xsd:enumeration value="sparcc"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="TRANSPORTATIONMOBILITYSALVARMYMANPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="client has access to and can afford public transportation"/>
                    <xsd:enumeration value="client has adequate insured vehicle"/>
                    <xsd:enumeration value="client has own transportation but lacks insurance"/>
                    <xsd:enumeration value="client lacks auto, bike or affordable public transportation"/>
                    <xsd:enumeration value="client relies on subsidy for transportation"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="TRANSPORTATIONPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="bicycle"/>
                    <xsd:enumeration value="family/friends"/>
                    <xsd:enumeration value="handicapped transportation"/>
                    <xsd:enumeration value="owns car"/>
                    <xsd:enumeration value="taxi"/>
                    <xsd:enumeration value="uses bus"/>
                    <xsd:enumeration value="walks"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="TREATMENTTYPEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="dental"/>
                    <xsd:enumeration value="medical"/>
                    <xsd:enumeration value="mh"/>
                    <xsd:enumeration value="optical"/>
                    <xsd:enumeration value="other (please add comments)"/>
                    <xsd:enumeration value="sa"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="TYPEASSESSMENTTYPESPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="13-18 month followup (post exit)"/>
                    <xsd:enumeration value="19-24 followup (post exit)"/>
                    <xsd:enumeration value="30 day followup (post exit)"/>
                    <xsd:enumeration value="6 month followup (post exit)"/>
                    <xsd:enumeration value="60 day followup (post exit)"/>
                    <xsd:enumeration value="7-12 month followup (post exit)"/>
                    <xsd:enumeration value="during service"/>
                    <xsd:enumeration value="entry"/>
                    <xsd:enumeration value="exit"/>
                    <xsd:enumeration value="pre-entry"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="VERIFICATIONHOMELESSNESSPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="formal eviction documentation"/>
                    <xsd:enumeration value="signed client statement with confirmation statement"/>
                    <xsd:enumeration value="verification from an institution"/>
                    <xsd:enumeration value="verification from outreach worker (for on the street)"/>
                    <xsd:enumeration value="verification from referring agency/shelter"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="WORKPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="cashier"/>
                    <xsd:enumeration value="cleaning"/>
                    <xsd:enumeration value="clerical"/>
                    <xsd:enumeration value="management"/>
                    <xsd:enumeration value="manual labor"/>
                    <xsd:enumeration value="medical professional"/>
                    <xsd:enumeration value="nurses aid"/>
                    <xsd:enumeration value="retail/sales"/>
                    <xsd:enumeration value="teacher"/>
                    <xsd:enumeration value="technical"/>
                    <xsd:enumeration value="wait person/hostess"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="YEARLY_INCOMEPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="$12,000 - $20,000"/>
                    <xsd:enumeration value="$20,000 - $30,000"/>
                    <xsd:enumeration value="over 30,000"/>
                    <xsd:enumeration value="under $12,000"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="YNNAPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="no"/>
                    <xsd:enumeration value="not applicable"/>
                    <xsd:enumeration value="yes"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="_211MARKETINGPickOption">
        <xsd:union>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:maxLength value="100"/>
                </xsd:restriction>
            </xsd:simpleType>
            <xsd:simpleType>
                <xsd:restriction base="xsd:token">
                    <xsd:enumeration value="agency referral"/>
                    <xsd:enumeration value="billboard"/>
                    <xsd:enumeration value="career center"/>
                    <xsd:enumeration value="church staff"/>
                    <xsd:enumeration value="friend/relative"/>
                    <xsd:enumeration value="internet"/>
                    <xsd:enumeration value="media"/>
                    <xsd:enumeration value="police"/>
                    <xsd:enumeration value="school"/>
                    <xsd:enumeration value="street outreach worker"/>
                    <xsd:enumeration value="vocational rehabilitation"/>
                </xsd:restriction>
            </xsd:simpleType>
        </xsd:union>
    </xsd:simpleType>
    <xsd:simpleType name="ddDbl_min0Type">
        <xsd:restriction base="xsd:double">
            <xsd:minInclusive value="0"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddDbl_min0_max1000000Type">
        <xsd:restriction base="xsd:double">
            <xsd:minInclusive value="0"/>
            <xsd:maxInclusive value="1000000"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddDbl_min0_max100000Type">
        <xsd:restriction base="xsd:double">
            <xsd:minInclusive value="0"/>
            <xsd:maxInclusive value="100000"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddDbl_min0_max50000Type">
        <xsd:restriction base="xsd:double">
            <xsd:minInclusive value="0"/>
            <xsd:maxInclusive value="50000"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddDbl_min0_max99999Type">
        <xsd:restriction base="xsd:double">
            <xsd:minInclusive value="0"/>
            <xsd:maxInclusive value="99999"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddDbl_min0_max9999Type">
        <xsd:restriction base="xsd:double">
            <xsd:minInclusive value="0"/>
            <xsd:maxInclusive value="9999"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddDbl_min1_max99999Type">
        <xsd:restriction base="xsd:double">
            <xsd:minInclusive value="1"/>
            <xsd:maxInclusive value="99999"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddDbl_min1_max9999Type">
        <xsd:restriction base="xsd:double">
            <xsd:minInclusive value="1"/>
            <xsd:maxInclusive value="9999"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddInt_min0Type">
        <xsd:restriction base="xsd:integer">
            <xsd:minInclusive value="0"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddInt_min0_max150Type">
        <xsd:restriction base="xsd:integer">
            <xsd:minInclusive value="0"/>
            <xsd:maxInclusive value="150"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddInt_min0_max25Type">
        <xsd:restriction base="xsd:integer">
            <xsd:minInclusive value="0"/>
            <xsd:maxInclusive value="25"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddInt_min0_max30Type">
        <xsd:restriction base="xsd:integer">
            <xsd:minInclusive value="0"/>
            <xsd:maxInclusive value="30"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddInt_min0_max99999Type">
        <xsd:restriction base="xsd:integer">
            <xsd:minInclusive value="0"/>
            <xsd:maxInclusive value="99999"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddInt_min0_max999Type">
        <xsd:restriction base="xsd:integer">
            <xsd:minInclusive value="0"/>
            <xsd:maxInclusive value="999"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddInt_min0_max99Type">
        <xsd:restriction base="xsd:integer">
            <xsd:minInclusive value="0"/>
            <xsd:maxInclusive value="99"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddInt_min0_max9Type">
        <xsd:restriction base="xsd:integer">
            <xsd:minInclusive value="0"/>
            <xsd:maxInclusive value="9"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddInt_min1_max100Type">
        <xsd:restriction base="xsd:integer">
            <xsd:minInclusive value="1"/>
            <xsd:maxInclusive value="100"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddInt_min1_max20Type">
        <xsd:restriction base="xsd:integer">
            <xsd:minInclusive value="1"/>
            <xsd:maxInclusive value="20"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddInt_min1_max25Type">
        <xsd:restriction base="xsd:integer">
            <xsd:minInclusive value="1"/>
            <xsd:maxInclusive value="25"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddInt_min1_max99Type">
        <xsd:restriction base="xsd:integer">
            <xsd:minInclusive value="1"/>
            <xsd:maxInclusive value="99"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max100Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="100"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max10Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="10"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max11Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="11"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max12Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="12"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max14Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="14"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max15Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="15"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max20Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="20"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max25Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="25"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max30Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="30"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max35Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="35"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max40Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="40"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max45Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="45"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max50Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="50"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max5Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="5"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max60Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="60"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max6Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="6"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max70Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="70"/>
        </xsd:restriction>
    </xsd:simpleType>
    <xsd:simpleType name="ddTok_max80Type">
        <xsd:restriction base="xsd:token">
            <xsd:maxLength value="80"/>
        </xsd:restriction>
    </xsd:simpleType>
</xsd:schema>
