Comments (2)
zspherez
commented on September 27, 2024
Assuming a 7x7 checkbox, coordinates for the Adult Client Form are as follows:
Race:
Alaskan Native: 42,201
Native American: 142, 201
Asian: 330, 201
Black: 378, 201
Native Hawaiian: 46, 215
Pacific Islander: 146, 215
White: 247, 215
Decline to specify: 304, 215
Other: 396, 215
Sex:
Female: 575, 157
Male: 575, 170
Ethnicity:
Hispanic: 538, 200
Non-Hispanic: 625, 200
Decline: 538, 214
Davidson County:
Yes: 232, 286
No: 268, 286
Contact:
Phone: 211, 346
Email: 276, 346
Insurance:
Aetna: 43, 382
BCBS: 90, 382
Cigna: 138, 382
Medicare: 191, 382
UnitedHealthcare: 250, 382
Optum: 338, 382
Amerigroup: 387, 382
BlueCare: 458, 381
United Healthcare Comm. Plan: 563, 381
Other: 43, 403
None: 218, 403
Secondary Insurance:
Aetna: 43, 491
BCBS: 84, 491
Cigna: 125, 491
Medicare: 167, 491
UnitedHealthcare: 223, 491
Optum: 312, 491
Amerigroup: 358, 491
BlueCare: 421, 491
United Healthcare Comm. Plan: 514, 491
Other: 661, 491
PCP Permissions:
Yes: 674, 536
No: 702, 536
Income:
Less than 10k: 46, 571
10-14: 46, 585
14-18: 46, 599
18-22: 175, 571
22-26: 174, 585
26-29: 174, 599
29-33: 306, 571
33-37: 305, 585
37-40: 305, 599
40-45: 437, 571
45-50: 436, 585
50-60: 436, 599
60-80: 574, 571
80-100: 573, 585
Over 100: 574, 599
Reference:
Website: 43, 663
Crisis Line: 133, 663
Hospital: 207, 663
Doctor: 279, 663
Nurse: 391, 663
Other: 530, 663
Family: 43, 677
Friend: 134, 677
Teacher: 207, 677
School Counselor: 280, 677
Community Health Fair: 391, 677
Card: 531, 677
from safe-clinic-patient-sign-in.
zspherez
commented on September 27, 2024
United Way English Form:
20x20 checkbox
Agree: 66,715
Disagree: 66,753
from safe-clinic-patient-sign-in.
Related Issues (13)
- English/Clinic: Forward and Back Butttons HOT 1
- English/Clinic - Field Lengths HOT 1
- English/Agency: Add Text Fields (LARGE TASK) HOT 1
- Spanish/Clinic: Fields Misplaced HOT 1
- Spanish/Agency: Missing Form
- Overall: Final Slide Captures Email HOT 1
- Overall: Database Checks
- Overall: Database integration with Google Sheets
- Overall: Database Security HOT 1
- Overall: Screenshot and Email Testing HOT 3
- English/Agency: Fields and Signatures
- Overall: Actions when email is selected HOT 1
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from safe-clinic-patient-sign-in.