CodeForPhilly / CodeForPhilly/prevention-point

SEP enrollment fields

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frontend
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Description

Add non-participant fields from the [SEP registration form](https://drive.google.com/file/d/1_nb7xWwI7DWDxKaccz-2Bl-GU7bJKUMt/view?usp=sharing) to the participant form on the front end:

* What zip code do you live in or spend the most time in (5 digit varchar)
* Housing: □ Permanently Housed □ Temporarily Housed □ Shelter □ Street □ At Risk for Homelessness
* What drug do you inject most often? □Heroin only □Heroin and cocaine □Cocaine only □Fentanyl □Crack □Amphetamines, Speed, Crystal Meth, Ice □Hormones □Steroids □Silicone □ Botox □Other:____________ □Do not Inject
* Are you in drug treatment? □Yes □No
* If yes, is it: □Methadone □Suboxone □Vivitrol □IOP □Recovery House (can this be a multi select similar to the site object?)
* Do you have health insurance? □Medicare □Medicaid □No □Other:___________
* Have you ever been tested for Hepatitis C? ___________
* If so, when? ___________________
* Have you ever been tested for HIV? ___________
* If so, when? ___________________
* Do you have Narcan today? □Yes □No

FOR STAFF ONLY:
□ Participant Received Harm Reduction Counseling □ Participant left with Narcan
□ Participant Received Overdose Prevention Counseling □ Participant left with mobile site schedule
□ Participant was referred to HIV/HCV testing

Dependent on #488

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