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Survey/Form Review
Template 09: Police Department Feedback

The Police Department values the input of the residents that it serves. The Department seeks feedback on the manner in which service is provided. Residents can use this online form to provide constructive feedback about a situation they were involved in or observed. Members of the Department's Administration will use the information to evaluate the effectiveness and efficiency of operations. If you wish to discuss a matter in person, contact the police department and you will be referred to the appropriate supervisor.

Thank you for taking time to provide feedback on the quality of service offered by our organization.

Richard L. Hall, Chief of Police

For the purpose of tracking the usage, indicate whether or not you have previously completed an online survey for the Police Department? *
I am a:*
Gender:*
What type of situation led to the interaction with the Police Department? *
If your call to the Department resulted in the response of a police officer, how would you rate the response time of the officer(s)?: Consider time of day(e.g. rush hour), weather conditions when making your judgement. *
If an officer responded to your call or complaint, how satisfied were you with that officer's performance? *
If possible, name the officer:

How would you rate the officer(s) general appearance? *
If you called the Department for service, how would you rate the performance of the operator? *
If possible, name the operator:

In your opinion, what areas of enforcement should the Department concentrate? (Check all that apply) *
In your opinion, what areas of enforcement should be a low priority for the Department? (Check all that apply) *
Please feel free to provide additional comments concerning the performance of the Police Department.

Name (Optional):

E-mail(Optional):