*=Required
1. The biggest problem I want police to know about in my neighborhood is
2. If other, please specify
3. When was the last time this problem occurred?
4. How often does this problem occur in your neighborhood?
5. How do you know about this problem (check all that apply)?
6. Have you ever been the victim of a crime in the neighborhood you currently live in?
7. How safe to you feel in your neighborhood?
8. In the past 6 months, was there a time you thought about calling the police but chose not to?
9. If you answered “No” to the above question, we are interested to know why you chose not to call.
10. The officer was courteous and sensitive to my needs.
11. The officer helped with what I needed.
12. The officer had a professional appearance.
13. The officer seemed knowledgeable and well trained.
14. The officer was able to resolve my problem or refer me to someone who could.
15. The officer arrived in a timely manner.
16. The officer treated me fairly.
17. The officer took the time to explain things to me.
18. The officer had good manners.
19. I would feel comfortable dealing with this officer again.
20. Please rate your level of satisfaction with the Atkinson Police officer you most recently dealt with.
21. Please indicate the apporximate date of the contact you described above (month and year).
22. Which have you had more of when dealing with the Atkinson Police Department?
23. Please rate your overall level of satisfation with the Atkinson Police Department as a whole.
24. If you saw a Atkinson Police Department officer approaching you, you would feel...
25. If other, please describe.
26. What was the best part of your experience with the officer?
27. What could the officer have done to make your experience with the Atkinson Police Department better?
28. What neighborhood do you live in?
29. What is your gender?
30. What is your resident status?
31. Are you acquainted with any Atkinson Police officers?
32. My most recent contact with the Police Department was (choose one that best fits)
33. If other, please describe
Name
Address
Telephone Number
Email address
| 
Free Website Creator by TandemServer.org