Section 1 of 1 in this document
Rate Your Police Service
Date and Time of Service
Report/Ticket Number (optional)
Employee Name or Badge Number
*
In general, how safe/secure do you feel in the community?
Very safe
Somewhat safe
Neither safe nor unsafe
Somewhat unsafe
Very unsafe
How satisfied or dissatisfied are you that your interaction was effectively handled?
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
Were you satisfied with the officer/staff's courteousness and professionalism?
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
Were you satisfied with the officer/staff's competence?
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
Overall, how satisfied are you with the department's performance?
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
What service did we provide for you?
*
Please add any additional comments or suggestions:
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Would you like to be contacted?
Yes
No
Name
First Name
Last Name
Email
Address
Street Address
City
State
Zip
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