1

How long have you lived/worked in Bartlett?

How long have you lived/worked in Bartlett?

Under 5 years

5-10 years

11-15 years

16-25 years

Over 25 years

2

Which of the following best describes your age group?

Which of the following best describes your age group?

Under 18 years of age

18-34 years of age

35-49 years of age

50-65 years of age

over 65

3

What is your gender?

What is your gender?

Male

Female

4

Occupancy Type?

Occupancy Type?

Single Family Home

Townhome/Condo

Apartment

Mobile Home

Business

5

How safe do you feel in your neighborhood?

 *

How safe do you feel in your neighborhood? (Select an Answer) Very safe Safe Unsafe Very Unsafe No Opinion

6

How safe do you feel on the Village streets at night?

 *

How safe do you feel on the Village streets at night?(Select an Answer) Very safe Safe Unsafe Very Unsafe No Opinion

7

How safe do you feel in the parks?

 *

How safe do you feel in the parks?(Select an Answer) Very safe Safe Unsafe Very Unsafe No Opinion

8

How safe do you feel in the shopping areas?

 *

How safe do you feel in the shopping areas?(Select an Answer) Very safe Safe Unsafe Very Unsafe No Opinion

9

Overall, how safe do you feel in the Village?

 *

Overall, how safe do you feel in the Village?(Select an Answer) Very safe Safe Unsafe Very Unsafe No Opinion

10

How many times in the past year have you had contact with a member police department?

 *

How many times in the past year have you had contact with a member police department?(Select an Answer) No Contact One time Two times Three or more times

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Please rate the police employee you last had contact with in the following categories:

11

Appearance?

 *

Appearance?(Select an Answer) No opinion Excellent Good Poor

12

Helpfulness?

 *

Helpfulness?(Select an Answer) No opinion Excellent Good Poor

13

Knowledge?

 *

Knowledge?(Select an Answer) No opinion Excellent Good Poor

14

Attitude?

 *

Attitude?(Select an Answer) No opinion Excellent Good Poor

15

Courtesy?

 *

Courtesy?(Select an Answer) No opinion Excellent Good Poor

16

Response Time?

 *

Response Time?(Select an Answer) No opinion Excellent Good Poor

17

Professionalism?

 *

Professionalism?(Select an Answer) No opinion Excellent Good Poor

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Please rate the following services provided by the police department:

18

Traffic Enforcement?

 *

Traffic Enforcement?(Select an Answer) No opinion Excellent Good Poor

19

Police Visibility?

 *

Police Visibility?(Select an Answer) No opinion Excellent Good Poor

20

Overall Service?

 *

Overall Service?(Select an Answer) No opinion Excellent Good Poor

21

Please let us know of any additional comments or suggestions you have to improve the service of the police department:

Please let us know of any additional comments or suggestions you have to improve the service of the police department:

22

Would you like to be contacted by a member of our department, please mark the box below and provide the following information:

 *

Would you like to be contacted by a member of our department, please mark the box below and provide the following information:

Yes

No

23

This is my:

This is my:

Work

Home

Other address

24

Contact information

Contact information

Name:

Street address:

City:

State

ZIP

E-mail address

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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