Local Law Enforcement Questionnaire

Identify your community's attitudes towards law enforcement in your community with this questionnaire template.




To what extent do you consider crime to be a problem in [TownName]?

Not a Problem
A Slight Problem
A Moderate Problem
A Serious Problem

How safe do you feel in the [TownName]?

Not safe
Somewhat safe
Safe
Very safe

How much priority should law enforcement give to:

Low priority Some priority High priority
Burglaries
Vandalism
Traffic violations
Prostitution
Auto theft
Illegal Drugs
Drunk Driving
Gun Violence
Domestic Violence
Assault / Battery
Other (Please specify):

Please indicate your opinion about the following statements:

Strongly agree Agree Disagree Strongly Disagree
There is a good relationship between the police department and the community
A citizen's complaint against an officer or employee will receive a fair review.
We need more oversight of our police department

In the last 12 months, have you had contact with a [PoliceDeptName] Department Officer?:

Yes
No

In the last 12 months, have you considered moving because of the crime in your neighborhood?

Yes
No

How would you rate the police's effectiveness in your neighborhood?

Very effective
Effective
Somehwhat Effective
Not Effective

If yes, what type of contact did you have? Check all that apply.:

Victim
Witness
Involved in Accident
Traffic Violation
Parking Violation
Arrested
Requested patrol
Other (please specify):

Describe the most significant problem in your neighborhood:

Describe the most significant problem in [TownName]:

How would you describe your racial/ethnic identity?

Caucasian/White
Black/African American
Asian
Hispanic/Latino
Other (please specify):

What is your gender?

Male
Female
Other (please specify):