Citizen Feedback Form

The Salisbury Police Department, in an effort to increase the flow of information to its citizens, believes that once you are made aware of potential problems you will take steps to protect yourself. With this in mind, the Salisbury Police Department applied for and received a grant from the Governor’s Office of Crime Control and Prevention. This grant’s main purpose is the dissemination of information to both the patrol officer and more importantly the citizens we serve. We are asking that you take a few minutes of your time to answer some short questions which we will use to improve this project. After completing the form, please press the submit button.

Citizen Feedback Form

1. Was crime prevention information relating to your neighborhood given to you?
1. Was crime prevention information relating to your neighborhood given to you?
- Yes
- No
2. If your neighborhood information was given to you, did you find it useful?
2. If your neighborhood information was given to you, did you find it useful?
- Yes
- No
3. If Crime prevention information was not given to you , was the information offered?
3. If Crime prevention information was not given to you , was the information offered?
- Yes
- No
4. Were you informed of criminal activity in your neighborhood?
4. Were you informed of criminal activity in your neighborhood?
- Yes
- No
Any Additional Comments?
Date of Incident
MM slash DD slash YYYY
Time of Incident

: Hours

Minutes

AM/PM
Location
Street Address
Name of Officer
If you have had a positive experience with one of our officers, please tell us about it! Please put his name and/or Badge # below.
First Last Badge #
Comments
This field is for validation purposes and should be left unchanged.