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Citizen Feedback Form

Your Name: Your Email:
Your Phone Number: Date of 911 call:
Time of 911 call: Address of Incident:
Officer responded in a timely manner. Agree Disagree Not Applicable
Officer's appearance was professional. Agree Disagree Not Applicable
Officer was courteous and polite. Agree Disagree Not Applicable
Officer took steps to mitigate issue. Agree Disagree Not Applicable
The issue was resolved to my satisfaction. Agree Disagree Not Applicable
Officer showed concern while attempting to address my issue. Agree Disagree Not Applicable
Officer handled the incident in a professional manner. Agree Disagree Not Applicable
Officer made appropriate remarks/comments. Agree Disagree Not Applicable
Please add any comments or suggestions you may have: