1. Tell us about yourself:

We ask that only the residents or those persons who visit the City of Lafayette on a frequent bases, complete the following survey. We ask that each person check only the boxes that pertain to them.

* 1. Residency:

* 2. How long have you lived in Lafayette:

* 3. Gender:

* 4. Ethnicity:

* 5. Age:

* 6. Police Department Precinct: