* 1. What type of contact did we have with you?

* 2. How would you rate your contact with the Police Dispatcher?

* 3. How satisfied were you with the officer(s) professionalism?

* 4. How would you rate the overall competence of the Union Township Employees?

* 5. Did the police contact or program meet your expectations?

* 6. What level of safety do you feel in your neighborhood?

* 7. How would you rate the overall performance of the Union Township Police Department?

* 8. Comments: Please add comments to above responses. (Police Officer name and Report number if known)

* 9. Contact Information: Name, address, phone number (optional)