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2. First Name (Optional)
3. Last Name (Optional)
5. Telephone (Optional)
6. Email (Optional)
8. Age*
9. Gender*
   -- Select One --MaleFemaleChoose not to answer

   Gender selection
11. Street Address or Community Name (Optional)
13. Under what circumstances have you had contact with the Easton Police Department in the last three years?
15. Reason for Police Contact?*

    1. Victim of a Crime
    2. Traffic Stop
    3. Foot Patrol Contact
    4. Community Meeting
    5. Witness to a Crime
    6. Crime Prevention Contact
    7. Traffic Accident
    8. Other (Describe Below)
17. Describe Other Contact:
19. What has been the general level of competence of police department employees with whom you have had contact?
21. Satisfaction Level with Police Employees
    -- Select One --ExcellentVery GoodGoodFairPoor
23. Comments on Competence
25. What has been the overall attitude of the officer(s) with whom you have had contact?
27. Satisfaction Level with Officer Attitude
    -- Select One --ExcellentVery GoodGoodFairPoor
29. Comments on Attitude
31. How do you feel about the safety and security of the Town of Easton?
33. Select level of Security
    -- Select One --Very SafeSafeFairly SafeVery Unsafe
35. Comments on Safety
37. Overall, how do you rate the agency performance?
39. Rate Agency Performance
    -- Select One --ExcellentVery GoodGoodFairPoor
41. Comments on Agency Performance
43. How can the Easton Police Department make you feel safer and more secure?
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45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

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