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2. Section 1: General Perceptions & Safety

4. 1. How safe do you feel in your neighborhood during the day?

   1. Very Safe
   2. Somewhat Safe
   3. Neutral
   4. Somewhat Unsafe
   5. Very Unsafe
6. 2. How safe do you feel in your neighborhood at night?

   1. Very Safe
   2. Somewhat Safe
   3. Neutral
   4. Somewhat Unsafe
   5. Very Unsafe
8. 3. How concerned are you about crime in your community?

   1. Not concerned
   2. Slightly concerned
   3. Moderately concerned
   4. Very concerned
   5. Extremely concerned
10. 3. What types of crime concern you the most in your neighborhood/ community?

    1. Drug activity
    2. Property crime (theft, burglary)
    3. Violent crime (assault, robbery)
    4. Traffic violations / speeding
12. Other
14. Section 2: Narcotics and Substance Abuse
16. 5. How serious is the issue of illegal drug use or sales in your neighborhood or community?

    1. Not a problem
    2. Minor problem
    3. Moderate problem
    4. Major problem
18. 6. Have you observed or suspected narcotics activity in your neighborhood in the last 12 months?

    1. Yes
    2. No
20. 7. Do you feel comfortable reporting drug activity to law enforcement?

    1. Yes
    2. No

22. Section 3: Law Enforcement Services

24. 8. Overall, how satisfied are you with your local law enforcement services?

    1. Very satisfied
    2. Satisfied
    3. Neutral
    4. Dissatisfied
    5. Very dissatisfied
26. 9. How responsive is law enforcement when called for service?

    1. Very responsive
    2. Responsive
    3. Neutral
    4. Slow
    5. Very slow
28. 10. How would you rate the professionalism of law enforcement officers in your neighborhood or community?

    1. Excellent
    2. Good
    3. Fair
    4. Poor
    5. Very poor
30. 11. How would you rate law enforcement’s visibility/presence in your neighborhood?

    1. High
    2. Moderate
    3. Low
    4. Rarely seen
    5. Never seen

32. Section 4: Community Interaction & Customer Service

34. 12. Have you had any interaction with a law enforcement officer in the last 12 months?

    1. Yes
    2. No
36. If yes, what was the nature of the interaction? Ex: Traffic stop, Crime report, Community event, other:
38. 13. Was the officer courteous and respectful during your interaction?

    1. Yes
    2. No
    3. Somewhat
40. 14. Do you believe law enforcement officers treat all community members fairly?

    1. Yes
    2. No
    3. Not sure
42. 15. Do you feel that law enforcement listens to and values input from the community?

    1. Strongly agree
    2. Agree
    3. Neutral
    4. Disagree
    5. Strongly disagree
44. 16. Do you feel comfortable approaching an officer to ask for help or information?

    1. Yes
    2. No
    3. Unsure

46. Section 5: Community Engagement

48. 17. Are you aware of any community outreach or crime prevention programs offered by your police department?

    1. Yes
    2. No
50. 18. Would you be interested in participating in programs such as neighborhood watch, citizen police academy, or town hall meetings?

    1. Yes
    2. No
    3. Maybe
52. 19. How can law enforcement better engage with your community?

54. Section 6: Demographics

56. 20. What is your age?

    1. Under 18
    2. 18-24
    3. 25-34
    4. 35-44

    1. 45-54
    2. 55-64
    3. 65 or older
    4. Prefer not to say
58. 21. What is your gender?

    1. Male
    2. Female
    3. Prefer not to say
60. 22. What is your race or ethnicity? (Select all that apply)

    1. White or Caucasian
    2. Black or African American
    3. Hispanic or Latino
    4. Asian

    1. Native American or Alaska American
    2. Native Hawaiian or Other Pacific Islander
    3. Prefer not to say
62. 23. What is your highest level of education completed?

    1. Less than highscool
    2. High school or GED
    3. Some college or associate degree

    1. Bachelor's degree
    2. Graduate or professional degree
    3. Prefer not to say
64. 24. What is your employment status?

    1. Employed full-time
    2. Employed part-time
    3. Unemployed and looking for work
    4. Unemployed and not looking for work

    1. Student
    2. Retired
    3. Prefer not to say
66. Other: Please specify
68. 25. What is your current living situation?

    1. Rent
    2. Own
    3. Live with family/ friends

    1. Temporary housing/ shelter
    2. Prefer not to say
70. Other: Please specify
72. 26. How long have you lived in your current community?

    1. Less than one year
    2. 1-5 years
    3. 6-10 years

    1. More than 10 years
    2. My entire life
    3. Prefer not to say
74. 27. Do you have any children under the age of 18 living in your household?

    1. Yes
    2. No
    3. Prefer not to say
76. 28. What is your primary language spoken at home?

    1. English
    2. Spanish
    3. Prefer not to say
78. Other: Please specify

80. Section 7: Final Thoughts

82. 29. What is the single most important issue you think law enforcement should address in your neighborhood/ community?
84. 30. Do you have any comments, suggestions, or concerns you'd like to share?

86. If you would like to be contacted or provided feedback in reference to your answers/ concerns, please provide your information below. Your information will not be used for any other purposes. 

88. First Name
89. Last Name
91. Address (or street name)*
93. City
94. State
95. Zip Code
97. Phone Number
99. Email Address
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