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2. Current Date and Time
   Current Date and Time

   Current Date and Time
4. Your Name (optional)
6. Your E-Mail (optional)
8. Your Address (optional)
10. Your Phone Number (optional)
14. Have you requested police assistance in the last twelve months?*

    1. Yes
    2. No
15. Have you been the victim of a crime in the last twelve months?*

    1. Yes
    2. No
16. Please indicate why you called the police*

    1. Report suspicious activity
    2. Report a crime in progress
    3. Report a crime after the fact
    4. Request information
    5. Other
17. Was the telecommunicator professional and helpful?*

    1. Yes
    2. No
19. Overall, how satisfied were you with your contact with the telecommunicator?*

    1. Very satisfied
    2. Satisfied
    3. Not Satisfied
20. Overall, how satisfied were you with the police time reponse to the incident?*

    1. Very satisfied
    2. Satisfied
    3. Not Satisfied
21. Overall, how satisfied were you with the police officer's professionalism and willingness to assist?*

    1. Very satisfied
    2. Satisfied
    3. Not satisfied
22. Did the police officer fully explain their actions and any applicable laws?*

    1. Yes
    2. No
24. Did the police officer offer assistance, which may decrease the chances of you being a victim in the future?*

    1. Yes
    2. No
    3. N/A
25. Overall, how satisfied were you with your interaction with the police officer?*

    1. Very satisfied
    2. Satisfied
    3. Not satisfied
26. Please rate your overall satisfaction with the Swansea Police Department*

    1. Very satisfied
    2. Satisfied
    3. Not satisfied
27. Suggestions for Improvement
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29. 1. Receive an email copy of this form.
30. Email address

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31. Submit

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