Washington Township Police Department PatchWASHINGTON TOWNSHIP POLICE DEPARTMENT
Resident Crime Prevention Questionnaire

(Hit "RETURN/ENTER" or click on "SUBMIT SURVEY" to send form when complete.)
1. Your residence:
Long Valley Califon Hackettstown  
Middle Valley Schooley's Mountain Bartley Other
2. Your age: Your sex: Male   Female
3. How long have you lived in Washington Township? Years Months
4. Do you live: Alone   With Spouse   Family   Other
5. How safe do you feel in your home? Very Safe    Somewhat Safe   Somewhat Unsafe  Very Unsafe
6. How safe do you feel outside in your neighborhood at night? Very Safe    Somewhat Safe   Somewhat Unsafe  Very Unsafe
7. How safe do you feel in our shopping district: Very Safe    Somewhat Safe   Somewhat Unsafe  Very Unsafe
8. Do you feel safe in your car: Always   Generally   Sometimes   Never
9. Have you or a member of your household been the victim of a crime in the past year in your neighborhood? Yes   No  
10. Have you been a victim of a fraud or identity theft in the past year? Yes   No  
11. Crime in my neighborhood is a: Major Problem   Minor Problem   No Problem   Don't Know  
12. Within the past year do you think crime in your neighborhood has: Increased   Decreased   Remained the same  
13. To what extent has your feeling about crime hindered your freedom of movement and activity throughout the Township? Greatly   Somewhat   None    Please explain
14. What crime do you feel is most likely to happen in your neighborhood: Assault   Burglary   Criminal Mischief  
Other-
15. Describe your areas of concern. For each item listed, select a choice.
 
 
Major
Minor
No Problem
Don't Know
Public Drinking
Youths hanging out
Adults hanging out
Noisy neighbors
Noisy people in street
Property maintenance
Graffiti
Vandalism
Abandoned cars
Home burglary
Theft
Assaults
Drug use
Drug dealing
Parking violations
Speeding traffic
Poor street lighting
Loud music
Littering
Other problems (specify)
16. What can the Washington Township Police Department do to improve your safety and/or your areas of concern:
17. Based on your contact and experience, please rate the quality of the following service providers in your neighborhood. For each service, please indicate whether the performance is excellent, good, average, poor or no contact.
 
 
Excellent
Good
Average
Poor
No Contact
Police
Fire
Ambulance
Garbage Pickup
Building Inspection
Health Department
Public Works
Other
18. How many times have you called the Police Department? 1  2  3  4  5  6  7  8  9  10 
More than Ten  More than 20 
19. How many times have you had contact with the Washington Township Police Department: 1  2  3  4  5  6  7  8  9  10 
More than Ten  More than 20 
20. What were the circumstances. Check all that apply:
Victim of Crime
Motor Vehicle Accident
Motor Vehicle Stop
First aid call
Fire
Alarm
Information Request
General Assistance
Abandoned/Accidental 911		 Other, Please Describe:
21. Describe the police officer:
Appearance:
Professional
Sloppy
Don't Know 		Demeanor:
Courteous
Rude
Neutral 		Satisfaction:
Helpful
Not Helpful
Neutral
22. Based on your contact and experience, please evaluate the performance of the Police in each of the following areas. For each item, please indicate whether the performance is Excellent, Good, Average, Poor or No Contact.
 
 
Excellent
Good
Average
Poor
No Contact
Friendliness
Professionalism
Response Time
Fairness
Solving the Problem
Helpfulness
Other Comments
23. Rate the overall performance of the Washington Township Police Department: Superior   Acceptable   Unacceptable
24. Rate the overall competence of the Washington Township Police employees: Superior   Acceptable   Unacceptable
25. Rate the the officers’ attitudes and behavior towards citizens: Excellent   Acceptable   Unacceptable
26. Indicate if you have had contact with other programs of the Washington Township Police Department.  Check all that apply:
Bike Patrol
D.A.R.E.
National Night Out 		Emergency Management
Community Policing Program
Crime Prevention Survey
27. Have you attended a Crime Prevention Program presented by Washington Township Police: Yes   No
28. Have you adopted any Crime Prevention techniques in the neighborhood as a result of a presentation:
Yes   If yes, what
No
29. Does your neighborhood have a Crime Watch Program? Yes   No  
30. Of No, would you like your neighborhood to have a crime watch program? Yes   No  
31 Do you/would you participate in a Crime Watch Program? Yes   No  
32. Does your neighborhood have a neighborhood association or community group? Yes   No  
33. Do you/would you participate in the neighborhood association or community group? Yes   No  
34. How often do you see a patrol car drive through your neighborhood? Often   Occasionally   Never
35. How often do you see a patrol car in the business/shopping area? Often   Occasionally   Never
36. What services would you like to see the Police Department provide:
37. Additional comments concerning safety and security within Washington Township:
38. Additional recommendations and suggestions for improvements:
39. E-mail (optional)
Re-enter E-mail (optional)
Name (Optional)
Address
Telephone Number
40. Please contact me Yes   No  
   
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