Community Safety Initiative Poll Form
Help us improve safety in our community by sharing your experiences, concerns, and suggestions.
What is your full name?
First Name
Last Name
Which neighborhood or area do you reside in?
*
What is your age group?
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
How safe do you feel in your neighborhood during the day?
*
Not safe at all
1
2
3
4
Very safe
5
1 is Not safe at all, 5 is Very safe
How safe do you feel in your neighborhood at night?
*
Not safe at all
1
2
3
4
Very safe
5
1 is Not safe at all, 5 is Very safe
Please rate the following safety concerns in your area:
*
Rows
Not a concern
Minor concern
Major concern
Theft/Burglary
1
2
3
Vandalism
4
5
6
Traffic safety
7
8
9
Drug-related activity
10
11
12
Lack of street lighting
13
14
15
Noise disturbances
16
17
18
Which of the following safety measures do you believe are most effective in your community? (Select all that apply)
*
Neighborhood watch programs
Increased police patrols
Improved street lighting
Community events and engagement
Security cameras
Other
Have you participated in any community safety programs or events?
*
Yes
No
Would you be interested in volunteering or participating in future community safety initiatives?
*
Yes
No
Maybe
What suggestions do you have for improving safety in your community?
Submit Poll
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