Housing Security Assessment Questionnaire

Housing Security Assessment Questionnaire
Evaluate the safety and security features of your residence to identify strengths and areas for improvement.
Full Name of Assessor or Resident
First NameLast Name
Contact Email
example@example.com
Property Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Type of Residence
How would you rate the overall security of your residence?
Please evaluate the following security features present in your home.
Rows Present Well Maintained Needs Improvement
Deadbolt Locks on Doors
Window Locks
Security Alarm System
Exterior Lighting
Security Cameras
Smoke/Fire Alarms
How secure do you feel in your neighborhood?

1
2
3
4
5
1 is Not secure, 5 is Very secure
Are there any recent security incidents in your area?
Which of the following emergency preparedness features are available in your home? (Select all that apply)
Other
Please list any additional security concerns or suggestions for improving safety at your residence.
Should be Empty:

Select theme: