City of Butler, Indiana

DEMOGRAPHICS

Name of Community / Development where you live*

How long have you lived there?*

Age*

Sex*

Male

Female

Other/Not Disclosed

Do you recall the name(s) of the officer(s)?

PLEASE RATE THE ATTRIBUTES OF POLICE OFFICER(S) AND CIVILIAN EMPLOYEE(S) WITH WHOM YOU HAVE HAD CONTACT

IF THE BUTLER POLICE DEPARTMENT ASSISTED YOU IN THE LAST THREE (3) YEARS, PLEASE RATE YOUR SATISFACTION

If you were not satisfied with the way that the officer responded, please indicate the reason

Do you feel your neighborhood is more safe, about as safe, or less safe than any other neighborhood in Butler?

Safe

About as Safe

Less Safe

Do Not Know

How often do you see a Butler Police Department officer in your neighborhood?

Generally Not Seen

1-3 times per week

4-10 times per week

More than 10 times per wee

FOR EACH QUESTION BELOW, SELECT WHICH BEST REFLECTS YOUR NEIGHBORHOOD CONCERNS?

Drugs are easy to obtain

Likely

Somewhat Likely

Not Likely

No Opinion

Children are involved in drugs

Likely

Somewhat Likely

Not Likely

No Opinion

Homes are broken into when no one is home

Likely

Somewhat Likely

Not Likely

No Opinion

Vehicles are broken into or vandalized

Likely

Somewhat Likely

Not Likely

No Opinion

People disregard the traffic laws

Likely

Somewhat Likely

Not Likely

No Opinion

The following is a list of community programs offered by the Butler Police Department. Please circle all with which you are familiar

HOW WOULD YOU RATE THE BUTLER POLICE DEPARTMENT IN EACH OF THE FOLLOWING AREAS?

(Select a letter grade for each of the following areas. "A is excellent")

Your suggestions are always appreciated. Please comment on anything that you feel will help us serve you better in the future:

THIS FORM CAN BE SUBMITTED ANONYMOUSLY OR YOU CAN LEAVE YOUR NAME AND CONTACT INFORMATION.

If you would like for a representative to contact you, please check the appropriate box below:

Would you like to be contacted

Yes

Name

Address

City

State

Zip Code

Home Phone

Daytime Phone

Email Address

Citizen Satisfaction Survey

DEMOGRAPHICS

PLEASE RATE THE ATTRIBUTES OF POLICE OFFICER(S) AND CIVILIAN EMPLOYEE(S) WITH WHOM YOU HAVE HAD CONTACT

IF THE BUTLER POLICE DEPARTMENT ASSISTED YOU IN THE LAST THREE (3) YEARS, PLEASE RATE YOUR SATISFACTION

FOR EACH QUESTION BELOW, SELECT WHICH BEST REFLECTS YOUR NEIGHBORHOOD CONCERNS?

HOW WOULD YOU RATE THE BUTLER POLICE DEPARTMENT IN EACH OF THE FOLLOWING AREAS?

THIS FORM CAN BE SUBMITTED ANONYMOUSLY OR YOU CAN LEAVE YOUR NAME AND CONTACT INFORMATION.