The administrators of the Police Department are constantly evaluating our personnel, and for that reason, we wish to solicit your comments regarding our service.

Name of Police Personnel:
Type of service:   Victim of Crime Witness Escort Lecture Car Problem First Aid Other Service

Courtesy:   Outstanding Good Needs Improvement Poor	Promptness:   Outstanding Good Needs Improvement Poor
Appearance:   Outstanding Good Needs Improvement Poor	Communication:   Outstanding Good Needs Improvement Poor

Additional Comments:

Optional Information:

Case Number: Offense:
Name: Phone:
Address:
City: State: Zip Code:
E-mail: