PLEASE READ BEFORE YOU BEGIN:

2. The La Habra Police Department is committed to providing excellent service to its residents. We request your assistance in evaluating how well we are doing. We value your insight, so please take a few moments to answer the following questions and provide information regarding your most recent experience with the Police Department and our personnel. Please mark the box following each statement or question which most accurately reflects your assessment of the service(s) you received.
4. Date & Time of Service*
   Date & Time of Service

   Date & Time of Service
5. What type of service were you requesting?
7. SECTION 1: Initial response when you called the Police Department
   Please select the response that most accurately reflects your opinion for each statement:
8. Your call was answered promptly and courteously.*

   1. Strongly Agree
   2. Somewhat Agree
   3. Neither Agree or Disagree
   4. Somewhat Disagree
   5. Strongly Disagree
10. The dispatcher handled your call in a professional manner.*

    1. Strongly Agree
    2. Somewhat Agree
    3. Neither Agree or Disagree
    4. Somewhat Disagree
    5. Strongly Disagree
12. The dispatcher provided you with helpful information.*

    1. Strongly Agree
    2. Somewhat Agree
    3. Neither Agree or Disagree
    4. Somewhat Disagree
    5. Strongly Disagree
14. Additional Comments:
16. SECTION 2: Police Officer Response Time
    Please select the response that most accurately reflects your opinion for each statement:
18. The officer arrived in a reasonable amount of time.*

    1. Strongly Agree
    2. Somewhat Agree
    3. Neither Agree or Disagree
    4. Somewhat Disagree
    5. Strongly Disagree
20. The officer was courteous & respectful, presented a positive professional image by his/her speech, demeanor, & actions.

    1. Strongly Agree
    2. Somewhat Agree
    3. Neither Agree or Disagree
    4. Somewhat Disagree
    5. Strongly Disagree
22. The officer took the appropriate actions and explained them.*

    1. Strongly Agree
    2. Somewhat Agree
    3. Neither Agree or Disagree
    4. Somewhat Disagree
    5. Strongly Disagree
24. Additional Comments:
26. SECTION 3: Overall Satisfaction and Contact Info:
    Please select the response that most accurately reflects your opinion for each statement:
28. How would you rate the overall service you received?*

    1. Excellent
    2. Very Good
    3. Fair
    4. Needs Improvement
30. Additional Comments:
32. Would you like to speak with a supervisor about your call?*

    1. Yes (If checked, please provide contact information below)
    2. No
34. First Name
35. Last Name
37. Address
39. Phone Number:
41. Email:
43. Check a statement below, and a patrol officer will contact you, with your neighborhood concern. If you have not provided your contact information above, please do so now.*

    1. I have additional crime concerns and would like to be contacted by a La Habra police officer working patrol in the area where my residence or business is located.
    2. I do not have additional crime concerns, and do not need a phone call.
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45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

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