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Neighborhood Security Survey

Neighborhood Security Survey

Our Block Watch is conducting a survey of residence to see what concerns you have in our neighborhood. Please review and rate the questions below related to the physical environment that you live in as well as crime concerns which reflect your perception of crime and indicate the priority that these issues have for you individually. Please use a rating scale of 1-3, 1 being "Low Priority", 2 being "Medium Priority" & 3 being "High Priority".

*Required
Date
First Name *
Last Name
Address
City
State
Zip Code
Contact Phone # ext:
Email Address *
Street lights
Parks
Graffiti
Code enforcement (IPL)
Loitering/Curfew Violations
Auto theft /Theft from Automobiles
Illegal drugs (sales/use)
Burglary/Property theft
Other Concerns