Clean & Safe Program: Feedback Form
This form is intended to provide honest and objective feedback for the purpose of evaluating the Hillsborough Street Clean & Safe Program. Evaluation and improvement of the program is carried out in real-time as feedback is collected, as well as on a quarterly and yearly basis.

This form is NOT a maintenance request. To submit a maintenance request, please go to http://www.hillsboroughstreet.org/forms/maintenance and provide in the description the nature of your request.

For additional information about the Clean & Safe Program and the Clean & Safe Ambassadors please visit www.hillsboroughstreet.org/clean-and-safe-program

Thank you for your commitment to a clean & safe Hillsborough Street.

1) Please choose the option(s) that best describes your normal day-to-day interaction with Hillsborough Street.
Required
2) In general, how would you rate the cleanliness of Hillsborough Street?
Poor
Below Average
Average
Above Average
Great
3) Do you feel that graffiti on the street (on buildings or in the public domain) is adequately addressed in a time-appropriate manner?
4) Do you feel that maintenance of broken or damaged public infrastructure (street lights, street poles, trash/recycling receptacles, benches, etc.) is adequately addressed in a time-appropriate manner?
5) Does the cleanliness of the street impact how often you frequent Hillsborough Street?
6) Do you feel that the Clean & Safe Program positively impacts the cleanliness of the street?
7) In general, how would you rate the safety of Hillsborough Street?
For the intent of this question, please evaluate the street in terms of personal security and NOT in terms of pedestrian or transit-related safety.
Poor
Below Average
Average
Above Average
Great
8) Does the safety of the street impact how often you frequent Hillsborough Street?
9) Do you feel that the Clean & Safe Program positively impacts the safety of the street?
10) How would you rate the ability of the Clean & Safe Ambassadors to interact with the public?
Uncertain
Poor
Below Average
Average
Above Average
Great
11) Do you feel that the Clean & Safe Ambassadors are a visible presence on the street?
12) How often, if at all, do you see Clean & Safe Ambassadors on the street?
13) In general, do you feel that the street is adequately serviced by the Clean & Safe Ambassadors?
14) Is there an area of the street that needs additional service or that is currently underserved? If so, please describe that area of the street as well as the additional service that is needed.
[Optional]
Your answer
15) Is there anything specific (positive or negative) that you have seen and would like to note?
[Optional]
Your answer
16) Do you have any specific suggestions on how to improve the Clean & Safe Program?
[Optional]
Your answer
17) Please rate your overall satisfaction with the Clean & Safe Program, the Clean & Safe Program Management, and the Clean & Safe Program Ambassadors.
Extremely Dissatisfied
Extremely Satisfied
18) Is there any additional feedback that you would like to give about the Clean & Safe Program, the Clean & Safe Program Management, the Clean & Safe Ambassadors, or the overall cleanliness and safety of Hillsborough Street?
[Optional]
Your answer
19) If you would like to be contacted about this submission, please leave your phone number and/or email address.
[Optional]
Your answer
20) Please help us prevent spam by answering the following question: What is 3+4?
Your answer
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