La información aquí proporcionada es de absoluta confidencialidad y cuya finalidad es establecer un diagnóstico estadístico - territorial de las condiciones de inseguridad que vivimos en la colonia San José Mayorazgo. Te pedimos únicamente registrar aquellos delitos cometidos dentro de la colonia.
Email*
Valid email
Imagen 1. Límite territorial de la colonia San José Mayorazgo y sectores establecidos para la gestión de la seguridad.
*
Image title
Imagen 1. Límite territorial de la colonia San José Mayorazgo y sectores establecidos para la gestión de la seguridad.
*
Hover text
Loading image…
Loading...
Loading…
Nombre completo
*
Question
Nombre completo
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
Edad
*
Question
Edad
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
Ocupación
*
Question
Ocupación
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
Dirección
*
Question
Dirección
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
Teléfono
*
Question
Teléfono
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
Correo electrónico
*
Question
Correo electrónico
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
¿De cuántos delitos (dentro de la colonia) has sido víctima?
*
Question
¿De cuántos delitos (dentro de la colonia) has sido víctima?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
1
2
3
4
5
más de 6
Other:
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
De acuerdo al número de delitos anteriormente mencionados, especifica su tipo:
*
Question
De acuerdo al número de delitos anteriormente mencionados, especifica su tipo:
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Robo a casa habitación
Robo de autopartes
Asalto a transeúnte
Opción 4
Other:
Other:
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
De acuerdo al tipo de delitos mencionados con anterioridad, especifica por cada uno, el lugar donde se llevaron a cabo (Dirección: Calle, Número Ext/Int).
*
Question
De acuerdo al tipo de delitos mencionados con anterioridad, especifica por cada uno, el lugar donde se llevaron a cabo (Dirección: Calle, Número Ext/Int).
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
De acuerdo al tipo de delitos mencionados con anterioridad especifica por cada uno la fecha en que recuerdas que se llevó a cabo (Día / Hora (AM-PM) / Año).
*
Question
De acuerdo al tipo de delitos mencionados con anterioridad especifica por cada uno la fecha en que recuerdas que se llevó a cabo (Día / Hora (AM-PM) / Año).
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
Especifica cuántos de estos delitos tuviste oportunidad de denunciar
*
Question
Especifica cuántos de estos delitos tuviste oportunidad de denunciar
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
1
2
3
4
5
6
Other:
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
¿Ante quién denunciaste?
*
Question
¿Ante quién denunciaste?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Ministerio público
Vigilantes de la colonia
Other:
Other:
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Si recuerdas o tuviste oportunidad de identificar algunas las características físicas de quienes cometieron el delito en tu contra especifica (Edad aproximada, complexión, número de individuos)
*
Question
Si recuerdas o tuviste oportunidad de identificar algunas las características físicas de quienes cometieron el delito en tu contra especifica (Edad aproximada, complexión, número de individuos)
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
Mil gracias por tu participación, con estos datos podremos comenzar a detectar los puntos con mayor incidencia delictiva dentro de la colonia y con ello comenzar las gestiones necesarias ante las autoridades.
*
Title
Mil gracias por tu participación, con estos datos podremos comenzar a detectar los puntos con mayor incidencia delictiva dentro de la colonia y con ello comenzar las gestiones necesarias ante las autoridades.
*
Description (optional)
Mesa Directiva Colonia San José Mayorazgo 2017 - 2019
Loading...
Loading…
Image title
*
Image title
*
Hover text
Loading image…
Loading...
Loading…
Link to Sheets
The number of responses collected by this form may exceed the limit supported by Sheets. If you're having trouble viewing your responses in Sheets, try downloading a .CSV instead.
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Insights
Total points distribution
Loading...
Loading responses…
This form is approaching the response limit. Once surpassed, the summary of responses will no longer be displayed. Learn more
Close
This form has exceeded 50,000 responses and the summary of responses can no longer be displayed. You can still download responses as a .csv file. Learn more
Nombre completo
Copy chart
No responses yet for this question.
Edad
Copy chart
No responses yet for this question.
Ocupación
Copy chart
No responses yet for this question.
Dirección
Copy chart
No responses yet for this question.
Teléfono
Copy chart
No responses yet for this question.
Correo electrónico
Copy chart
No responses yet for this question.
¿De cuántos delitos (dentro de la colonia) has sido víctima?
Copy chart
No responses yet for this question.
De acuerdo al número de delitos anteriormente mencionados, especifica su tipo:
Copy chart
No responses yet for this question.
De acuerdo al tipo de delitos mencionados con anterioridad, especifica por cada uno, el lugar donde se llevaron a cabo (Dirección: Calle, Número Ext/Int).
No responses yet for this question.
De acuerdo al tipo de delitos mencionados con anterioridad especifica por cada uno la fecha en que recuerdas que se llevó a cabo (Día / Hora (AM-PM) / Año).
No responses yet for this question.
Especifica cuántos de estos delitos tuviste oportunidad de denunciar
Copy chart
No responses yet for this question.
¿Ante quién denunciaste?
Copy chart
No responses yet for this question.
Si recuerdas o tuviste oportunidad de identificar algunas las características físicas de quienes cometieron el delito en tu contra especifica (Edad aproximada, complexión, número de individuos)
No responses yet for this question.
Mil gracias por tu participación, con estos datos podremos comenzar a detectar los puntos con mayor incidencia delictiva dentro de la colonia y con ello comenzar las gestiones necesarias ante las autoridades.
Waiting for responses
of
16
This form is approaching the response limit. Once surpassed, the question view will no longer be displayed. Learn more
Close
of
1
Loading...
Loading response…
This form is approaching the response limit. Once surpassed, the individual view will no longer be displayed. Learn more
Close
Grades from previous versions of this form are hidden. Learn more
Settings
Release grades
Respondent settings
Global quiz defaults
Default question point value
Point values for every new question
points
Responses
Manage how responses are collected and protected
Collect email addresses
Required by Locked mode
Do not collect
Verified
Responder input
Send responders a copy of their response
Disabled by Locked mode
Requires Collect email addresses
Off
When requested
Always
Requires sign in
File upload
Total size limit for all uploaded files
This limit is smaller than the max size of a single response.
Responses will not be accepted after the limit is reached. Learn more