Traffic Related Incident
1. What was the traffic related Incident in which you were involved: *
Required
2. What was your outcome after your police contact? *
3. Please rate the employee's performance *
(Select the best answer)
Excellent
Good 
Fair
Poor
Attitude
Professionalism
Appearance
Knowledge
Completeness
4. Do you remember the employee’s name? If so, please provide the name:
Your answer
5. Overall, how satisfied were you with the service you received from the officer? *
6. Did we treat you with dignity and respect? *
7. Please list any recommendations/suggestions for improvements or comments from the questions above.
(limit of 1000 characters)
Your answer
Age *
Gender *
Name
(optional)
Your answer
Telephone
(optional)
Your answer
Email Address
(optional)
Your answer
Street Address or Community Name
(optional)
Your answer
Thank you for taking the time to complete this survey. Your answers will be given serious consideration in making the Burlington Police Department more accountable to the community it serves.
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