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2. Name of event:

   1. Community Engagement
   2. Crime Prevention Through Environmental Design (CPTED)
   3. Neighborhood Watch
   4. Collaboration with other Town Departments
3. 
5. Event:
6. Officer:
7. Date of event:
   Date of event:
9. Overall, how would you rate our Department's performance on this event?

   1. 1 - Poor
   2. 2 - Fair
   3. 3 - Ok
   4. 4 - Good
   5. 5 - Excellent
10. Other comments / feedback for our Department:
12. Thank you for participating in this survey.
14. OPTIONAL: If you would like to be contacted, please provide your name, email, and/or telephone number:
16. First Name
17. Last Name
19. Telephone
20. Email
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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