494 Main Street, Manchester, CT, 06040, US
WHAT IS YOUR VIEW OF POLICE IN AMERICA? [On a scale of 1 to 10 (1 being extremely negative, 10 being extremely positive)]
WHAT IS YOUR VIEW OF THE MANCHESTER POLICE DEPARTMENT?
DOES CURRENT NEWS COVERAGE ON POLICE IN THE US AFFECT HOW YOU SEE POLICE IN OUR TOWN?
HAVE YOU INTERACTED WITH THE MANCHESTER POLICE DEPARTMENT IN THE PAST YEAR?
WHAT NEIGHBORHOOD DO YOU LIVE IN (SEE MAP)?
RACE & ETHNICITY - CHECK ALL THAT APPLY
WHAT CULTURAL / RELIGIOUS / SEXUAL / OTHER MINORITY GROUP(S) DO YOU IDENTIFY WITH, IF ANY?
Legal Full Name (as you would sign):
Valid Email Address: