Town of Manchester, CT

info@manchesterct.gov

494 Main Street, Manchester, CT, 06040, US

Form Section 1

WHAT IS YOUR VIEW OF POLICE IN AMERICA? [On a scale of 1 to 10 (1 being extremely negative, 10 being extremely positive)]

	1	2	3	4	5	6	7	8	9	10
Police in America	Police in America/1	Police in America/2	Police in America/3	Police in America/4	Police in America/5	Police in America/6	Police in America/7	Police in America/8	Police in America/9	Police in America/10

WHAT IS YOUR VIEW OF THE MANCHESTER POLICE DEPARTMENT?

	1	2	3	4	5	6	7	8	9	10
Manchester Police Dept	Manchester Police Dept/1	Manchester Police Dept/2	Manchester Police Dept/3	Manchester Police Dept/4	Manchester Police Dept/5	Manchester Police Dept/6	Manchester Police Dept/7	Manchester Police Dept/8	Manchester Police Dept/9	Manchester Police Dept/10

DOES CURRENT NEWS COVERAGE ON POLICE IN THE US AFFECT HOW YOU SEE POLICE IN OUR TOWN?

Yes

Somewhat

HAVE YOU INTERACTED WITH THE MANCHESTER POLICE DEPARTMENT IN THE PAST YEAR?

Yes

IF YES, WHAT WAS IT ABOUT?

WHAT IS THE MANCHESTER POLICE DEPARTMENT DOING WELL?

WHAT CAN THE MANCHESTER POLICE DEPARTMENT IMPROVE ON?

WHAT NEIGHBORHOOD DO YOU LIVE IN (SEE MAP)?

WHAT IS YOUR AGE?

WHAT IS YOUR GENDER?

MALE

FEMALE

RACE & ETHNICITY - CHECK ALL THAT APPLY

American Indian or Alaska Native

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

Asian

White

Other

WHAT CULTURAL / RELIGIOUS / SEXUAL / OTHER MINORITY GROUP(S) DO YOU IDENTIFY WITH, IF ANY?