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Questionnaire template

Community Safety Perceptions

Measures residents' sense of safety, crime concerns, policing priorities and satisfaction with emergency services.

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Nonprofit · Community. All Nonprofit templates

Questions in this template

How Safe You Feel

  1. Thank you for taking a few minutes to help. Your experiences will guide how we make the community safer.

  2. In general, how safe do you feel in this community?

    Choose one:

    • Very safe
    • Safe
    • Neither safe nor unsafe
    • Unsafe
    • Very unsafe

  3. Compared with a year ago, how safe do you feel now?

    Choose one from a list:

    • Safer
    • About the same
    • Less safe

Crime

  1. How concerned are you about each of these in the community?

    • Break-ins and burglary
    • Physical assault
    • Vandalism
    • Drug dealing or drug use
    • Online fraud and other cybercrime

    For each row: choose one:

    • Not at all concerned
    • Slightly concerned
    • Moderately concerned
    • Very concerned
    • Extremely concerned

  2. Have you yourself been the victim of a crime in this community?

    Choose one:

    • Yes
    • No
    • Prefer not to say

  3. If you are comfortable doing so, briefly say what kind of crime it was.

    Condition: Only for respondents who have experienced a crime here

    Open answer

Community Policing

  1. Which of these policing measures should be given priority?

    Choose any that apply:

    • More officers assigned to neighbourhoods
    • More frequent patrols
    • Named police contacts for residents
    • Education on preventing crime

  2. Why did you choose these measures? (optional)

    Condition: Only when at least one measure was chosen

    Open answer

  3. What else could be done to improve policing in the community?

    Open answer

Emergency and Safety Services

  1. How satisfied are you with each of these services in the community?

    • How quickly the police respond
    • Fire and rescue service
    • Ambulance service

    For each row: choose one:

    • Very dissatisfied
    • Dissatisfied
    • Neutral
    • Satisfied
    • Very satisfied

  2. And how important is each of these services to you?

    • How quickly the police respond
    • Fire and rescue service
    • Ambulance service

    For each row: choose one:

    • Not at all important
    • Slightly important
    • Moderately important
    • Very important
    • Extremely important

  3. Taking everything into account, how satisfied are you with safety services in the community?

    Choose one:

    • Very satisfied
    • Satisfied
    • Neutral
    • Dissatisfied
    • Very dissatisfied

About You

  1. For how many years have you lived in this community?

    A number from 0 to 100

  2. What is your gender?

    Choose one:

    • Female
    • Male
    • Non-binary
    • Prefer not to say

  3. What is your postal code?

    Open answer