Welcome to the Bellville Police Department’s community survey. Our goal in conducting the survey is twofold: (1) to help reduce crime in Bellville by identifying specific problems in the community; and (2) to strengthen the relationship between the people of Bellville and the police department. This survey will also allow persons to express their opinions and needs from the police department in a more private manner and still help the police department to better serve our taxpayers.

All information submitted is confidential and will be routed to the Bellville Police Department only.

Today's Date

Your Name (optional)

Are You a Village Resident? Yes No

Your Home Phone Number

How long have you lived at your Home?

Number of adults living in your Home?

Number of children living in your Home?

School(s) your Children attend:

Which of the following describes your feelings about the safety of your community:

1) Very Safe 2) Safe 3) Unsafe 4) Very Unsafe

Have you ever been the victim of a crime in Bellville? Yes No

If you were the victim of a crime in Bellville, what type of crime and when?

Do you feel the Bellville Police Department handled the situation appropriately? Yes No Not Applicable

If not, what should they have done differently?

What are the three major concerns you have regarding your neighborhood?

With respect to the concerns that you have listed above, who are the parties involved?

With respect to the concerns that you have listed above, when and where are the problems occuring?

What do you feel that the police can do to correct these problems?

What can you do to help correct these problems?

What positive points do you see of the police department?

Would you be interested in joining a NEIGHBORHOOD WATCH PROGRAM? Yes No

We are seeing more juveniles getting involved in destructive mischief. What are some suggestions to help give the kids a new direction?

Would you like to be contacted about the survey? Yes No

If so when would be the best time to reach you?