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2. Please indicate your relationship to the city:

   1. Resident
   2. Business Owner
   3. Work in City
   4. None of the Above
4. Please indicate your sex:

   1. Male
   2. Female
6. Please indicate your age:

   1. 19 and Under
   2. 20-29
   3. 30-39
   4. 40-49
   5. 50-59
   6. 60 and Over
8. Describe your recent contact with the Beachwood Police Department:

   1. I have not had contact recently.
   2. I received a ticket.
   3. I was involved in a traffic crash.
   4. I called to report an incident or crime.
   5. I was a victim of a crime.
   6. I was a witness of a crime or incident.
   7. I requested information from the department.
   8. I was arrested.
   9. Other.
10. If you were the victim or witness of a crime, were you provided with information on outside resources?

    1. Yes

    1. No
12. Did your experience with the Beachwood Police Department meet your expectations?

    1. Yes

    1. No
14. Is there anything additional you believe the Beachwood Police Department could have done to have better met your needs?

    1. Yes

    1. No
16. Please Explain:*
18. How would you rate the Beachwood Police Department on each of the following based on an experience with the department or your perception of the department?
20. Attitude

    1. Excellent

    1. Good

    1. Fair

    1. Poor
22. Competence / Professionalism

    1. Excellent

    1. Good

    1. Fair

    1. Poor
24. Courtesy

    1. Excellent

    1. Good

    1. Fair

    1. Poor
26. Overall, how well do you feel the Beachwood Police Department does in providing services to the community?

    1. Excellent

    1. Good

    1. Fair

    1. Poor
28. How safe do you feel in Beachwood?

    1. Very Safe

    1. Safe

    1. Unsure

    1. Unsafe
30. Please provide additional specific comments, positive and/or negative, regarding police services to the community. Should you have any suggestions or recommendations that would help us to improve services to the community, please include them below:
32. If you wish to leave your name please do so.
34. First Name
35. Last Name
37. Address1
39. Address2
41. City
42. State
43. Zip
45. Email Address
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

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