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2. WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.
4. Purpose. The city of Sharonville is very concerned about your overall impression of the Officer and the Department as a result of his/her treatment of you as a person. The Department conducts random surveys of persons who have had contact with an Officer to ensure that we are serving the community in a positive, courteous, and respectful manner. Please assist us in assessing our service by taking a few moments to complete the following questionnaire. Your help will allow us to provide the best service possible to the community. If you have had a recent contact that resulted in an arrest or citation, please keep in mind that this is not an opportunity to dispute your guilt or innocence, as that is for the judicial system to decide. This is, however, your opportunity to provide us with an understanding of your treatment during the contact you had with our officer. Thank you for taking the time to help us access the quality of our service. By providing feedback about our services, you are helping to ensure that all residents and visitors to the City of Sharonville are served well.
6. First Name*
7. Last Name*
9. Business Name
10. Phone*
12. Email Address
14. Address1
16. Address2
18. City
19. State
20. Zip
22. Nature of the complaint/suggestion*
24. Police Officer Name or Badge (if known)
26. OPTIONAL INFORMATION
28. What is your sex?
    -- Select One --MaleFemale
29. What is your race?
    -- Select One --African AmericanAsianCaucasianHispanicPacific IslanderOther
31. What is your age?
    -- Select One --Under 2121-3536-50over 50
33. Please indicate the type of contact you had with our officer
    -- Select One --Traffic ViolationCriminal IncidentMotor Vehicle CrashPublic Relations
35. Describe the officer's appearance*
    -- Select One --Officer presented an exceptional appearance Officer presented a professional appearance Officer's appearance was less than professional Officer's appearance did not represent the Department well
37. How was the officer's behavior (check all that apply)*

    1. Officer treated me with respect
    2. Officer treated me fairly and professionaly
    3. Officer was very impersonal
    4. Officer was very abrupt and offensive
39. How was the officer's performance of duty? (check all that apply)*

    1. Seemed knowledgeable and in control.
    2. Fully explained the process and left me with no questions
    3. Provided accurate information
    4. Seemed confused and in doubt
    5. Explained little and left me with unanswered questions
41. What is your opinion of the Sharonville Police Department?*
    -- Select One --Very satisfied with Department's professionalism Somewhat satisfied with Department's professionalism Somewhat dissatisfied with Department's professionalism Very dissatisfied with Department's professionalism
43. What did the officer do best?
45. What recommendation do you have to help us improve our service to the community?
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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