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2. Location of Your Residence*
   (Street Name Only)
4. Do you live in an incorporated (town or city) or unincorporated area of York County?

   1. I live in an unincorporated area of York County.
   2. I live in an incorporated area (city/town) with in York County.
6. How many times in the last 12 months have you been in contact with employees of the York County Sheriff's Office?*

   1. None
   2. 1-3 Times

   1. 4-6 Times
   2. 7 or More Times
8. Were you a victim of a crime during the last 12 months in York County?*

   1. Yes

   1. No
10. Were you involved in a traffic stop during the last 12 months in York County?*

    1. Yes

    1. No
12. Please rate the Sheriff's Office on the following criteria below:
14. Competence*

    1. Excellent
    2. Good

    1. Poor
    2. No Opinion
16. Professionalism*

    1. Excellent
    2. Good

    1. Poor
    2. No Opinion
18. Demeanor*

    1. Excellent
    2. Good

    1. Poor
    2. No Opinion
20. Courtesy*

    1. Excellent
    2. Good

    1. Poor
    2. No Opinion
22. Attitude*

    1. Excellent
    2. Good

    1. Poor
    2. No Opinion
24. Behavior*

    1. Excellent
    2. Good

    1. Poor
    2. No Opinion
26. How would you rank the York County Sheriff's Office overall performance?*

    1. Excellent
    2. Good
    3. Fair

    1. Poor
    2. No Opinion
28. How safe do you feel in York County?*

    1. Very Safe
    2. Safe

    1. Somewhat Safe
    2. Unsafe
30. How safe is it to walk in your own neighborhood after dark?*

    1. Very Safe
    2. Safe

    1. Somewhat Safe
    2. Unsafe
32. Please indicate your concerns in your own neighborhood.
    (Number 1-6 in order of importance, 1 = Least Concerned, 6 = Most Concerned).
34. Crime activity in your neighborhood:*

    1. 1
    2. 2
    3. 3

    1. 4
    2. 5
    3. 6
36. Thefts in your neighborhood:*

    1. 1
    2. 2
    3. 3

    1. 4
    2. 5
    3. 6
38. Gang activity in your neighborhood:*

    1. 1
    2. 2
    3. 3

    1. 4
    2. 5
    3. 6
40. Vandalism in your neighborhood:*

    1. 1
    2. 2
    3. 3

    1. 4
    2. 5
    3. 6
42. Narcotics activity in your neighborhood:*

    1. 1
    2. 2
    3. 3

    1. 4
    2. 5
    3. 6
44. Other criminal activity in your neighborhood:*

    1. 1
    2. 2
    3. 3

    1. 4
    2. 5
    3. 6
46. Traffic activity in your neighborhood:*

    1. 1
    2. 2
    3. 3

    1. 4
    2. 5
    3. 6
48. Transient activity in your neighborhood:*

    1. 1
    2. 2
    3. 3

    1. 4
    2. 5
    3. 6
50. Stray animals in your neighborhood:*

    1. 1
    2. 2
    3. 3

    1. 4
    2. 5
    3. 6
52. Junk cars in your neighborhood:*

    1. 1
    2. 2
    3. 3

    1. 4
    2. 5
    3. 6
54. Loud parties in your neighborhood:*

    1. 1
    2. 2
    3. 3

    1. 4
    2. 5
    3. 6
56. Other nuisance activity in your neighborhood:*

    1. 1
    2. 2
    3. 3

    1. 4
    2. 5
    3. 6
58. Please enter any recommendations/suggestions.
60. Please fill out the following if you would be willing to participate in the Neighborhood Watch Program or would like to speak to a Deputy about any community concern.
62. Name
64. Address
66. City
67. State
68. Zip
70. Phone
72. Best time to call
    Best time to call Start Date

    Best time to call Start Time

    —

    Best time to call End Date

    Best time to call End Time
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74. 1. Receive an email copy of this form.
75. Email address

    This field is not part of the form submission.

76. Submit

* indicates a required field