Multiple-choice test or survey kit

The City of Mayfield Heights is dedicated to working with its residents and
business community in every effort to make our city safe. The Neighborhood
Watch Program is working towards this mission. Your involvement,
awareness and continued support of our Neighborhood Watch Program has
helped the Mayfield Heights Police Department work to improve safety in each
and every neighborhood. The following questionnaire will help us to adapt
and meet the continually changing needs of all who live in and visit our
vibrant community!
1. Your street Name: ____________________________________________________
2. Home:
( ) I own my home
( ) I rent a home
( ) I rent an apartment
3. How long have you lived in Mayfield Heights?
( ) less than one year, ( ) 1 - 5 years,
( ) More than 5 years
4. Do you feel crime in your neighborhood is (select one)
( ) Serious,
( ) A problem, but no worse than other areas, ( ) Not Serious
5. How safe would you feel being alone in your neighborhood during the day?
( ) very safe, ( ) somewhat safe, ( ) somewhat unsafe, ( ) very unsafe
6. How safe would you feel being alone in your neighborhood at night?
( ) very safe, ( ) somewhat safe, ( ) somewhat unsafe, ( ) very unsafe
7. Within the past year was someone in your neighborhood the victim of a crime?
( ) Yes
( ) No
If yes, type of crime _____________________________________________
8. If you were to observe a crime in your neighborhood, what would you do?
( ) Call Police, ( ) Call a neighbor or friend, ( ) Mind your own business,
( ) Try to catch the person
9. If you were to observe a stranger running through a yard, what would you do?
( ) Call Police, ( ) Call a neighbor or friend, ( ) Mind your own business,
because it’s not
your yard, ( ) Try to catch the person
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10. Do you feel that the citizens in your neighborhood have accepted some responsibility for their
personal safety?
( ) Yes
( ) No
11. How would you rate the Mayfield Heights Police, in the area of deterring crime in your
neighborhood?
( ) Very Good, ( ) Good, ( ) Fair, ( ) Poor
12. Does the neighborhood watch program provide you with helpful information about how you can
help protect your family and neighborhood?
( ) Yes
( ) No
13. What programs would you be interested in attending, if provided by the Police Department?
( ) Safety courses for children
( ) Citizens radar program
( ) Crime prevention class
( ) Police/Fire Station tours
( ) Police ride a long
( ) Other __________________________________________________________
14. How do you feel that we could better promote the Neighborhood watch program to increase
membership?
( ) Bring a neighbor night at a meeting
( ) Membership decals, shirts, or other promotional items (key chain/magnets…)
( ) Other __________________________________________________________
15. What other informational topics would you like for us to cover at the Neighborhood Watch
meetings? ______________________________________________________________
16. Would you like to have comment cards available to fill out at the meetings in order to notify us of
issues or provide other suggestions and feedback?
( ) Yes
( ) No
( ) I would like to be contacted by an officer to discuss a problem or concern.
Name __________________________
Phone _____________________________
Thank you for your participation as a member of the Neighborhood Watch Program, our
partnership is the best way to help improve the safety of our community.
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