Feedback for Centenary DPS

Preparing the form... This message should go away shortly; if it persists indefinitely, you can try reloading the page.

  1. What is your affiliation with the College?

    Student
    Staff
    Faculty
    Community Member/Visitor

  2. Have you ever received service from the Centenary College Police Department?
    Yes No Not Applicable

  3. What was the nature of the most recent service/contact with Centenary DPS?

    Victim of a crime
    Traffic Accident
    Parking/Traffic Citation
    Disciplinary Referral
    Entry/Exit Request
    Escort
    Medical Incident

    Crime Prevention /Education Programs
    Alarm
    Welfare Concern
    Motorist Assist
    Locks
    IDs
    Other Incident

    If "Other Incident," please specify:

  4. What is the name of the officer or staff involved and the date of the incident? (Optional)

    Name
    Date
  5. Was your service provided within a reasonable amount of time?
    Yes No Not Applicable

  6. Was the person who provided the service helpful and thorough?
    Yes No Not Applicable

  7. Were all your questions answered to your satisfaction?
    Yes No Not Applicable

  8. Was the service you received performed to your satisfaction?
    Yes No Not Applicable

  9. Do you feel that you were treated courteously and with respect by the person assisting you?
    Yes No Not Applicable

    If you answered "no", what could we have done differently?

  10. Please rate the overall quality of service you received Centenary Police Department:

    Excellent
    Very Good
    Good
    Fair
    Poor
    Unacceptable

  11. Have you ever used any of the following Crime Prevention Publications: (Please check all that apply):

    Alcohol and Drug Programs ( Beer Goggles, DWI Simulator)
    Centenary Police Department on Facebook
    Campus Safety Information Brochure
    Flyers/Crime Alerts
    Never used any crime prevention publications

  12. Have you ever attended a safety presentation?
    Yes No Not Applicable

  13. Have you ever used any of the following Campus Safety Services: (Please check all that apply)

    Operation ID
    RAD — Rape Aggression Defense
    Fingerprinting
    Campus Watch Program
    Emergency Call Boxes
    Check Your Ride
    Never used any campus safety services

  14. Have you found the Department of Public Safety website useful?
    Yes No

  15. Additional comments:

    Contact Information (optional):

    Email address
    Name
    Telephone
    Address

Verify That You Are Human

By re-typing two words in the "reCaptcha" box below, you help us to maintain the security of this form. If you have difficulty making out the words in question, use the refresh button to get new words.

Visually impaired users can utilize the audio link to receive an audio cue.

If it seems like you can't see a box in which to type the two words, or if something is weird about that box, then
Share |