Name *

Prefix First Last Suffix

Date of Birth *

MM / DD / YYYY

How satisfied are you with your initial contact with our Communications Officer that answered your phone/911 call? *

Very satisfied

Somewhat satisfied

Not satisfied

Was the Deputy Sheriff that responded courteous and professional? *

Very professional/courteous

Moderately professional/courteous

Not at all professional/courteous

Did the Deputy Sheriff seem knowledgeable in areas regarding your report? *

Very knowledgeable

Knowledgeable

Somewhat knowledgeable

Deputy unable to answer questions

How would you describe your overall experience in your contact with the Ross County Sheriff's Office *

Very satisfied

Satisfied

Somewhat satisfied

Not satisfied

Were available community resources explained/provided to you? *

Yes

No

Not Applicable

Name of Deputy

Comments