2. Grapevine Police Department Citizen Survey
4. First Name*
5. Last Name*
7. Telephone Number*
8. Email*
10. 1. Which division of the Police Department did you have contact with? (Check all that apply)*

    1. Administration
    2. 911 / Communications
    3. Detectives / Investigations

    1. Evidence Technician
    2. Patrol Division
    3. Records
12. 2. How would you rate our service?*

    1. Excellent
    2. Above Average
    3. Average
    4. Below Average
    5. Poor
14. Comments
16. 3. I certify that the information provided in this report is true and accurate to the best of my knowledge. I further understand that making a false report to a police officer is a criminal offense*

    1. I agree
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

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