Crime Tips & Survey Form

The City of Bogalusa strongly objects to the use of its survey sorms or the internet for illegal and immoral activities and will vigorously prosecute those who knowingly and illegally abuse the site. The city will cooperate with federal, state, parish and local law-enforcement officials in the pursuit of criminal activities and those who perpetrate such activities.

Use this form to voice your opinion regarding the Bogalusa Police Department.
IF YOU WOULD LIKE FOR US TO CONTACT YOU PLEASE SUPPLY YOUR NAME, EMAIL, OR OTHER INFORMATION. SOME INFORMATION RECEIVED BY THE POLICE DEPARTMENT MAY QUALIFY FOR A CASH REWARD.

When you have completed the information below, press the "Submit Form" button to send survey form, or press "Clear Form" to begin again.

What is your age?

What is your gender?

On what street do you reside? Please give the closest cross street (ie. West 10th Street & Ave F)

Over the past two years, do you believe the quality of life in your neighborhood has:
Remained the same
Increased
Decreased
Unsure

What do you feel is the greatest problem in your neighborhood?
Thefts
Vandalism
Auto Theft
Domestic Violence
Burglary
Prostitution
Drugs
Absentee Landlords

Are you fearful of becoming the victim of a crime?
Not Fearful
Somewhat Fearful
Very Fearful

Have you ever interacted with Bogalusa Police Officers?
Yes
No

If Yes ...

How would you rate the helpfulness of the Bogalusa Police Officers?
Very Good
Good
Satisfactory
Poor
Very Poor

How would you rate the courtesy of the Bogalusa Police Officers?
Very Good
Good
Satisfactory
Poor
Very Poor

Please rate the quality of service that the Bogalusa Police Department provides to the community.
Excellent
Good
Neutral / Poor
Very Poor

How would you rate the Bogalusa Police Department as a whole?
Very Good
Good
Satisfactory
Poor
Very Poor

What, if anything, would you like to change about the Bogalusa Police Department?

How do we get in contact with you?

Name
Company
Address
City	State
Postal Code	Country
Telephone
FAX
E-mail

INFORMATION, TIPS ON CRIMES, DRUGS, BURGLARY ETC MAY BE LISTED BELOW.

Other Comments:

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Terms of Use and copyright information

Crime Tips & Survey Form

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� 1914-2008, City of Bogalusa, all rights reserved. P. O. Drawer 1179 � Bogalusa, LA 70429-1179 202 Arkansas Avenue � Bogalusa, LA. 70427 Phone 985-732-6200 � FAX 985-732-6245

� 1914-2008, City of Bogalusa, all rights reserved.
P. O. Drawer 1179 � Bogalusa, LA 70429-1179
202 Arkansas Avenue � Bogalusa, LA. 70427
Phone 985-732-6200 � FAX 985-732-6245