Chatham Police Department 
Customer Service Feedback/Suggestion Form
 
 
1. Your Name______________________________________________________________. 
2. Contact Number__________________________________________________________. 
3. Address_________________________________________________________________
_______________________________________________________________________. 
4. Email___________________________________________________________________. 
5. Date of incident/interaction_________________________________________________. 
6. If you had personal experience with the Chatham Police, please let us know how you 
would rate your experience. 
 
a. Level of professionalism: 
 ____Excellent  
 ____Above Average   
____Below Average  ____Poor 
 
b. Level of understanding of the problem/issue: 
____Excellent   
____Above Average   
____Below Average  ____Poor 
 
c. Level of sensitivity to the problem/issue: 
____Excellent   
____Above Average   
____Below Average  ____Poor 
 
d. Level of the problem/issue being solved: 
____Excellent   
____Above Average   
____Below Average  ____Poor 
 
e. Level of satisfaction with the overall experience: 
____Excellent   
____Above Average   
____Below Average  ____Poor 
 
Comments/Suggestions:____________________________________________________
7.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
 
Chatham Police Department 
Customer Service Feedback/Suggestion Form
 
 
1. Your Name______________________________________________________________. 
2. Contact Number__________________________________________________________. 
3. Address_________________________________________________________________
_______________________________________________________________________. 
4. Email___________________________________________________________________. 
5. Date of incident/interaction_________________________________________________. 
6. If you had personal experience with the Chatham Police, please let us know how you 
would rate your experience. 
 
a. Level of professionalism: 
 ____Excellent  
 ____Above Average   
____Below Average  ____Poor 
 
b. Level of understanding of the problem/issue: 
____Excellent   
____Above Average   
____Below Average  ____Poor 
 
c. Level of sensitivity to the problem/issue: 
____Excellent   
____Above Average   
____Below Average  ____Poor 
 
d. Level of the problem/issue being solved: 
____Excellent   
____Above Average   
____Below Average  ____Poor 
 
e. Level of satisfaction with the overall experience: 
____Excellent   
____Above Average   
____Below Average  ____Poor 
 
Comments/Suggestions:____________________________________________________
7.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_______________________________________________________________________.
 
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