Crime & Disorder Survey

Please share your impressions of the state of law and order in our local area with your Member of Parliament by completing this survey.

Question Two

Looking at the community you live in, are there signs of anti-social behaviour? If so what kind?

other:

Question Three

Have you had any reason to contact the Police in the last year?

Select one of the following:

Yes

If yes, was your contact:

A complaint

To provide information

An emergency

A summons

Question Four

Since the changes to alcohol licensing laws and extended pub hours, have you noticed any difference to the level of crime and disorder in your area?

Select one of the following:

Yes

If yes, please explain below:

Question Six

If you live in a sparsely populated rural area, do you think crime is a problem that affects your life?If yes, please explain in Question 7

Select one of the following:

Yes

Question Seven

Please tell Geoffrey Cox, in your own words, your concerns about crime and disorder in your local area.

Your chance to comment:

Please complete your details below

Name: *

Address:

Telephone:

Postcode: *

Email: *

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I do not wish to receive any future information.

The information you supply us with will be treated with the strictest of confidence in accordance with the Data Protection Act. Please select if you do not wish to receive any future information via post or email from Geoffrey Cox MP.