Vertical Watch Program©
Exhibit #5 - Sample Vertical Watch Survey


(Please feel free to copy off this survey.)

  This survey is confidential. Please follow the instructions carefully. Circle yes or no, where applicable, and provide a written response where required. Print clearly. Please complete this survey by (date) and deposit it at (drop off point). Have a friend drop off your reply if you are unable to do so yourself. Your input is greatly appreciated. Your answers will help us plan how best to make our building and community safe for everyone. The results of this survey will be posted in the lobby. No names or apartment numbers will be mentioned, only the tabulated findings.

  1.   Which of the following nights would be most convenient for you to attend a Vertical
         Watch meeting? Please circle one choice only.

         Monday  Tuesday  Wednesday  Thursday

  2.   Would you be prepared to attend approximately five Vertical Watch meetings a year?

         Yes     No

  3.   If not, please explain why?

         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________

  4.   Did you attend the first Vertical Watch meeting held on (meeting date)?

         Yes     No

  5.   We will be holding special Vertical Watch meetings in the future. Would you attend
          a meeting on street proofing children, for example?

         Yes     No

  6.   Do you have any suggestions for special meetings?

         Yes     No

         Please list your suggestions for meetings:
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________

  7.   Would you like our Vertical Watch expanded to include a registration program for
         children's bikes, for example, or wider access to Operation Identification?

         Yes     No

  8.   Do you have suggestions on ways we can improve our Vertical Watch program?

         Yes     No

          Please print your suggestions for new activities or other improvements:
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________

(Write on the back of this survey, or attach another sheet if you need more space.)

  9.   Did you receive your copy of our (issue date) newsletter?

         Yes     No

  10.   Did you read it?

         Yes     No

  11.   Did you find it useful?

         Yes     No

  12.   Do you have suggestions for improving our newsletter?

         Yes     No

         If yes, please print your suggestions and story ideas here:
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________

(If you need more space, add a separate sheet, or write on the back of this survey.)

 

"Please go to the NEXT PAGE for Part 2 of this Sample Survey. Thank you.....


 

verwatch@netcom.ca

 

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