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Short Brookline Police Encounter Civilian Feedback Form

  1. Overall, how would you rate this encounter with the Brookline Police?*

  2. Would you like to identify any police personnel involved?*

  3. You may optionally identify up to three police personnel involved here. (If you only know a first name or last name or badge number, that is fine. It still helps us identify the personnel involved.)

  4. Would you like to identify yourself?

  5. Your name plus an email address and/or phone number would be the most helpful.

  6. You may enter as much additional information as you would like here.

  7. Would you like a survey reviewer to contact you?

  8. Short Brookline Police Encounter Civilian Feedback Form

  9. Leave This Blank:

  10. This field is not part of the form submission.