TRIAD Safety Survey

What is Triad? Triad is a national organization of a three-way commitment with law enforcement, Seniors and local businesses working together to reduce senior victimization and enhance the delivery of law enforcement services to older persons. In Enfield, we take it much further with the town’s fire departments involvement and address fire and safety issues as well as criminal issues.

Our Enfield Triad meets the first Monday morning at 10 am of every month at the Senior Center. We have organized several programs to assist seniors two of which have been great hits, cell phone give aways and the yellow dot program. Enfield’s Triad is new and we are looking for members. There are plenty of other issues to be addressed in town, but we need a bigger volunteer force to keep going. It is essential the seniors of Enfield pick up this responsibility. You can help as little or as much as you can.

Instructions - Please Read Carefully:

Use the Tab key or the cursor to navigate the "fillable" boxes on the form.
Please fill-in all applicable information for each item that you wish to response to.
When completed, click on the "Submit" button at the bottom of the page.

A. What are your top three concerns regarding safety in Enfield?

	1.
	2.
	3.

B. Name three things the Enfield Police or Fire Department need to be aware of:

	1.
	2.
	3.

C. Name three ideas to make Enfield a safer place:

	1.
	2.
	3.

Would you be willing to volunteer to get involved with Enfield's TRIAD?

If so! Complete the following information:

Your Name:
	First	M.I.	Last

Address:
	Street	Town	State	ZIP

Telephone:	Home:	Work:
	Pager/Cell:	EMAIL:

Comments: