(CCRA) Street Behavior Form

Center City Residents Association (CCRA) Street Behavior Form

The CCRA is looking for community feedback so it can take a data-based approach to better advocate for our Center City communities. This form will be used to collate data as to time of day and location of public trouble spots (as defined in "type of incident") in the Center City Residents' Association neighborhood. This is not in lieu of reporting to police. If a crime is being committed or in case of medical emergency please dial 911.

* Required

Question Title

* 1. Date of incident *

Date

Question Title

* 2. Time of Incident

6a - 12p (morning)

12p - 6p (afternoon)

6p - 12a (evening)

12a - 6a (late night)

Question Title

* 3. Closest East-West Street *

Market

Chestnut

Sansom

Walnut

Locust

Spruce

Pine

Lombard

South

Schuylkill River

Rittenhouse Square

Fitler Square

Question Title

* 4. Closest North-South Street *

Broad

15th

16th

17th

18th

19th

20th

21st

22nd

23rd

24th

25th

26th

27th

Schuylkill RIver

Rittenhouse Sq

Fitler Square

Question Title

* 5. Type of Incident *

Individual obstructing sidewalk by sitting/lying/sleeping on sidewalk

Individual defecating or urinating on sidewalk/street

Individual engaged in intimidating, threatening, or harassing behavior (including aggressive panhandling)

Medical emergency (e.g. individual passed out on street)

Other (please specify)

Question Title

* 6. Reported to Police?

Yes

Question Title

* 7. In Front of Vacant Store?

Yes