Goochland County Public Safety Radio Project - System Performance Feedback Form

2. Your feedback is important to the project team as we work to evaluate the performance of the new digital public safety radio system and identify areas with potential coverage reliability issues. Please take a moment to provide us with some information about the performance of the new radio system. Coverage problems will be investigated and, if desired, a response will be sent to you.

4. Incident Information

6. Incident Date*
   Incident Date

7. Incident Time*
   Incident Time

8. Incident Number*

10. Type of Incident*

12. Where were you?

14. Street Address*

15. Business Name (if applicable)

17. Location within the building, etc*

19. What was your operating configuration?*

    1. Portable at hip level, speaker mic, indoors
    2. Portable at hip level, speaker mic, outdoors
    3. Portable at head level, indoors
    4. Portable at head level, outdoors

    1. Portable in turnout coat radio pocket, speaker mic, inddors
    2. Portable in turnoutcoat radio pocket, speaker mic, outdoors
    3. Mobile radio

    Check the appropriate items below and indicate the channel that was being used.

21. Channel*

23. Describe your observations.*

    1. Unable to copy dispatch traffic
    2. Unable to copy other traffic from units
    3. Traffic is garbled/distorted but readable
    4. Dispatch or other units unable to copy me
    5. Other

    Check one or more items and provide additional comments below if necessary.

25. If other, please provide more information.

27. Contact Information*

    Do you wish to be contacted when the coverage issue has been investigated.

    1. Yes
    2. No
29. Name*

30. Email Address

31. Phone

33. Station Assignment*
    -- Select One --Station 1Station 2Station 3Station 4Station 5Station 6Administration

Leave This Blank:


34. Submit

* indicates a required field