Accessibility Standard for Customer Service Feedback Form

Accessibility Feedback

The date of the service experience you would like to provide feedback on:

What service did we provide?

Did you receive the service, information or help you needed?

NoA BitSomewhatAlmostYes

Were you treated in a courteous and considerate manner?

NoA BitSomewhatAlmostYes

Was our service provided in a timely manner?

NoA BitSomewhatAlmostYes

Was our service provided in an accessible manner?

NoA BitSomewhatAlmostYes

Did you have any problems accessing the service?

NoA BitSomewhatAlmostYes

Were you satisfied with your overall service experience?

NoA BitSomewhatAlmostYes

Please give the details of your service experience:

Do you have suggestions that will help us enhance the way we provide services to people with disabilities?

Contact Details: (Optional)
If you want to receive a reply, please let us know how you would prefer us to contact you.

EmailTelephoneTTYMailN/A

Please provide us with your email address

Please provide us with your telephone number

Please provide us with your mailing address

Please provide us with your TTY

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