ACCESSIBLE CUSTOMER SERVICE FEEDBACK FORM- AR

Required fields are marked with asterisks (*)

ACCESSIBLE CUSTOMER SERVICE FEEDBACK FORM

The Town of Wasaga Beach strives to ensure that our facilities and services meet your needs and expectations. We value our customers and your feedback. By answering the questions below, you will help us identify opportunities for improvements to meet your needs. This form applies to municipal properties only.

Date

Approximate time of the day (if applicable)

Name and address of the municipal property location:

Did we respond to your customer service needs at the time?

Yes

Was our customer service provided to you in an accessible manner?

Yes

No (Please explain below)

Please explain your concerns (who, what, when, where, how) & attach photos (if applicable)

Upload attachments (if any)

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

I wish to receive a response to my comments

Yes

No (for comment only)

Contact Information (optional/Required for a response)

Name:

Phone Number:

Email address:

Town of Wasaga Beach

30 Lewis Street, Wasaga Beach, ON L9Z 1A1

Tel: 705-429-3844 ext. 2224

Email: deputyclerk@wasagabeach.com

Personal information collected is pursuant to the Municipal Act, S.O. 2001 and will be used for the purpose of collecting feedback. It will be used in accordance with the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990. Any questions regarding the collection of this information should be directed to the Town Clerk, Town of Wasaga Beach, 30 Lewis Street, Wasaga Beach, ON L9Z 1A1, 705-429-3844, ex 2223.

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ACCESSIBLE CUSTOMER SERVICE FEEDBACK FORM

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