Accessibility for Ontarians with Disabilities Feedback Form

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* 1. Please tell us the date, time and site you visited:

Date:

Time:

Site:

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* 2. Did we respond to your customer/client service needs today?

Yes

No

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* 3. Was our customer/client service provided to you in an accessible manner?

Yes

Somewhat

No (Please explain)

Please explain

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* 4. Did you have any problems accessing our services?

Yes

Somewhat

No (Please explain)

Please explain

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* 5. Please add any other comments you may have:

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* 6. Contact information (optional):