FEEDBACK FORM

We welcome feedback from our clients, partners and public.

Your completed feedback survey will be automatically sent to the Executive Director at CFWR. Thank you for taking time to provide your input.

Question Title

* 1. My feedback is a:

Compliment for something that went well.

Concern for a mistake we made or improvement that is needed.

Comment/Suggestion/Idea

Question Title

* 2. I am a:

Current Client

Past Client

Member of the Public

Service Provider

Other (please specify)

Question Title

* 3. What would you like to tell us?

Question Title

* 4. Did you have any concerns or issues accessing our services?

Yes

Explanation:

Question Title

* 5. Were your accessibility needs accommodated?

Yes

Not Applicable

Explanation:

Question Title

* 6. Would you like a response to your feedback?

Yes

Question Title

* 7. If yes, I prefer contact by:

Phone

Letter

Question Title

* 8. Please provide corresponding contact information.

Name

Address

Address 2

City/Town

Province

Postal Code

Email Address

Phone Number

Thank you for your feedback.

If you have requested a response, the Executive Director will contact you within 7-10 working days. Your personal information will be kept confidential. In addressing your complaint, there may be need to share your information with other people within CFWR.