Norfolk County welcomes your feedback and/or complaints on its services.
 
Telephone: Simcoe 519-426-5870 / Delhi 519-582-2100 / Langton 519-875-4485 / Health and Social Services 519-426-6170
Email: askus@norfolkcounty.ca
Accessible formats and communication supports available upon request.

The personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, 1990 and will be used for the purpose of improving customer service. Questions about this collection may be directed to the Records Management/FOI Coordinator. 

What was the purpose of your visit/service?

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* 1. What was the purpose of your visit/service?

How did you access services with Norfolk County?

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* 2. How did you access services with Norfolk County?

Which County facility/location did you visit?

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* 3. Which County facility/location did you visit?

Date you accessed services?

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* 4. Date you accessed services?

Date
Did you have any problems accessing goods or services at Norfolk County?

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* 5. Did you have any problems accessing goods or services at Norfolk County?

Rate your level of satisfaction with the staff member and the service you received:

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* 6. Rate your level of satisfaction with the staff member and the service you received:

  Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
Staff were: Helpful
Staff were: Courteous
Staff were: Knowledgeable
Staff were: Well-informed with current information
Services were: Timely
Services were: Provided in a fair and consistent manner
Can you suggest methods of enhancing our service delivery?

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* 7. Can you suggest methods of enhancing our service delivery?

For persons with disabilities were goods, services and facilities provided in an accessible manner? (i.e. barrier free building, information in a format that accommodates your disability)

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* 8. For persons with disabilities were goods, services and facilities provided in an accessible manner? (i.e. barrier free building, information in a format that accommodates your disability)

Would you like a response?

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* 9. Would you like a response?

Contact information / Respond to:

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* 10. Contact information / Respond to:

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