Customer Feedback Form - Ontario

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Customer Feedback Form
Thank you for visiting the Township of Tay. We value all of our customers
and strive to meet everyone’s needs.
Please tell us the date and time of your visit:
Did we respond to your customer service needs today?  YES  NO
Was our customer service provided to you in an accessible manner?
 YES
 SOMEWHAT  NO (please explain below)
__________________________________________________________
Did you have any problems accessing our goods and services?
 YES (please explain below)  SOMEWHAT (please explain below)
 NO
_____________________________________________________________
Please add any other comments you may have:
_____________________________________________________________
_____________________________________________________________
Contact information (optional)*:
Name: ____________________________
Phone: ___________________
E-mail: _______________________________________________________
Thank you.
Management
Date Received: _________________ Date Action Taken: ______________
Action Taken: ________________________________________________
____________________________________________________________
Personal information contained on this form is collected pursuant to the Municipal Freedom of Information and Protection
of Privacy legislation and will be used for the purpose for which it was collected. Questions about this collection should be
directed to the Clerk of the Township of Tay.
Customer Feedback Form
Thank you for visiting the Township of Tay. We value all of our customers
and strive to meet everyone’s needs.
Please tell us the date and time of your visit:
Did we respond to your customer service needs today?  YES  NO
Was our customer service provided to you in an accessible manner?
 YES
 SOMEWHAT  NO (please explain below)
__________________________________________________________
Did you have any problems accessing our goods and services?
 YES (please explain below)  SOMEWHAT (please explain below)
 NO
_____________________________________________________________
Please add any other comments you may have:
_____________________________________________________________
_____________________________________________________________
Contact information (optional)*:
Name: ____________________________
Phone: ___________________
E-mail: _______________________________________________________
Thank you.
Management
Date Received: _________________ Date Action Taken: ______________
Action Taken: ________________________________________________
____________________________________________________________
Personal information contained on this form is collected pursuant to the Municipal Freedom of Information and Protection
of Privacy legislation and will be used for the purpose for which it was collected. Questions about this collection should be
directed to the Clerk of the Township of Tay.

Download Customer Feedback Form - Ontario

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