Customer Feedback Form on Accessibility

Required fields are marked with asterisks (*)

Customer Feedback Form on Accessibility for Ontarians with Disabilities

The Town of Arnprior strives to meet the needs of our customers. We use your feedback to
ensure that we meet reasonable expectations and can provide our services to all of our users,
and make improvements where necessary.

When did you visit a Town facility?

What time did you visit the facility?

Which facility did you visit?

Did we respond to your customer service needs?

Yes

Was your customer service provided in an accessible manner?

Yes

Somewhat

Did you have any problem accessing our services?

Yes

Somewhat

Please Explain

Do you have any other comments?

Name

Address

Phone Number

E-mail Address

Preferred Method of Contact:

Mail

Phone

E-mail

Disclaimer

Personal information on this form is collected under the authority of the Municipal
Freedom of Information and Protection of Privacy Act, R.S.O c.M.56 as amended and
will be used to document delegates names, addresses, for Accessible Customer
Service Feedback. Inquiries may be directed to the Town Clerk by telephone at
613-623-4231 ext. 1818 or by email at clerks@arnprior.ca.