Required fields are marked with asterisks (*)

Accessible Customer Service Feedback Form

The Town of Amherstburg is committed to providing high quality goods and services to all members of the public. Feedback from the public is welcomed as it assists the Town in identifying any areas that may require change.

Date of your Visit

Approximate Time of your Visit

Staff Member, Department, or Service Location you visited:

Did we respond to your customer service needs today?

Yes

Was customer service provided to you in an accessible manner?

Yes

No (please explain below)

Explanation:

Did you have any problems accessing our goods and services?

Yes (please explain below)

Please add any additional comments you may have (Optional)

Full Name (Optional)

Address (Optional)

Phone (Optional)

Email (Optional)

Forms

Accessible Customer Service Feedback Form