Customer Feedback Form printable pdf download

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