Customer Feedback Form With Record Of Customer Feedback

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Municipality of Strathroy-Caradoc – Clerk’s Dept.
52 Frank Street, Strathroy, Ontario N7G 2R4
519-245-1070 FAX 519-245-6353
Website:
Email:
general@strathroy-caradoc.ca
Customer Feedback Form
Thank you for visiting the Municipality of Strathroy-Caradoc. We value 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 (please explain below)
□ 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):
Thank you,
The Municipality

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