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Accessibility Feedback Form

Accessible Customer Service Feedback Form

Your feedback is important to the Municipality of Meaford with regards to your accessibility experience.
Click  icon Accessible Customer Service Feedback Form Dec 2013 to download this form as a WORD file.

1. When did you visit a Municipal facility (YY/MM/DD):  ____________________

2. Did you speak to a municipal employee?  (Please circle):     Yes       No

    What was their name? ____________________________   Position/Job: ______________________________________

3. What time did you visit the facility? ________________________

4. Which facility did you visit? (Please check one):

     A   Municipal Office
     B   Council Chambers
     C   Meaford Public Library
     D   Meaford Museum
     E   Meaford Hall Arts & Cultural Centre
     F   Meaford Harbour
     G   Memorial Park (campground)
     H   Blue Dolphin Pool
     I    Meaford Fire Hall
     J   Bognor Community Centre and Park
     K   Woodford Community Centre
     L   Riverside Community Centre
     M  Lakeview Cemetery
     N  Meaford/St. Vincent Community Centre (Arena)
     O  Irish Mountain Lookout 
     P  Midas Mart (and building)
     Q  McCarroll Park
     R  Fred Raper Park
     S  Beautiful Joe Park
     T  Skateboard Park
     U  St. Vincent Park

5. Was your customer service provided in a manner accessible to you? (Please circle):    Yes       Somewhat       No

Please explain:



6. Did you have any problem accessing our services? (Please circle):      Yes      Somewhat      No

Please explain:



7. Preferred Method of Contact (Please circle one):      Mail      Phone      Email

8. Do you have any other comments?


Name:    _______________________________________________________________

Address: _______________________________________________________________

Phone Number: __________________________________________________________

Email Address:  __________________________________________________________

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