Corporate Customer Service Feedback/Complaints

Norfolk County welcomes your feedback and/or complaints on its services.

Telephone: 519-426-5870 Ext. 4636
Email: askus@norfolkcounty.ca

Accessible formats and communication supports available upon request.

The personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, 1990 and will be used for the purpose of improving customer service. Questions about this collection may be directed to the Records Management/FOI Coordinator.

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* 1. What was the purpose of your visit/service?

Make a payment

Request for service

File a complaint

Participate in a program

Other (please specify)

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* 2. How did you access services with Norfolk County?

Front counter / walk-in

Phone

Norfolk County employee attended my home to provide service

Other (please specify)

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* 3. Which County facility/location did you visit?

County Administration Building (50 Colborne St. S., Simcoe)

Delhi Administration Building (183 Main St. of Delhi, Delhi)

Robinson Administration Building (185 Robinson St., Simcoe)

Simcoe Recreation Centre / Annaleisse Carr Aquatics Centre (182 South Dr., Simcoe)

Health and Social Services - Gilbertson Administration Building (12 Gilbertson Dr., Simcoe)

Health and Social Services - Caledonia Location (282 Argyle St. S., Caledonia)

Health and Social Services - Dunnville Location (117 Forest St. E., Dunnville)

Other (please specify)

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* 4. Date you accessed services?

Date

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* 5. Did you have any problems accessing goods or services at Norfolk County?

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* 6. Rate your level of satisfaction with the staff member and the service you received:

	Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied
Staff were: Helpful	Staff were: Helpful Very Satisfied	Staff were: Helpful Satisfied	Staff were: Helpful Neutral	Staff were: Helpful Dissatisfied	Staff were: Helpful Very Dissatisfied
Staff were: Courteous	Staff were: Courteous Very Satisfied	Staff were: Courteous Satisfied	Staff were: Courteous Neutral	Staff were: Courteous Dissatisfied	Staff were: Courteous Very Dissatisfied
Staff were: Knowledgeable	Staff were: Knowledgeable Very Satisfied	Staff were: Knowledgeable Satisfied	Staff were: Knowledgeable Neutral	Staff were: Knowledgeable Dissatisfied	Staff were: Knowledgeable Very Dissatisfied
Staff were: Well-informed with current information	Staff were: Well-informed with current information Very Satisfied	Staff were: Well-informed with current information Satisfied	Staff were: Well-informed with current information Neutral	Staff were: Well-informed with current information Dissatisfied	Staff were: Well-informed with current information Very Dissatisfied
Services were: Timely	Services were: Timely Very Satisfied	Services were: Timely Satisfied	Services were: Timely Neutral	Services were: Timely Dissatisfied	Services were: Timely Very Dissatisfied
Services were: Provided in a fair and consistent manner	Services were: Provided in a fair and consistent manner Very Satisfied	Services were: Provided in a fair and consistent manner Satisfied	Services were: Provided in a fair and consistent manner Neutral	Services were: Provided in a fair and consistent manner Dissatisfied	Services were: Provided in a fair and consistent manner Very Dissatisfied

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* 7. Can you suggest methods of enhancing our service delivery?

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* 8. For persons with disabilities were goods, services and facilities provided in an accessible manner? (i.e. barrier free building, information in a format that accommodates your disability)

Yes

Not applicable

No - if no, please explain:

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* 9. Would you like a response?

Yes

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* 10. Contact information / Respond to:

Name

Address

Address 2

City/Town

Postal Code

Email Address

Phone Number