Customer Accessibility Survey
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1.
Which of the following best describes you?
(Required.)
Customer (those who use our programs and services, including co-op members)
Service Provider (those who provide services to our organization, such as suppliers, vendors, etc.)
Potential Customer in HuronTel Service Area
Other
*
2.
Do you identify as a person with a disability?
(Required.)
Yes
No
No, but someone I am very close to has a disability
*
3.
What type of disability do you have? (if applicable, check all that apply)
(Required.)
Physical (any condition that leads to limitations in your movement or mobility)
Hearing (any condition that leads to difficulty in hearing in some or all situations)
Vision (any vision condition that cannot be corrected with glasses, that leads to limitations in your day-to-day life)
Intellectual/Developmental (conditions that can affect thinking or understanding)
Neurodiversity (includes Autism, ADHD, learning disabilities)
Pain (any condition that causes constant or occasional pain that limits you in your day-to-day life)
Other
I don't have a disability
4.
A barrier means anything - including anything physical, architectural, technological or attitudinal, anything that is based on information, communications or anything that is the result of a policy or a practice - that hinders the full and equal participation in society of people with a disability.
Have you personally encountered accessibility barriers when interacting with us?
If yes, please specify the barrier(s) to accessibility
5.
Have you noticed any barriers to accessibility within our built environment? (This includes our physical office locations and buildings) If yes, please specify
6.
Have you noticed any barriers to accessibility in our Information and Communication Technologies? (This includes our website, social media, electronic forms, and newsletters, etc.) If yes, please specify
7.
Have you noticed any barriers to accessibility in our Communications? (This includes Sign Language interpreters, captioning on videos, how easy our information is to understand, etc.) If yes, please specify
8.
Have you noticed any barriers to accessibility in our Programs, Products and Services? (This includes accessing standards, receiving certification, etc.) If yes, please specify
9.
Do you have any suggestions for how we could improve accessibility in our company? If yes, please specify
10.
Is there anything else about accessibility you would like to share with us? If yes, please specify
We sincerely thank you for you time contributing to this survey and providing valuable feedback for our company when it comes to accessibility.
If you would like more information on accessibility or to contact us if you would like a response to your feedback, please visit
https://www.hurontel.on.ca/accessibility.php
