CHATS - Community & Home Assistance to SeniorsCustomer Accessibility Feedback Form

Improving access to programs and services and removing barriers for people with disabilities is important to us.

Your feedback helps us serve you better, please share your comments, questions, and suggestions about how to improve CHATS’ provision of our goods and services to people with disabilities.

If you feel you were not provided with exceptional accessible services please tell us about your experience.

"*" indicates required fields

Date of Visit

Time of Visit

CHATS' Location Visited*

Aurora Office

Bradford Office

Richmond Hill Office

Other

Was our customer service provided to you in a way that was accessible to you?*

Yes

Somewhat

Comments

Is there anything that CHATS could do to make it easier for you to access our programs and services?

Please let us know of any other comments or feedback you might have:

Would you like us to follow up with you regarding the feedback you have provided? If so, please provide us information about your preferred mode of contact below:*

Yes

Name

First Last

By Email

By Phone

In writing, my mailing address is:

In Person, preferred arrangement:

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