Region of Waterloo Customer Feedback Form

Please take a few minutes to tell us how we did if you accessed one of our services recently. If you need to speak with someone immediately or you need an alternate format, please call the Region of Waterloo at 519-575-4400 or TTY 519-575-4608 to reach a staff member 24 hours per day, 7 days per week.

Please use the form to submit feedback about one service experience at a time. If you would like to provide feedback about more than one service experience, a link will be provided to take you to a new form after you have pressed the "Finish" button. If you would like to submit a complaint, please use our Online Complaints Form . A link will also be provided to you after you press the "Finish" button.

When did you access this service?

Where did you receive this service?

What service did you receive?

Thinking of your overall experience with the service, please answer the questions below using the 1 to 5 rating scale.

	1 Strongly disagree	2	3	4	5 Strongly agree	Not applicable (N/A)
It was easy to access the service	It was easy to access the service - 1 Strongly disagree	It was easy to access the service - 2	It was easy to access the service - 3	It was easy to access the service - 4	It was easy to access the service - 5 Strongly agree	It was easy to access the service - Not applicable (N/A)
I was satisfied with the amount of time it took to receive the service	I was satisfied with the amount of time it took to receive the service - 1 Strongly disagree	I was satisfied with the amount of time it took to receive the service - 2	I was satisfied with the amount of time it took to receive the service - 3	I was satisfied with the amount of time it took to receive the service - 4	I was satisfied with the amount of time it took to receive the service - 5 Strongly agree	I was satisfied with the amount of time it took to receive the service - Not applicable (N/A)
The service was accessible for me	The service was accessible for me - 1 Strongly disagree	The service was accessible for me - 2	The service was accessible for me - 3	The service was accessible for me - 4	The service was accessible for me - 5 Strongly agree	The service was accessible for me - Not applicable (N/A)
I was able to find the information I needed	I was able to find the information I needed - 1 Strongly disagree	I was able to find the information I needed - 2	I was able to find the information I needed - 3	I was able to find the information I needed - 4	I was able to find the information I needed - 5 Strongly agree	I was able to find the information I needed - Not applicable (N/A)
I got clear information	I got clear information - 1 Strongly disagree	I got clear information - 2	I got clear information - 3	I got clear information - 4	I got clear information - 5 Strongly agree	I got clear information - Not applicable (N/A)
I knew what to do if I had a problem	I knew what to do if I had a problem - 1 Strongly disagree	I knew what to do if I had a problem - 2	I knew what to do if I had a problem - 3	I knew what to do if I had a problem - 4	I knew what to do if I had a problem - 5 Strongly agree	I knew what to do if I had a problem - Not applicable (N/A)
I was treated fairly	I was treated fairly - 1 Strongly disagree	I was treated fairly - 2	I was treated fairly - 3	I was treated fairly - 4	I was treated fairly - 5 Strongly agree	I was treated fairly - Not applicable (N/A)
Staff were knowledgeable	Staff were knowledgeable - 1 Strongly disagree	Staff were knowledgeable - 2	Staff were knowledgeable - 3	Staff were knowledgeable - 4	Staff were knowledgeable - 5 Strongly agree	Staff were knowledgeable - Not applicable (N/A)
In the end, I got what I needed	In the end, I got what I needed - 1 Strongly disagree	In the end, I got what I needed - 2	In the end, I got what I needed - 3	In the end, I got what I needed - 4	In the end, I got what I needed - 5 Strongly agree	In the end, I got what I needed - Not applicable (N/A)
Overall, I was satisfied with the service I received	Overall, I was satisfied with the service I received - 1 Strongly disagree	Overall, I was satisfied with the service I received - 2	Overall, I was satisfied with the service I received - 3	Overall, I was satisfied with the service I received - 4	Overall, I was satisfied with the service I received - 5 Strongly agree	Overall, I was satisfied with the service I received - Not applicable (N/A)

What could we do better?

*If we require more information or need to follow up with you, please provide us with your contact information. Would you like to provide the Region with your contact information?

Yes

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