Human Services Customer Feedback Card

Region of Peel staff are proud to be Working for you. In our continued effort to provide quality customer service, we would like to hear your comments and/or suggestions regarding the service you received.
Date Location Visited 10 Peel Centre Dr.
7120 Hurontario St.
 
What was the purpose of your contact with the Region of Peel?
 
Emergency Housing/Homeless Prevention Assistance Employment Supports
(including Employment Resource Centre)		 Subsidized Housing
           
Child Care Subsidy Ontario Works Financial Assistance Child and Family Programs
           
 
Very
Dissatisfied
 Very
Satisfied
  1       5
Overall, how satisfied were you with the service you received
Overall, how satisfied were you with the total amount of time it took to get the service?
 
To what extent do you agree or disagree with the following statements regarding the service you received?
(Please check the number that best describes your opinion)
 
 
Strongly
Disagree
 Strongly
Agree
  1       5
Staff made a real effort to make sure I got what I needed
Procedures were easy to follow
Staff cared about my situation
I got clear, accurate information
It was clear what to do if I had a problem
 
Did you get what you needed?
Yes No
 I got part of what I needed
 
If you wish to comment further on any of our services, please do so below.
 
 
Would you like someone to contact you concerning your comments or any problems you encountered with our service?
Yes
 No
 
Name
Phone
E-Mail
 
Thank you for your valued feedback!

Personal information is collected under the statutory authority of Regional By-law 8-97, s.3 (e). This information will be used to determine the efficiency and effectiveness of programs delivered by the Region through the use of customer surveys. Questions related to this collection may be directed to the Regional Clerk, 10 Peel Centre Drive, Brampton, ON L6T 4B9,
(905) 791-7800 ext. 4325.

Revised: Monday December 12 2011

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