Accessibility for Ontarians with Disabilities Act (AODA) Customer Service Feedback Form

Thank you for visiting Loyalist College. We value all of our customers and strive to meet everyone’s needs. We recognize that receiving feedback provides a valuable opportunity to learn and improve.

Name:
First Last
1a. Date of visit: * Required
MM slash DD slash YYYY
1b. Time of visit: * Required

: Hours

Minutes

AM/PM AM/PM
2a. Did we respond to your customer service needs? * Required
- Yes
- No
If No, please explain:
3a. Was our customer service provided to you in an accessible manner? * Required
- Yes
- No
3b. If No, please explain:
Optional Information
Complete only if you wish to be contacted.
Phone:
Email:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Loyalist College protects your privacy and your personal information. The personal information requested on this form is collected under the authority of The Ontario Colleges of Applied Arts and Technology Act, 2002, S.O. 2002, Chapter 8, Schedule F, Section 6, and in accordance with the Freedom of Information and Protection of Privacy Act (FIPPA) for the administration of the College and its programs and services. Direct any questions about this collection to the Freedom of Information and Privacy Coordinator, Loyalist College, at 613-969-1913 Ext. 2331.

Accessibility for Ontarians with Disabilities Act (AODA) Customer Service Feedback Form

Optional Information