AODA Feedback Form

Client Service Feedback Form

Thank you for being client of Reception House. We value all of our clients and strive to meet everyone’s needs.
(optional pdf download)

 

 

Please tell us the date of your visit:

 

Were you satisfied with the service we provided you?

YesNoSomewhat

Comments:

 

Was our service provided to you in an accessible manner?

YesNoSomewhat

Comments:

 

Did you experience any problems accessing our services?

YesNoSomewhat

Comments:

 

Contact Info (optional)

Your Name:

Your Email:

Your Phone Number: