Required fields are marked with asterisks (*)

Customer Accessibility Feedback

Thank you for visiting the Town of Huntsville. We value all of our customers and strive to meet everyone's needs.

Contact Details

First Name

Last Name

Unit Number

Street Number

Street Name

P.O. Box Number/ RR Number

Town

Postal Code/ ZIP Code

Phone Number

E-Mail Address

Feedback

Date of visit (mm/dd/yyyy)

Enter Time of Visit

Did we respond to your needs today?

Yes

Was our service provided to you in an accessible manner?

Yes

Did you encounter any problems in accessing our goods or services?

Yes

Somewhat

Please explain

Please add any other comments you may have

Contact information (optional)

Notice of Collection

The personal information contained on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA). The information is collected to understand customer feedback and assist in the delivery of accessible services. Questions about this collection can be directed to the Clerk’s Department, Town Hall, 37 Main Street East, Huntsville, ON, P1H 1A1, 705-789-1751 ext. 2255, clerk@huntsville.ca.