ProntoForms AODA Customer Feedback Form

We would appreciate your feedback on the accessibility of the manner in which we provide our goods and services to all persons that we serve. Your feedback is important to helping us improve accessible services at ProntoForms. Thank you for taking the time to help us improve.

Feedback can also be provided by contacting our AODA Compliance Officer, by calling 613-706-1460, by emailing or by mail at 250-2500 Solandt, Ottawa, ON K2K 3G5. This document is available in an alternative format upon request.

Date of Visit
Time of Visit	Please select7:00 am7:15 am7:30 am7:45 am8:00 am8:15 am8:30 am8:45 am9:00 am9:15 am9:30 am9:45 am10:00 am10:15 am10:30 am10:45 am11:00 am11:15 am11:30 am11:45 am12:00 am12:15 am12:30 am12:45 am1:00 pm1:15 pm1:30 pm1:45 pm2:00 pm2:15 pm2:30 pm2:45 pm3:00 pm3:15 pm3:30 pm3:45 pm4:00 pm4:15 pm4:30 pm4:45 pm5:00 pm5:15 pm5:30 pm5:45 pm
What was the purpose of your visit today?
Did we respond to and meet your customer service needs today?	Yes / No
Was our customer service provided to you in an accessible manner?	Yes / No
What could we do to improve our service to you?
Would you like to be contacted by the AODA Compliance Officer in regards to your feedback? (optional)	Yes / No
First Name
Last Name
Full Address
Telephone Number
Email
How would you like to be contacted?	Telephone / Email / Mail

Are you human? Customers will be contacted within three (3) business days. Personal information will be collected and used for the sole purpose of responding to feedback.