County of Peterborough
                                                Customer Request Feedback Form

    Thank you for visiting the County of Peterborough. We value all of our customers and strive to meet everyone’s needs.

    Please tell us the date of your visit:

    (click in the box below to open the calendar then select your date)
    

    Did we respond to your customer service needs today?

     Yes
     No

    Was our customer service provided to you in an accessible manner?

     Yes
     No

    (If No Please Explain)

    

    Did you have any problems accessing our goods and services?

     Yes
     No

    (If Yes Please Explain)

    

    Please add any other comments you may have:

    

    Contact information (optional)*:

    First Name:  

    Last Name:  

    Phone No.:  

    Email:  

* Personal information contained on this form is collected under the authority of Section 29(2) of the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. M.56 as amended and will be used to contact you should any questions arise or clarification be needed. If you have any questions about the collection, use or disclosure of this information by the County of Peterborough, please contact the CAO or Clerk, County of Peterborough, 470 Water Street, Peterborough, Ontario K9H 3M3 (705-743-0380).