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Accessibility for Ontarians with Disabilities Act (AODA) Survey and Feedback Form

(Fields marked with a * are mandatory.)

Grey Bruce Health Services is committed to providing quality health services. This means access to safe and effective services delivered in a respectful and compassionate manner. Your feedback is used to make sure we meet all reasonable expectations and make improvements where necessary.

Enter your information in the form below:

Contact Information (Optional)

Name:

Telephone:

Address:

Email Address:

Preferred Method of Contact Mail Phone E-Mail

When did you visit Grey Bruce Health Services (date and time)? *

What hospital (Owen Sound, Markdale, Meaford, Southampton, Wiarton, and Lion’s Head) and department did you visit? *

Did we respond to your customer service needs?* Yes No

Please explain

Was our service provided in an accessible manner?* Yes No

Please explain

Did you have any problems accessing our services?* Yes No

Please explain

How can we improve accessibility at Grey Bruce Health Services?

Do you have any other comments?




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