Customer Service Feedback Form

We welcome your comments and inquiries. Please take a few moments to assist us in achieving a higher level of customer satisfaction.

If you would like a response to your comments, please provide your contact information in the area provided at the end of the survey.

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Please tell us the date and time of your visit or interaction with the City of Burlington:
Pick date
: Clear selection
Please tell us which service, location, department or division you dealt with:
What was the purpose of your visit?
How satisfied were you with the customer service you received from the city?
Very satisfiedSatisfiedDissatisfiedVery dissatisfied
Was our customer service provided to you in an accessible manner?
Suggestion to improve our service/additional comments:
Would you like a city representative to follow up with you regarding your feedback?
If yes, please fill out your e-mail address:

This information is collected by The Corporation of the City of Burlington under the Freedom of Information and Protection of Privacy Act R.S.O. 1990, c. F.31, s. 39 (2) for the purposes of improving customer service. Questions about the collection of this information can be addressed to the Clerk’s Department, 426 Brant Street, P.O. Box 5013, Burlington, L7R 3Z6.

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