Accessibility Feedback Form

Which Community Living Huntsville location did you visit?

Time and date of visit?

What was the purpose of your visit?

Which department were you accessing?

Was the service provided to you in an accessible manner/format?
YesNo

Did you encounter any barriers or difficulties accessing services?
YesNo

Did we respond to your customer service needs?
YesNo

Do you wish to be contacted regarding your customer service experience?
YesNo

Please provide details regarding your customer service experience:

If you wish to be contacted, please provide your information:

Address

How would you like to be contacted?
PhoneEmail

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