feedback-form - Canquest

Accessibility Feedback Form

We want to know about any accessibility barriers you’ve faced with us or suggestions to help us create an accessibility plan. You can give your feedback anonymously or provide your contact information so we can follow up with you.

Describe your feedback
Fields with * are required.

Feedback don’t barrier?

My Feedback is about?

My Feedback affects?

Where did you experience this barrier?

Digital space (e.g., website)
Physical space (e.g., office)
Products & Services (e.g., Internet, TV, Home Phone)
Support (e.g., Customer service, Technical support, In-home service)
Marketing or advertising (e.g., commercials, print ad, digital ad)
Employment (e.g., interviews, work environment)

You may select more than one option.

Please describe the accessibility barrier you faced and any suggestions you may have for improvement. If you wish to remain anonymous, please don’t include any identifying information.

I'd like to be contacted by (select one):

Email
Phone
Don't contact me

Name

First

Last

Phone

By using this form, you agree to the collection, use, and storage of any personal information you’ve provided to us on this page. Your feedback will be treated anonymously to help us create progress reports or future accessibility plans if it’s not already covered by one in progress. If we need further information and you’ve included your contact info, someone will reach out to you.