Accessibility Feedback Form

Thank you for visiting Anova. Your feedback is important to us. We are committed to providing accessible customer service for persons living with disabilities.

Please submit the online version of our Accessibility Feedback Form by completing the form (below) and clicking the "Submit" button.

If you in crisis or require emergency assistance call 911, or the London City Police 519-661-5670. If you are abused, we can help. Call the 24-Hour Helpline 519-642-3000 or 1-800-265-1576. Anova does not offer online or e-mail counselling, please call us for support.

Accessibility & Customer Service Feedback Form

Which Anova location did you visit?

Date of your visit?

Time of your visit?

What was the purpose of your visit?

Which department were you accessing?

Did you request accommodation?
 Yes No

Was the service provided to you in an accessible manner or format?  Yes No

Did you encounter any barriers or difficulties accessing services? Yes No

Did we respond to your customer service needs? Yes No

Please provide the details of your customer service experience:

Your Contact Information

Do you wish to be contacted about your customer service experience?
 Yes No

If yes, please provide a way for us to contact you:

Anova will respond to your feedback within 10 business days outlining action(s) to be taken.

Personal information contained on this form is collected pursuant to Ontario Regulation 429/07, the Accessibility Standards for Customer Service and will be used for the purpose of responding to your comments or request.