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 Crisis and Support Line 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?

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

    Did you encounter any barriers or difficulties accessing services?

    Did we respond to your customer service needs?

    Please provide the details of your customer service experience:

    Your Contact Information

    Do you wish to be contacted about your customer service experience?

    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.

    All areas with marked with an * are required