Accessible Customer Service Feedback Form

Date: *

#1. Were you satisfied with the accessibility of our service, goods, and facilities? *

Yes: No: Somewhat:

Why or why not?

#2. Did you experience any barriers to accessing our goods, services, or facilities? *

Yes: No: Somewhat:

If yes or somewhat, please explain.

#3. Do you have any recommendations to make accessing our goods, services, or facilities easier for people with disabilities? *

Yes: No:

If yes, please explain.

#4. Are you satisfied with the accessibility of our feedback process? *

Yes: No:

If yes, please explain.

#5. Did you experience any barriers to providing feedback? *

Yes: No: Somewhat:

Why or why not?

Additional comments

Customer Contact Information

Customers are invited to provide their contact information so that Robert Q Travel & Airbus can follow up with them regarding their feedback. This is entirely optional. If a customer chooses to provide their contact information, it will be used for the sole purpose of responding to their feedback.

Name:

Preferred contact method:

Contact Information: