FR
Log in
Service Assessment Survey
Personal information
Personal
Corporate
E-mail
---
Personal E-mail
Professional E-mail
Why create an account?
Password
Fogotten password?
Skip this step
Log in
Confirmation email
Title
---
Mr.
Mrs.
------------------------------
Miss
Gender
First name
Last name
Job title
Company
Country
---
Canada
Province
---
Quebec
Street no.
Street name
Street type
---
allée
autoroute
avenue
boulevard
carré
carrefour
cercle
chemin
côte
croissant
impasse
montée
parc
passage
place
promenade
rang
route
rue
terrasse
Apt. / office
I am unable to enter my address
City
Postal code
Phone
---
Home
Cellular
Add phone number
** Optional ** I agree to create my account according to the terms of use.
Why create an account?
Please note that by creating
an account
, you accept the
Conditions of use
and
Privacy policy
.
Password
Password confirmation
Additional information
General attitude of staff
---
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Not applicable (N/A)
Environmental quality
---
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Not applicable (N/A)
Quality of care
---
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Not applicable (N/A)
Quality of food services
---
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Not applicable (N/A)
Would you like a member of our team to contact you?
Yes
No
Comments
Next
Organization's registration number:
83786 0899 RR0001
Time remaining in your session:
15
Time remaining in your session:
15