Required fields are marked with asterisks (*)

Customer Feedback Survey

Thank you for checking out our Feedback Survey. We value your input and appreciate constructive feedback about how we are doing.

Please complete each question before proceeding. If the question does not apply, simply complete the question with N/A (Not Applicable).

Please note that this form will be recieved during regular office hours, from 8:30 am to 4:30 pm, Monday through Friday, statutory holidays not included.

Mandatory fields are indicated with a red asterisk (*)

Notice of Collection

Personal information is collected on this form by GrandBridge Energy (formerly Energy+) under the authority of the Electricity Act, S.O. 1998, Chapter 15, Schedule A. The principal purpose for the information we are collecting is to accurately deliver our services to you, billing and collection, and ensuring that we are dealing with only you or individuals you have authorized. Personal information will be used only for the purposes set out in our Privacy Policy. Learn more www.energyplus.ca/privacy

If you have any questions about this collection, the ways in which your personal information may be used by GrandBridge Energy, or would like further information about its privacy policies, please contact: GrandBridge Energy's Chief Privacy Officer, 1500 Bishop Street, Cambridge, ON by phone 519-621-3530, or by e-mail at: privacy@grandbridgeenergy.com.

Date:

Name:

Service Address:

Phone:

Email:

Account Number:

Which department or area of business did you recently have contact with?

If you selected "Other" or "Specific Personnel" please provide details:

How would you rate the following?

Please share one or two things you believe we could do differently or better.

I would like a representative from GrandBridge Energy to contact me to discuss:

My GrandBridge Energy Account

Power Outages, System Reliability

Generating Renewable Energy

No thanks I do not want a representative to contact me at this time

Other