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Client Satisfaction Survey

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The Icebreaking Program is committed to providing you with the best service possible. In order to ensure that your needs are being addressed, your comments or suggestions are encouraged. Please take the time to complete the following questionnaire and send it by fax to 1-800-920-7767 or by mail to Manager, Icebreaking Program, 200 Kent St., Ottawa, Ontario, Canada K1A 0E6

What is your vessels name?                         Call Sign?

When did you request an icebreaker? 

Date:                  Time:            UTC

Which MCTS station did you use?

Which icebreaker was used?

When did the icebreaker arrive? 

Date:                 Time:         UTC

When did the escort begin?

Date:                 Time:         UTC

When did the escort end?

Date:                 Time:         UTC

Given the actual ice conditions at the time, how satisfied are you with...

• The amount of time it took for an icebreaker to arrive:

Extremely Satisfied    Very Satisfied    Not very Satisfied    Not at all Satisfied

• The type of icebreaker tasked to provide the service

Extremely Satisfied    Very Satisfied    Not very Satisfied    Not at all Satisfied

• The actual escort

Extremely Satisfied    Very Satisfied    Not very Satisfied    Not at all Satisfied

• The ice routing information provided

Extremely Satisfied    Very Satisfied    Not very Satisfied    Not at all Satisfied

Other comments?

Please visit our website at www.ccg-gcc.gc.ca/ice-gla/ for information on Icebreaking Operations Service Standards. Thank you for participating in the Icebreaking Client Satisfaction Survey.