Customer Feed Back Form Thank you for visiting Walter Roberts Insurance! We value all of our customers and strive to meet everyone’s needs. Customer Feed Back FormPlease tell us the where you live, eg: Toronto, Sarnia, Guelph, Ottawa, etc First Name Phone (Optional) Were you satisfied with the customer service we provided you? YesNoSomewhatComments Was our customer service provided to you in an accessible manner? YesNoSomewhatComments 3. Did you experience any problems accessing our goods and services? YesNoSomewhatComments Email VerificationPlease enter any two digits with no spaces (Example: 12) *This box is for spam protection - please leave it blank: