| Sample - Bank Customer Survey |
| XXX Branch Service |
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Dear Customer,
We want to offer the best service of any banks in the world, but we need your help.
Only you can tell us if the customer service you receive at your branch is up to your
standards, which is why we regularly ask our customers for their opinions. We would
appreciate it very much if you would take a few minutes and complete this questionnaire on
branch service. Your response will be kept in strictly confidential.
We will combine your responses with those of all other participants and provide only
summary tables and comments to us. The information we receive is valuable in showing us
where our service needs improvement and where we are doing well.
We are sure a desire for the best customer service is something we share, and thank you
very much for your assistance in helping us deliver it to you.
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| VISITS TO BRANCH |
| 1.1 |
You have an account at the XXX BANK located at: |
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| 1.2 |
Have you visited your branch in the last year? |
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If No, Skip to question 5.1 |
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| 1.3 |
Approximately how many times have you visited your branch in last 3
months: |
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| CUSTOMER SERVICE
REPRESENTATIVES/TELLERS |
| 2.1 |
In terms of the service you expected from the customer service
representatives/tellers, how satisfied were you on the following criteria? |
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| SUPERVISORS/MANAGEMENT |
| 3.1 |
In terms of the service you expected from the Supervisors/Management of
the branch, how satisfied were you on the following criteria? |
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| BRANCH FACILITIES |
| 4.1 |
In terms of the service you expected to experience at the branch, how
satisfied were you on the following criteria? |
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| STATEMENTS AND MAILED DOCUMENTATION |
| 5.1 |
Do you receive statements monthly? |
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If No, Skip to question 6.1 |
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| 5.2 |
In terms of what is expected from the mailed statements , how satisfied
were you on the following criteria? |
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| LOAN/MORTGAGES |
| 6.1 |
Have you applied for credit (a loan, line of credit or mortgage) in the
last year? |
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If No, Skip to question 7.1 |
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| 6.2 |
In terms of the service you expected from the lending officer(s), how
satisfied were you on the following criteria? |
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| MUTUAL FUNDS |
| 7.1 |
Single Choice Question Properties |
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If No, Skip to question 8.1 |
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| 7.2 |
In terms of the service you expected from the Bank's mutual funds
representatives, how satisfied were you on the following criteria? |
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| TELEPHONE INQUIRIES |
| 8.1 |
Have you contacted your branch by telephone in the last year? |
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| 8.2 |
Approximately how often do you contact the branch by telephone in a year? |
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| 8.3 |
What was the reason for your most recent telephone contact with your
branch? |
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| 8.4 |
In terms of the service you expected from the telephone contact, how
satisfied were you on the following criteria? |
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| FINAL REMARKS |
| 9.1 |
Would you like to be contacted by a bank representative? |
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| 9.2 |
Would you recommend this branch to a friend or business associate? |
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If Maybe, Skip to question 9.4 |
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| 9.3 |
Why would you not recommend this branch? |
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| 9.4 |
Are there any remarks you feel you want to add concerning the service you
have been getting? |
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| 9.5 |
Your complete satisfaction is very important to us. Would you like someone
form the bank to contact you about a problem or concern? |
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| 9.6 |
Your contact Information (optional) |
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