CUSTOMER FEED BACK FORM
Mandatory fields are marked with *
Dear Customer,

Understanding your expectations will help us to serve you better. We shall be grateful if you could spare a moment to give us your valuable feedback.
1. Name of the Branch you dealt with
2. Email Id
3. How do you rate the services rendered by the Branch? * Excellent Good Satisfactory Needs improvement
4. In case you have rated the service as ‘needs improvement’ may we know the reasons therefor.
5. How do you rate the following? Excellent Good Satisfactory Needs improvement Not experienced
  a. General behavior of members of the staff
b. Adhering to time norms
c. Courtesy of staff
d. Knowledge of staff
e. Availability of brochure/ deposit slips, etc
f. Ambience/ cleanliness of branch
g. Ease of locating the required service counter
h. Manner in which requests/ queries are handled.
i. Resolutions of your problems.
6. Have you availed of internet banking facility? Yes    No
  a. If yes, whether the menu is user friendly? Yes    No
b. Are you able to carry out transactions with ease? Yes    No
c. if not, may we know the problems faced by you?
d. Are you making use of utility bill payments facility in internet banking? Yes    No
e. If so, do you suggest any more billers to be added?
f. Have you visited our bank’s Website? Yes    No
g. If so, are you getting the information you are looking out? Yes    No
h. How do you rate the following in our internet banking facility? Excellent Good Satisfactory Needs improvement Not experienced
1. Information of Products/ Services.
2. Knowledge level of Staff in resolving problem relating to internet banking.
i. If you have not availed the internet banking facility you wish to have it now? Yes    No
j. if not, may we know the reasons therefor.
7. ATM Services. Excellent Good Satisfactory Needs improvement Not experienced
  a. Location of ATM
b. Cleanliness/ Maintenance of ATMs
c. Availability of Cash.
d. Resolution of complaint
8. Loans: How was your experience in handling the loan requirements? Excellent Good Satisfactory Needs improvement Not experienced
  a. Manner in which the request was handled.
b. Knowledge/ courtesy of staff
c. Time taken to sanction loan
9. Are you utilizing the cheque drop box facility? Yes    No
If yes, do you find it useful? Yes    No
10. Indicate the name of the staff, if any, who has impressed you by excellent customer service.
11. If you have any requirement for any of your future banking needs how likely are you to choose SBM? (Please tick) Definitely consider
May consider
May or may not consider
May not consider
Will not consider
12. Would you recommend this branch to your friend/ business associate? Yes    No
13. Is there any other matter not covered above on which you would like to give us your feedback?
14. Suggestions, if any, to improve the service
15. Would you like to give us your name, type of account and contact details? If yes, please rest assured that your response will be treated in the strictest confidence.
Name:
Account No.
Telephone No.
E-Mail.
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