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PRODUCERS BANK A Thrift Bank

CUSTOMER FEEDBACK FORM


Name: Date:
Address: Time:
Contact #: Branch
Transaction done:
□ Deposit/Withdrawal □ Loan □ Money Transfer □ Collection/Payment of Bills / ATM Services □ Others

Instructions: Please rate whether you are satisfied, somewhat satisfied and dissatisfied by checking the corresponding box for each number and answer
the other questions by checking your corresponding choices.
1. Did the guard greet you/open and close the door for you upon entering the Bank and assist you in the parking?
Name of guard on duty
□ Satisfied
□ Somewhat Satisfied
□ Dissatisfied
2. Did the employees greet you or at the least smile when you entered the Bank?
□ Satisfied
□ Somewhat Satisfied
□ Dissatisfied
3. Was the Bank clean and has a friendly atmosphere for business transaction?
□ Satisfied
□ Somewhat Satisfied
□ Dissatisfied
4. Was the Bank employee who assisted you Satisfied Somewhat Satisfied Dissatisfied
● Courteous
● Accomodating
● Efficient
● Knowledgeable on the Bank's products and procedures
● Patient
● Others, please specify:
Name of Employee:
5. How long did you wait to be served by our employees?
□ 1-5 minutes
□ 6-10 minutes
□ 11-15 minutes
□ 16-30 minutes
6. What do you think was/were the reason/s why you were served fast/slow?
□ Volumn of Transactions
□ Efficiency of employees
□ Others, please specify:
7. How satisfied were you with your banking experience?
□ Satisfied
□ Somewhat Satisfied
□ Dissatisfied
8. Would you recommend the Bank with your friends and relatives for its services?
□ Yes
□ No
9. What aspect do you like most about the Bank?
□ Quality Customer Service
□ Products and Services (pls. specify)
□ Good Ambiance
10. Do you have further recommendation or suggestion on how we can serve you better?
□ Yes (please specify)
□ No
11 If you were not satisfied with our services, could you tell us why? Do you have any complaints?

12 Is there any other matter not listed above that you would like to give us your feedback?

Assisted by:

Signature of Customer Signature over printed name of Employee


PRODUCERS BANK A Thrift Bank

COMPLAINT FORM
Name: Date:
Address: Time:
Contact #: Branch
Transaction done:
□ Deposit/Withdrawal □ Loan □ Money Transfer □ Collection/Payment of Bills / ATM Services □ Others

Instructions: In our effort to maintain excellent customer service, please let us know of any complaint/s by filling out this form.

1. What is your complaint/concern about or request to Producers Bank?

2. How do you want this complaint/concern/request be addressed?

3. Do you have other suggestions on how Producers Bank can be of best service to you?

Accomplished by: Submitted to:

Signature Over Printed Name of Customer Signature Over Printed Name of Employee In Charge

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