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* 1. Please indicate your age range.

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* 2. Please indicate your gender.

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* 3. Please enter your zip code.

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* 4. Are you a Citizens Bank & Trust customer?

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* 5. Which Citizens Bank & Trust office do you visit most often?

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* 6. For which of the following experiences would you like to provide feedback?

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* 7. Please rate your overall satisfaction level with Citizens Bank & Trust with 1 star being extremely dissatisfied and 5 stars being extremely satisfied. 

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* 8. Overall, how satisfied or dissatisfied are you with the service quality of Citizens Bank & Trust?

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* 9. Was there a specific employee who impacted your experience? If so, please share.

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* 10. Are there areas do you feel need improvement in our Bank?

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* 11. How likely is it that you would recommend Citizens Bank & Trust to a friend with 0 being extremely unlikely and 5 being extremely likely?

0 100
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i We adjusted the number you entered based on the slider’s scale.

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* 12. Do you use any of the following convenience products/services?

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* 13. Do you feel any of these services need improvement? If so, please explain. 

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* 14. What other products or services would you like to see us offer?

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* 15. In the space below please provide any additional feedback you'd like to share about your experience with us.

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* 16. If you are willing to share your name, please list it in the space below. Thank you! (Note: If we share responses we only list first name and last initial.)

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