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* 1. If you have a receipt, please type the information that looks like this below:
Example: tddr 0003 123 00001 5/1/2011 08:50 AM

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* 2. Customer Name (optional)

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* 4. Date of your Transaction:

Date:

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* 5. If you know the name of the employee who helped you, please give us their name:

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* 6. Were you greeted in a timely manner?

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* 7. Did the employee process your transaction correctly?

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* 8. Did the employee who completed your transaction use your name?

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* 9. Was the employee friendly?

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* 10. Did the employee talk to you about any additional Bank products or services?

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* 11. On a scale of 1 - 5 (5 being the highest) how satisfied are you with your experience?

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* 12. Please write any additional comments below.

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