ANNEXURE-III
ATM
Date : _____________
Time : _____________
CUSTOMER SATISFACTION FEEDBACK FORM :
Name of the customer : ___________________________________
Branch Name : ___________________________________
Region : ___________________________________
Zone : ___________________________________
Banking with CBI since : ___________________________________
1. Which is/are the Bank(s) that you have an account in? _______________________________________
2. Do you prefer using an ATM to Branch Banking? Yes No
If no, why do you prefer Branch Banking _________________________________________________
3. How often do you use an ATM? O Weekly O Fortnightly O Monthly
4. Which of the following services have you used / planning to use in an ATM?
(Tick as many options as applicable)
Mobile Prepaid Recharge O Internet Packs
Donations to Temples O Charity (exempted u/s 88)
Mutual Funds Transactions O Bill Payment
Calling Cards O None
Others (Specify)
5. Do you find it necessary for a guard to be present at the ATM? O Yes O No
6. Are you aware that the fees charged while using an ATM not owned by your bank have been introduced
after 5 transactions?
Yes O No
7. What are the inconveniences / problems have you encountered while using an ATM?
Wait in long queues O Inserting card incorrectly
Limit on daily withdrawal O Not being able to read from the screen well
The print on the slip is too small to read O None of the above
8. Other ATM Problems
ATM working too slowly O Incorrect amount of Cash Dispensed
ATM not releasing card O Unclear instructions / terms used on ATM
ATM running out of money O ATM not able to print slips when demanded
Non availability of Deposit Envelopes O Insufficient Air Conditioner
Others (Specify) O Guard present always
9. Are you availing ATM services of other Bank ? O Yes O No
10. If yes, which services you would like Central Bank to offer to you in ATM?
11. If you have any comments for improvement of our ATM functioning. Please suggest.