Fairwinds

Member Satisfaction Survey

Please enter the 4 to 6 digit Teller number that is located near the bottom of your Service Center receipt, just below the date, and labeled "TLR." After entering the Teller number, Please select the location of your transaction from the choices below.
	Teller-ID
	Location:	Drive-Thru Counter

Please rank the following nine categories by selecting a response from the rating scale provided under each question. After you have completed the survey, please provide any comments or suggestions in the space provided below.

During your transaction, did the Teller use your name ?

Yes No

Please rate how accurately your transaction was processed.
Excellent Very good Average Below average Poor N.A

Please rate how well the speed of service met your expectations.
Excellent Very good Average Below average Poor N.A

Please rate how knowledgeable employees were about product and services.
Excellent Very good Average Below average Poor N.A

Please rate how well employees made helpful recommendations to meet your needs.
Excellent Very good Average Below average Poor N.A

*Please rate your belief that FAIRWINDS* is looking out for your best interests**
Excellent Very good Average Below average Poor N.A

Please rate the employee's appearance and professionalism.
Excellent Very good Average Below average Poor N.A

Please rate the employee's friendliness and helpfulness.
Excellent Very good Average Below average Poor N.A

*Please rate how satisfied you are with FAIRWINDS* overall service.**
Excellent Very good Average Below average Poor N.A

10)

*Would you recommend FAIRWINDS* to a friend or relative ?**
Yes No

11)

Would you like to have someone contact you about your visit?
Yes No

Please enter your 10-digit telephone number :
Please let us know the best time for us to reach you? :	From 8 am to 12 am From 12 pm to 6 pm From 6 pm to 8 pm Any time from 8 am to 8 pm

Name

Member Number

Email Address

Comments and Contact Information

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