Date
Name
Phone
1.
Reason you selected our Bank:
(select all that apply)
Convenient Location
Niagara
Aurora
Florence
Spread Eagle
Advertising
TV Station
Radio
Paper
Other
Media Name
Bank's Reputation
Convenient Hours
Friend
/Neighbor
Other
(explain)
2.
Please check the column that indicates whether you agree or disagree with the statements listed below.
Bank Staff
Strongly Agree
Agree
Disagree
Strongly Disagree
Are Friendly
Are Knowledgeable
Complete Transaction Accurately
Are Helpful
Complete Account Opening Promptly
3.
Were other bank services offered and explained to you?
Yes
No
4.
About which product or service would you like more information?
(select all that apply)
Annuities
Home Equity
Money Market
Bank by Mail
Financial Planning
Payroll Deduction
Certificate of Deposit
IRA's
Overdraft Protection
Checking Accounts
Internet Banking
Safe Deposit Box
Club Accounts
Investments
Savings Accounts
Credit Cards
Loans (Business)
Trust Services
Direct Deposit
Loans (Mortgages)
Debit Card/ATM
5.
What bank are you transferring your funds from?
6.
Do you currently use a computer?
Home
Business
Neither
7.
Are you currently using the internet?
Home
Business
Neither
8.
If you use the internet, have you signed up for Internet Banking service?
Yes
No
9.
Please provide your e-mail address for our records.*
(optional)
*Strictly for the use of the First National Bank of Niagara. Will not be sold to outside parties and will be kept confidential at all times.
10.
Comments:
Phone: 715-251-3113
Toll Free: 866-676-9544
Email:
info@niagarabank.com
Mailing Address:
P.O.Box 25
Niagara, Wisconsin 54151-0025
