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Which office do you most often use for your banking transactions?
Dublin
Gahanna
Grove City
Reynoldsburg
Wilson Road
Stygler Road
Croton
Johnstown
Newark
Westerville
Capitol Square
Internet Banking
On Average, how many times a month do you visit an office?
0 times
3-5 times
1 or 2 times
more than 5 times
How would you rate us on Friendliness?
Excellent
Good
Fair
Poor
How would you rate us on Reliability?
Excellent
Good
Fair
Poor
How would you rate us on Fast and efficient service?
Excellent
Good
Fair
Poor
How would you rate us on Staff's knowledge of banking products?
Excellent
Good
Fair
Poor
How would you rate us on Receiving statements promptly?
Excellent
Good
Fair
Poor
How would you rate us on Statements which are easy to read?
Excellent
Good
Fair
Poor
How would you rate us on Overall impression of services?
Excellent
Good
Fair
Poor
Would you like our Investment Representative to contact you?
Yes No
Have you signed up for Internet Banking?
Yes No
Would you like our Internet Banking Department to contact you?
Yes No
Why did you choose Heartland Bank?
Personal referral
Advertisement
Quality of service
Convenience
Other
Do you have accounts at other financial institutions?
Yes No
How long have you been a Heartland Bank customer?
Would you recommend Heartland Bank to others?
Yes No
Comments and/or Suggestions:
Customer Information:  
Name:
Address:
City:
State:
Zip:
Telephone number:
Fax:
E-mail:
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