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PLEASE CONSENT ELECTRONICALLY TO PROCEED WITH ONLINE SURVEY * Please select your choice below. Clicking on the "agree" button below indicates that: you have ready the above information you voluntarily agree to participate you are at least 18 years of age. If you do not wish to participate in the research study, please decline participation by clicking on the "disagree" button. AGREE : I am above 18 years of age and volunteer to participate. I have read and understood the terms above. DISAGREE : I decline participation.. I do not wish to proceed to the survey.
INDIVIDUAL DETAILS
Full Name * Fill ANON if you wish to remain anonymous and don't want to be contacted for policy clarifications
Type of difficulty / disability * Check whatever applies ( multiple clicks ok ) Vision Mobility / Dexterity Hearing Speech Cognition / Memory Psychosocial Hidden / Invisible Other:
BANK DETAILS
Bank Name Enter bank name in full ( eg : not SBI, but State Bank of India )
Account Type * Account type held if any ( check whichever boxes apply, multiple clicks ok ) Savings a/c Regular Savings a/c linked Government Pension Savings a/c linked Salary Savings a/c linked Social Security Scheme / allowance Current a/c ( Entity, Business, Organisation ) Term Deposit a/c Demat a/c Trading a/c No a/c held / Not Applicable Other:
Account Operation * How do you hold and operate your PRIMARY / SAVINGS account? ( Check whichever option applies ) Solo Joint (with family member / friend) Proxy Safeguard (Guardianship / Power of Attorney) No a/c held / Not applicable Other:
Services obtained * Check banking channels, products & services used ( Check whichever boxes apply, multiple clicks ok ) Cheque book facility ATM / Debit Card Credit Card Loan facility Mobile Banking Net Banking Locker Facility No a/c held / Not applicable Other:
Have you had any accessibility issues in these product / service areas ? * Select 1 of the 3 options - from left to right : Yes, No, Other. (If question not applicable, choose Other) Yes Physical Access to bank / ATM booth Internet Banking Mobile Banking ATM Machine Debit Card / Credit Card Cash withdrawal Cheque / Cheque book issue Signature (issues / mismatch etc) Account Information via Bank Statement / Passbook Safe and secure information on transaction, fund balance etc No Not Applicable / Other
ACCESS EASE RATING SCALE ( across banking channels ) Service grade ranging from left to right :1 = Poor, 2 = Average, 3 = Good, 4 = Excellent, 5 = Not Applicable ) 1 = Poor INFRASTRUCTURE = Reach & Usability of Branch / ATM Infrastructure, Equipment, Furniture INTERNET = Portal, Payment Gateway TELECOM = Mobile Banking, IVR, Customer Care CONSUMABLES = Cheque Book, Pay In Slip, Challans, Pass book, A/c Statement, Debit Card, Credit Card, Receipts PEOPLE = Manager, Personnel, Customer Care PRODUCTS = Obtaining / Operating / Managing basic banking services WITHOUT glitches or discrimination 2 = Average 3 = Good 4 = Excellent 5 = Not Applicable
If your own cheques have being dishonoured on account of signatures not matching do you feel that the signature mismatch was on account of your disability? * Not Applicable - I don't have cheque facility No - While I have cheque facility, I have not faced problems with signature mismatch Yes & No - My own cheques have been dishonoured due to signature mismatch, but this was not on account of my disability. Yes - I have faced problems with my own cheques dishonoured due to signature mismatch on account of my disability.
BANKING RELATIONSHIP
Has your relationship manager been able to handle the unique difficulties you may be facing on account of your disability? * I don't have a bank account yet
I have a bank account but no relationship manager No, my relationship manager has not been able to handle my disability related issues effectively. Yes, my relationship manager has been effective in handling my unique difficulties on account of my disability,
Has this ever happened to you? * Options left to right : Yes, No, Other. (If question not applicable, choose Other) Yes DENIAL - Bank refused to open account DISCRIMINATION - Non-statutory requirements / restrictions of services offered to 'regular' customers DIFFICULTY - Problems faced in opening a regular account vis-a-vis 'regular' customers Refusal of debit card / credit card facility Suspension of a/c due to disability Victim of financial fraud because of your disability Difficulty in interacting with banking staff No Not Applicable / Other
SERVICE EXPERIENCE : Any denial, discrimination or difficulty faced in following stages ? * Check 1 of 5 options. From left to right : 1 = Denial of service, 2 = Discrimination in service, 3 = Difficulty faced, 4 = No problem, 5 = Not Applicable . Denial Account Opening Account Operation Account Management Issue of debit card Issue of cheque book Loan application Discrimination Difficulty No Problem Not Applicable
PROBLEMS & SUGGESTIONS FEEDBACK : Elaborate on Yes / No responses above with background & details
Account refused? Extra documentation insisted on? Choice restricted? *^&%$ Bank Service Inaccessible? Unbelievably accommodating Customer Care ? Crib, vent, rant or gush away !
COMMENTS : Experience in starting, operating and managing banking service ( Elaborate reasons for denial, discrimination, difficulty faced in text box below ) Account refused? Extra documentation insisted on? Choice restricted in account type / services? Enter how, why, name of the Bank and details
COMMENTS : Reach & Accessibility of Bank Channels - Entry & Operations in Branch, ATM kiosk, Internet Portal, Telecom Facilities ( Elaborate in text box below ) ( PHYSICAL = bank exterior, bank interior, ATM kiosk exterior, ATM kiosk interiors, Furniture etc) ( INTERNET = Portal / Payment Gateway. ) ( TELECOM = IVR / Customer care )
COMMENTS : Availability & Usability of Equipment, Instruments & Consumables. ( Elaborate in text box below ) ( Equipment = ATM etc. ) ( Consumables = Cheque Book, Pay In Slip, Challans, Pass book, A/c Statement, Debit Card, Credit Card, Receipts ) etc
COMMENTS : Accommodations & Flexibility - People, Products & Processes : From difficulty with cheque dishonourment due to signature mismatch to relationship manager efficacy ... Elaborate in text box below ???
COMMENTS : Miscellaneous feedback - ( Enter any additional inputs in text box below ) ???