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Instructions:

1. Please answer all the Questions as applicable to you. 2. Choose only one that is the best alternative
(1) Do you have a bank account? (a) Yes (b) No (If Yes, kindly proceed.) (2) How close is your nearest bank branch? (a) Less than 2 km (b) 2-4 km (c) 4-6 km (d) 6-8 km (e) More than 8 km (e) More than 20 (e) More than 20

(3) How often do you visit your bank branch in a month? (a) Less than 5 (b) 5 10 (c) 10-15 (d) 15 20 (4) How often do you visit any ATM in a month? (a) Less than 5 (b) 5 10 (c) 10-15 (d) 15 20

(5) How often do you avail the following services using bank / ATM in a month? (a) (b) (c) (d) (e) (f) Demand Draft services Cash withdrawal services Cash deposit services Cheque deposit services Foreign Exchange(Forex) services Demat account services (delivery of shares) ______ ______ ______ ______ ______ ______

(6) How satisfied are you regarding travelling time to avail the following services?
Very Dissatisfied Demand Draft Services (using Bank branch) Cash Withdrawal Services (using Bank branch) Cash deposit services (using Bank branch) Cheque deposit services (using Bank branch) Forex services (using Bank branch) Demat account services (using Bank branch) Cash Withdrawal Services (using any ATM) Cash deposit services (using your bank ATM) Cheque deposit services (using your bank ATM) Dissatisfied Neither Satisfied nor Dissatisfied Satisfied Very Satisfied

(7) How satisfied are you regarding the time spent while doing the transaction in order to avail the following services?
Very Dissatisfied Demand Draft Services (using Bank branch) Cash Withdrawal Services (using Bank branch) Cash deposit services (using Bank branch) Cheque deposit services (using Bank branch) Forex services (using Bank branch) Demat account services (using Bank branch) Cash Withdrawal Services (using any ATM) Cash deposit services (using your bank ATM) Cheque deposit services (using your bank ATM) Dissatisfied Neither Satisfied nor Dissatisfied Satisfied Very Satisfied

(8) What maximum amount are you willing to pay each time you available these services at doorstep? Demand Draft services Cash withdrawal services Cash deposit services Cheque deposit services Forex services
Up to Rs 20 Up to Rs 20 Up to Rs 20 Up to Rs 20 Up to Rs 20 Rs21-50 Rs21-50 Rs21-50 Rs21-50 Rs21-50 Rs51-100 Rs51-100 Rs51-100 Rs51-100 Rs51-100 Rs 100-150 Rs 100-150 Rs 100-150 Rs 100-150 Rs 100-150 AboveRs150 AboveRs150 AboveRs150 AboveRs150 AboveRs150

(9) What maximum time are you willing to wait to avail these services at doorstep? Demand Draft services Cash withdrawal services Cash deposit services Cheque deposit services Forex services
Up to 1 Hr Up to 1 Hr Up to 1 Hr Up to 1 Hr Up to 1 Hr 1-2 Hrs 1-2 Hrs 1-2 Hrs 1-2 Hrs 1-2 Hrs 2-4 Hrs 2-4 Hrs 2-4 Hrs 2-4 Hrs 2-4 Hrs 4-8 Hrs 4-8 Hrs 4-8 Hrs 4-8 Hrs 4-8 Hrs More than 8 Hrs More than 8 Hrs More than 8 Hrs More than 8 Hrs More than 8 Hrs

(10) If these services are made available at your doorstep at your above chosen fee and wait time then what will be your satisfaction level?
Very Dissatisfied Demand Draft Services Cash Withdrawal Services Cash deposit services Cheque deposit services Forex services Demat account services (delivery of shares) Dissatisfied Neither Satisfied nor Dissatisfied Satisfied Very Satisfied

Name: ______________________ Gender (Male/Female) ______ What is your monthly income? (a) Less than 10,000 (b) Rs.10,000-20,000 What is your employment status? (a) Unemployed (b) Govt. / PSU (c) Private Co.

Age ___ Contact No._________________

(c) Rs. 20,000-40,000

(d) More than Rs. 40,000

(d) Own business

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