We are always trying to understand the needs of our customers and how we can improve our products and service. Please take a few minutes to complete the form below to help Union State Bank improve.

All submissions are confidential. You will not be asked to give any personal information during this survey.  If you wish to speak with someone about a question or comment please see our customer service area.

Web Site	How are we doing?	How important is this?
1. General Appearance	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
2. Ease of finding information	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
3. Organization of site	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
4. Speed of navigation	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
5. How does our web site compare to others you visit	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
6. Overall satisfaction of web site	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
7. How can our web site be improved?
Service	How are we doing?	How important is this?
1. Courtesy of our employees	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
2. Speed of service	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
3. Errors corrected promptly	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
4. Professionalism of our employees	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
5. Knowledgeable loan officers	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
6. Hours of operations	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
7. Willingness to listen and respond to your needs	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
8. Overall service rating	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
Products and Services	How are we doing?	How important is this?
1. Checking services	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
2. Fee and service charge	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
3. Savings and CD services	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
4. Investment Center services	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
5. Loan services	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
6. Telephone banking services	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
7. Account statements	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
8. Competitive rate on loans	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
9. Competitive rate on savings	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
Location	How are we doing?	How important is this?
1. Convenience of our locations	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
2. Privacy in branches	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
3. Convenience of ATMs	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
4. Neatness/cleanliness of our branches	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
5. Parking	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
Overall Satisfaction	How are we doing?	How important is this?
1. What is your overall satisfaction	----------ExcellentAbove AverageAverageBelow AveragePoor	----------Very ImportantAbove AverageAverageBelow AverageNot Important
2. Would you recommend us to a friend?		----------YesProbablyMaybeUnlikelyNo
3. Will you consider us for your next loan?		----------YesProbablyMaybeUnlikelyNo
4. Will you consider us for your next deposit account?		----------YesProbablyMaybeUnlikelyNo
5. Will you consider us for your next investment service?		----------YesProbablyMaybeUnlikelyNo
Tell Us About Yourself
1. What is your age?		----------Under 2525-3435-4445-5455-6465-7474+
2. What is your household annual income?		----------Under $25,000$26,000-49,000$50,000-74,000$75,000-100,000$100,000+
3. What are your total investment balances?		----------Under $5,000$5,000-25,000$25,000-75,000$75,000-125,000$125,000+
4. What percentage of your total investments is at Union State?		----------0-24%25-40%50-74%74-100%
5. Do you consider Union State Bank your primary bank?		----------YesNo
6. Which of our products and services are you currently using? (check all that apply)	Checking Home Equity Loan ATM/Debt Savings Vehicle Loan	Telebanking Line Golden Opportunity Club Agriculture/Business Loan CD Photo Check
7. How often do you come to the bank?
8. Have you applied for a loan in the last 12 months?		----------YesNo
Do you have additional comments or suggestions?
If you would like us to contact you with regard to any concerns you may have please fill out information below:
Name:
Telephone Number:
Thank you for your input and time. Sincerely, Jeffrey J. Nolan President and CEO

Do not disclose any bank information, account numbers, your social security number or any other confidential information.