1. Name: Age: Profession:
Respondent’s bank name: Account type:
1) Who is your media of creating account?
i) Self ii) Friend iii) Bank’s personnel iv) Others, specify…………
2) Do you have internet connection?
i) Yes ii) No
a) If yes, which platform?
i) Cell phone ii) PC iii) Workstation iv)Cyber cafe
b) In a week, how much time do you spend in internet?
………… hours
c) In a week, how many times do you need to go to bank?
…………. times
d) For what purpose mostly?
i) deposit ii) withdraw iii) others, specify…......
e) Have you visited the website of your bank?
i) Yes ii) No
3) Do you know your bank offers internet/online banking?
i) Yes ii) No
a) If yes, sources of knowing-
i) Newspaper ii) Your bank iii) Magazine iv) internet v) others
b) Your internet/online banking service:
i) activate ii) deactivate iii) planning to register
c) What are the activities you usually perform at online/internet banking
platform?
i) account balance ii) transaction statement iii) fund transfer
iv)cheque book request v) utility bill payment vi) loan application
vii) investment activity viii)standing instruction ix) cheque status query
x) stop cheque xi) prepaid card refill xii) opening term deposit account
xiii) cash in term deposit xiv) other value added services
4) Do you use ATM?
i) Yes ii) No
a) If yes, your card type:
i) Debit card ii) Credit card iii) Visa Electron/Plus card
iv) Maestro/Cirrus v) others, specify……………
b) Do you use point of sale (POS) for shopping?
i) Yes ii) No
5) Do you have SMS & Alert banking?
i) Yes ii) No
6) How is the customer service of your bank’s personnel?
i) Satisfactory ii) Not satisfactory
7) Would you like to suggest your relative to be an account holder of your bank?
i) Yes ii) No
