Form FR 1379a FR 1379a Consumer Statisfaction Questionnaire

FR 1379a
OMB Number 7100–0181
Expires March 31, 2014

Board of Governors of the Federal Reserve System

Consumer Satisfaction Questionnaire
Recently, the Federal Reserve System assisted you with your complaint about a bank or financial institution. As part of our continuing
effort to evaluate our program, please complete the questionnaire below and mail it back to us.
How satisfied are you with the following aspects of the Federal Reserve’s handling of your complaint? Please circle the response that
most closely describes your level of satisfaction.

1. The amount of time it took to investigate your complaint
2. The courtesy of Federal Reserve staff in their letters
or over the phone
3. The Federal Reserve’s response addressed all of the
concerns raised in your complaint
4. The clarity of the Federal Reserve’s written response
explaining the outcome of their investigation

Dissatisfied

Neither
satisfied nor
dissatisfied

Satisfied

Very
satisfied

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Very
dissatisfied

5. How did you learn about the Federal Reserve’s consumer complaint program? Check all that apply.
Federal Reserve website
Other website or search engine
Bank or financial services company
Referral from federal or state agency
Other (specify:

Newspaper or magazine article
Consumer brochure
Friend or relative
)

6. If you have a consumer complaint about a bank or financial institution in the future, would you contact the Federal Reserve again for
assistance?
Yes, definitely

Maybe

No, definitely not

Thank you for assisting us in our evaluation!

PAPERWORK REDUCTION ACT NOTICE
This questionnaire is authorized by law (15 U.S.C. §57(a)(f)) and is voluntary.
Public reporting burden for this questionnaire is estimated to average 5 minutes
per response. Send comments regarding this burden estimate or any other aspect of

this information collection, including suggestions for reducing this burden, to Secretary, Board of Governors of the Federal Reserve System, 20th and C Streets, N.W.,
Washington, DC 20551; and to the Office of Management and Budget, Paperwork
Reduction Project (7100-0181), Washington, DC 20503.