| Name: |
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| Address: |
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E-mail
Address: |
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| Phone
Number: |
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Please tell us in what ways we can improve.
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Tell us about the most positive
customer experience you have had. Please include the
name of the company.
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Tell us about the most negative
customer experience you have had. Please include the name
of the company.
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What companies would you like to
see involved with CUA? Why?
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Should you be interested in
attending events sponsored by CUA?
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What type of events most interest you?
(1 being most interested and so
on)
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| Live Internet
Chats
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1
2
3
4
5 |
| Consumer
Convention |
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1
2
3
4
5 |
| Workshops |
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1
2
3
4
5 |
| Customer service
awards luncheon
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1
2
3
4
5 |
| Consumer info local
events (safety, etc.)
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1
2
3
4
5 |
| Other: |
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What consumer topics are of most interest to
you?
(1 being most interested and so on) |
| Money management
& frugality |
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1
2
3
4
5 |
| Credit |
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1
2
3
4
5 |
| Avoiding scams and fraud |
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1
2
3
4
5 |
| The art of complaining |
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1
2
3
4
5 |
| Investing |
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1
2
3
4
5 |
| Teaching kids about money |
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1
2
3
4
5 |
| Home buying |
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1
2
3
4
5 |
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Car buying |
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1
2
3
4
5 |
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Other, please state: |
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What other types of services could CUA
offer that would be of value to you? |
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Would you recommend CUA to a friend? Why
or why not?
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