Financial mis-selling questionnaire
Required Required Question(s)
1.
Please enter the information indicated below.
First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
Postal Code:

Required 2.
Do you have or have you had any of the following types of credit in the last six years?
Mortgage
Home improvement loan
Credit card or store card
Car loan
Personal loan
Other 
  • Comment:

  • 150 character(s) left.
Required 3.
Does any of your finance have Payment Protection Insurance (P.P.I.) or Accident Sickness and Unemployment (A.S.U.) cover attached to it
Yes
No
Don't know
Required 4.
In respect of each and every type of finance, were you informed of any commission payment made by the loan company to the people selling you the finance?
Yes
No
Required 5.
Was there a detailed examination by the person selling you the finance of your existing financial circumstances?
Yes
No
  • Comment:

  • 150 character(s) left.
Required 6.
Were alternative finance options discussed wih you including comparisons of other rates?
Yes
No
  • Comment:

  • 150 character(s) left.
7.
Have you already made a claim to recover money as a result of financial mis-selling in respect of the finance mentioned?
Yes
No
  • Comment:

  • 150 character(s) left.