Feedback Questionnaire

As part of our overall commitment to improving the level of service we provide to our clients, we would be grateful if you could spend a few minutes completing this survey.

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* 1. Please enter your reference number:

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* 2. Please can you rate the following statements on a scale of 1-10, where 1 is strongly disagree and 10 is strongly agree.

	Strongly disagree 1	2	3	4	5	6	7	8	9	Strongly agree 10
You received a prompt service.	You received a prompt service. Strongly disagree 1	You received a prompt service. 2	You received a prompt service. 3	You received a prompt service. 4	You received a prompt service. 5	You received a prompt service. 6	You received a prompt service. 7	You received a prompt service. 8	You received a prompt service. 9	You received a prompt service. Strongly agree 10
Likely timescales for your claim were explained and adhered to.	Likely timescales for your claim were explained and adhered to. Strongly disagree 1	Likely timescales for your claim were explained and adhered to. 2	Likely timescales for your claim were explained and adhered to. 3	Likely timescales for your claim were explained and adhered to. 4	Likely timescales for your claim were explained and adhered to. 5	Likely timescales for your claim were explained and adhered to. 6	Likely timescales for your claim were explained and adhered to. 7	Likely timescales for your claim were explained and adhered to. 8	Likely timescales for your claim were explained and adhered to. 9	Likely timescales for your claim were explained and adhered to. Strongly agree 10
You were kept up to date during the progress of your claim.	You were kept up to date during the progress of your claim. Strongly disagree 1	You were kept up to date during the progress of your claim. 2	You were kept up to date during the progress of your claim. 3	You were kept up to date during the progress of your claim. 4	You were kept up to date during the progress of your claim. 5	You were kept up to date during the progress of your claim. 6	You were kept up to date during the progress of your claim. 7	You were kept up to date during the progress of your claim. 8	You were kept up to date during the progress of your claim. 9	You were kept up to date during the progress of your claim. Strongly agree 10
You were clear on the information you needed to provide to support your claim.	You were clear on the information you needed to provide to support your claim. Strongly disagree 1	You were clear on the information you needed to provide to support your claim. 2	You were clear on the information you needed to provide to support your claim. 3	You were clear on the information you needed to provide to support your claim. 4	You were clear on the information you needed to provide to support your claim. 5	You were clear on the information you needed to provide to support your claim. 6	You were clear on the information you needed to provide to support your claim. 7	You were clear on the information you needed to provide to support your claim. 8	You were clear on the information you needed to provide to support your claim. 9	You were clear on the information you needed to provide to support your claim. Strongly agree 10
All communication from us was clear and jargon free.	All communication from us was clear and jargon free. Strongly disagree 1	All communication from us was clear and jargon free. 2	All communication from us was clear and jargon free. 3	All communication from us was clear and jargon free. 4	All communication from us was clear and jargon free. 5	All communication from us was clear and jargon free. 6	All communication from us was clear and jargon free. 7	All communication from us was clear and jargon free. 8	All communication from us was clear and jargon free. 9	All communication from us was clear and jargon free. Strongly agree 10
The advice you received was appropriate and of a high quality.	The advice you received was appropriate and of a high quality. Strongly disagree 1	The advice you received was appropriate and of a high quality. 2	The advice you received was appropriate and of a high quality. 3	The advice you received was appropriate and of a high quality. 4	The advice you received was appropriate and of a high quality. 5	The advice you received was appropriate and of a high quality. 6	The advice you received was appropriate and of a high quality. 7	The advice you received was appropriate and of a high quality. 8	The advice you received was appropriate and of a high quality. 9	The advice you received was appropriate and of a high quality. Strongly agree 10
You were dealt with in a professional manner.	You were dealt with in a professional manner. Strongly disagree 1	You were dealt with in a professional manner. 2	You were dealt with in a professional manner. 3	You were dealt with in a professional manner. 4	You were dealt with in a professional manner. 5	You were dealt with in a professional manner. 6	You were dealt with in a professional manner. 7	You were dealt with in a professional manner. 8	You were dealt with in a professional manner. 9	You were dealt with in a professional manner. Strongly agree 10
When visiting our office(s), you were looked after well and dealt with courteously.	When visiting our office(s), you were looked after well and dealt with courteously. Strongly disagree 1	When visiting our office(s), you were looked after well and dealt with courteously. 2	When visiting our office(s), you were looked after well and dealt with courteously. 3	When visiting our office(s), you were looked after well and dealt with courteously. 4	When visiting our office(s), you were looked after well and dealt with courteously. 5	When visiting our office(s), you were looked after well and dealt with courteously. 6	When visiting our office(s), you were looked after well and dealt with courteously. 7	When visiting our office(s), you were looked after well and dealt with courteously. 8	When visiting our office(s), you were looked after well and dealt with courteously. 9	When visiting our office(s), you were looked after well and dealt with courteously. Strongly agree 10
Phone calls were handled promptly and professionally.	Phone calls were handled promptly and professionally. Strongly disagree 1	Phone calls were handled promptly and professionally. 2	Phone calls were handled promptly and professionally. 3	Phone calls were handled promptly and professionally. 4	Phone calls were handled promptly and professionally. 5	Phone calls were handled promptly and professionally. 6	Phone calls were handled promptly and professionally. 7	Phone calls were handled promptly and professionally. 8	Phone calls were handled promptly and professionally. 9	Phone calls were handled promptly and professionally. Strongly agree 10

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* 3. If your claim was not taken forward or not covered, did you understand why?

Yes

No

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* 4. Do you have any comments in relation to the above?