Thank you for using POhWER. We would like to know if you found our Direct Payment Advisory Services helpful. Your feedback will help us to make sure we are supporting people in the right way.

We would really appreciate it if you could take a few minutes to answer these questions, if you need a paper copy of this form sending to you please call our information support centre on 0300 456 2370, or you can ask them to help you and complete this form with you over the telephone.

* 1. Your name

* 2. Your contact details

* 3. Name of the person you want to tell us about

* 7. Tell us about your advisor (Please tick all that apply, you can choose more than one option)

* 9. Please use the box below to let us know anything else you felt about the service you received from POhWER:

* 11. Enter the Contract Code if known:

If you would like any information about any of our other services, please call 0300 456 2370 or visit our website, www.pohwer.net

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