Client Referral Questionnaire

If the work we did for you was referred to us by an Estate Agent, we are required to obtain feedback on your experience with the Estate Agent.

Please complete our Client Referral Questionnaire below:

The information provided by you above will be held by us in our client records. From time to time we may use any of the information you submit to us, including personal data for customer administration, research analysis and to provide you with marketing information about Glanvilles. It will not be disclosed to any third party. By sending your information to us you agree and consent to us contacting you in this way. You may withdraw this consent at anytime by contacting This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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Your full name *
Our reference number (eg: 123456-1) *
What did we do for you? *
Email *
Telephone / Mobile
Which Estate Agent did you use? (please supply the company name) *

Was the Estate Agent clear about there being a referral agreement with Glanvilles? *	YesNo
Did the Estate Agent explain that we pay them a fee for the introduction of your matter to us? *	YesNo
Did the Estate Agent explain the amount of that fee? *	YesNo
Did the Estate Agent provide any literature, advertising or other written material regarding the referral? *	YesNo

Name		What do you require?

Email	Postcode

Phone number	Mobile

Where would it be most convenient for you to see us?

By submitting this form you accept our terms & conditions

Client Referral Questionnaire

Your Details

Arrange a Consultation

Name

What do you require?

Email

Postcode

Phone number

Mobile

Where would it be most convenient for you to see us?