Client Referral Questionnaire

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:

Your full name Please enter your full name

Our reference number (eg: 123456-1) Please enter our reference number

Email Please enter your email address

Telephone / Mobile Please enter your telephone number

Which Estate Agent did you use? (please supply the company name) Please enter the company name of the estate agent you used

Was the Estate Agent clear about there being a referral agreement with Glanvilles?

Yes No

Please select if the estate agent was clear about a referral agreemet

Did the Estate Agent explain that we pay them a fee for the introduction of your matter to us?

Yes No

Please select if the estate agent explained that we pay them an introduction fee

Did the Estate Agent explain the amount of that fee?

Yes No

Please select if the estate agent explained the ammount of the fee

Did the Estate Agent provide any literature, advertising or other written material regarding the referral?

Yes No

Please select if the estate agent provided any literature regarding the referral

Captcha Please enter the verification code

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 hello@glanvilles.co.uk