Client Name 1 
                                
                                				
                            
                                
                                    
                                    
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Client Name 2 
                                
                                				
                            
                                
                                    
                                    
Title 
                                                        
                                    
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                                        Mr 
                                        Mrs 
                                        Miss 
                                        Ms 
                                     
                                            
                                
                                
                                
                                
                                
                                    
                                    
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Adviser 
                                
                                
                                
                                
                                    
                                    
Name of Adviser 
                                                        
                                     
                                            
                                	
                                
                                
            
                                    
Questions 
                                
                                					
            
                                
                                    
                                    
Q1. Please rate the thoroughness with which your Adviser went about the process of obtaining sufficient information regarding your personal and financial circumstances prior to making a recommendation regarding this transaction? 
                                                                                
                                    
                                        Please Select.. 
                                        Much better than expected 
                                        Better than expected 
                                        As expected 
                                        Worse than expected 
                                        Much worse than expected 
                                     	
                                        
                                
                                
                                
                                    
                                    
We'd appreciate you providing more feedback here 
                                                                                
                                    
                                        
                                
                                
                                            
                                
                                    
                                    
Q2. Do you feel that you and your Adviser fully discussed your understanding of Investment Risk and that your recorded attitude to risk matches the product you have chosen? 
                                                                                
                                    
                                        Please Select.. 
                                        N/A 
                                        Yes 
                                        No 
                                     	
                                        
                                
                                
                                
            
                                    
We'd appreciate you providing more feedback here 
            
                                    
            
                                
                            
            
                                
                                    
                                    
Q3. Do you feel that your Adviser explained the product recommended clearly and in terms which you could understand? 
                                                                                
                                    
                                        Please Select.. 
                                        Yes 
                                        No 
                                     	
                                        
                                	
                                
                                
            
                                    
We'd appreciate you providing more feedback here 
            
                                    
            
                                				
            
                                
                                    
                                    
Q4. Do you feel that the Key Facts Illustration provided, detailed accurately the terms of the product recommended? 
                                                                                
                                    
                                        Please Select... 
                                        Yes 
                                        No 
                                     	
                                        
                                	
                                
                                
            
                                    
We'd appreciate you providing more feedback here 
            
                                    
            
                                				
            
                                
                                    
                                    
Q5. Do you feel that the Suitability Report provided a clear explanation of why the product was chosen and accurately detailed the terms of the product recommended? 
                                                                                
                                    
                                        Please Select... 
                                        Yes 
                                        No 
                                     	
                                        
                                
                                
                                
            
                                    
We'd appreciate you providing more feedback here 
            
                                    
            
                                					
            
                                
                                    
                                    
Q6. Please rate the clarity with which your Adviser made his/her explanations and their ability to handle your questions during the process 
                                                                                
                                    
                                        Please Select... 
                                        Much better than expected 
                                        Better than expected 
                                        As expected 
                                        Worse than expected 
                                        Much worse than expected 
                                     	
                                        
                                	
                                
                                
            
                                    
We'd appreciate you providing more feedback here 
            
                                    
            
                                				
            
                                
                                    
                                    
Q7. Please detail any aspects of the service provided by your Adviser which might have been improved? 
                                                                                
                                    
                                        
                                
                                
                                
                                    
                                    
Q8. Please rate how well you think your Adviser considered and prioritised your interests when making their recommendation? 
                                                                                
                                    
                                        Please Select... 
                                        Much better than expected 
                                        Better than expected 
                                        As expected 
                                        Worse than expected 
                                        Much worse than expected 
                                     	
                                        
                                
                                
                                
            
                                    
We'd appreciate you providing more feedback here 
            
                                    
            
                                					
            
                                
                                    
                                    
Q9. Would you use the services of your Adviser again? 
                                                                                
                                    
                                        Please Select... 
                                        Yes 
                                        No 
                                     
                                        
                                	
                                
                                
            
                                    
We'd appreciate you providing more feedback here 
            
                                    
            
                                
                                
                                
                                    
                                    
Q10. Overall how would you rate our service? 
                                                                                
                                    
                                        Please Select... 
                                        Much better than expected 
                                        Better than expected 
                                        As expected 
                                        Worse than expected 
                                        Much worse than expected 
                                     							
                                        
                                
                                
                                
            
                                    
We'd appreciate you providing more feedback here 
            
                                    
            
                                
            
                                                    
                                    
                                    
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