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  Questionnaire
 

If you believe that you may have a case then please complete this form and a member of our Endowment Team will be in contact with you shortly.

Your Name  
   
Address and Postcode  
   
Tel Nos :  
   
D.O.B.  
   
Warnings  
Did you receive a warning letter ?  
Yes No
   
Have you actually complained about your endowment  
Yes No
   
If so to whom?  
   
Policy Details  
Who is your Policy with?  
   
Policy Number  
   
Sum £  
   
Shortfall £
 
   
Term of Policy  
   
Type of Policy  
   
When did you receive the advice to take the policy out ?  
   
From whom? (Company Name)  
   
Representative  
   
Address
 
   
Life / Lives Assured (please enter full names)  
   
Is the Policy being used as a repayment vehicle for your mortgage?  
Yes No
   
If NO please note below when and why you changed the arrangement  
   
When did your mortgage commence?  
   
How did you choose your endowment/mortgage advisor?  
   
Were they:  
   
Did your adviser discuss with you what would happen if the Policy did not make the returns as forecast?  
Yes No
   
If you had not taken out your mortgage on an Endowment basis, please give details of what you would have done instead ?  
   
If other please give details  
   
Do you believe the endowment was the correct mortgage for you at the time?  
Yes No
   
Were the repayment and endowment mortgages discussed and offered to you ?  
Yes No
   
Did you feel that you were pushed into an endowment mortgage?  
Yes No
   
Did your adviser promise you that the full sum assured of your endowment were guaranteed to be fully paid at maturity?  
Yes No
   
Did the adviser promise you an additional lump sum at the end of the endowment term?  
Yes No
   
Have you surrendered the policy?  
Yes No
   
When were you first aware of a possible shortfall in the value of your endowment policy?  
   
Were you told that the endowment policy would be cheaper than a repayment mortgage?  
Yes No
   
If YES, please give details  

When you have completed the form please click on the Submit button once. Thank you.