Balance outstanding?
SELECT Zero 1-£5,000 £5,000-£25,000 £25,001 and above

Original Lender?


Purpose of Agreement?


Current Lender? (If applicable)

Did the Agreement start before April 6th, 2007?
Select Yes No Unsure

Did dealership arrange the finance?
Select Yes No Unsure

Was it a fixed rate deal?
Select Yes No

Did you take any payment holidays?
Select Yes No

Have you ever been late or missed a payment?
Select Yes No

Did you have Payment Protection Insurance
Select Yes No

Were you encouraged to take PPI?
Select Yes No

Was the item ever repossessed?
Yes   Did it sell for a fair price? SELECT Yes No Unsure
No

Your Name:


Your Email address:
(If you would like a copy of the test results):


Contact Phone Number: