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* 1. Your name (this is optional, however, your name will never be disclosed to third parties without your express permission)

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* 2. Your email address (this is optional, however, your email address will never be disclosed to third parties without your express permission)

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* 3. Please tick any of the following with which you identify:

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* 4. Name of the Agent or Agency's Name (whom you are referring to)

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* 5. Do you believe that the Agent continuously behaves ethically?

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* 6. Have you ever felt that you have been unfairly treated by the Agent?

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* 7. If you answered 'No' to Q6, please move on to Q8.  If you answered 'Yes', please give brief details in the comment box.

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* 8. Has your mental health ever been adversely affected by an Agent's behaviour?

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* 9. If you answered 'No' to Q8, please move on to Q10.  If you answered 'Yes', please give brief details in the comment box (your responses will never be disclosed without your express written permission).

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* 10. Has an Agent's unethical behaviour ever caused you to consider leaving the agency?

0 of 10 answered
 

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