Details of the nuisance call you received
Company Name
(
If known
)
Your relationship with this company
I am a customer of this company
I used to be a customer of this company
I have, in the past, asked for information from this company
I have never previously had dealings with this company
I am registered with the Telephone Preference Service
Callers Number
(
If known
)
Call Date
Call Time
Did the call make you feel annoyed?
Not annoyed
Annoyed
Very annoyed
Did the call make you feel anxious?
Not anxious
Anxious
Very anxious
Type of call
Telemarketing call (trying to sell you something)
Market research call
Silent call (silence when you pick up the phone)
Recorded message call
The phone rang once then stopped
Fax call
You heard a dial tone when you picked up
Other (please give details)