Important: This form is for clients who have already purchased a Strategic Review. Please provide complete and accurate information so we can begin your structured assessment.
Full Name
E-mail Address
Phone Number (optional)
Preferred Contact Method
E-mailPhone
Name of the Company/Business You Are Complaining About Utility ProviderRetailerFinancial InstitutionOther (please specify)
Have you already made a formal complaint to this organisation?
YesNo
Estimated financial value of the dispute (if known, approximate figures are acceptable)
What is the nature of your complaint?
Poor ServiceFaulty GoodsUnfair ChargesBreach of ContractOther (please specify)
Briefly describe your issue (max 500 words):
What resolution are you seeking?
Have you contacted the company?
If Yes:
How did you contact them?
EmailPhoneLetterIn-person
Have you received a response?
If yes, briefly explain below and attach correspondence if available.
Upload any relevant documents (e.g., receipts, contracts, emails, photos).
Please confirm:
I confirm that the information provided is accurate to the best of my knowledgeI agree to Golden Shield Consumer Services’ terms and conditions and privacy policy.
I understand that this is a paid, fixed-fee initial case review. I understand that this review does not constitute legal advice and does not create an ongoing engagement. I understand that any further work will be subject to separate agreement and fees.
