Small Claims Tribunal - Claim Form: Questions 1-6
Small Claims Tribunal - Claim Form: Questions 1-6
Small Claims Tribunal - Claim Form: Questions 1-6
Questions 1-6 Complete the notes below with NO MORE THAN ONE WORD AND/OR A NUMBER.
Postcode: 4105
Telephone No.
(work) :
(home): (2) ……………….
………………………………………………………………………………………………....................
Respondent: (3) ……………….
Questions 7-10 Complete the notes below. Write NO MORE THAN TWO WORDS AND/ OR A
NUMBER.
Questions 15-20 Complete the table below. Write NO MORE THAN TWO WORDS AND/ OR A
NUMBER.
Part 3: Questions 21-25 Answer the questions below. Write NO MORE THAN TWO WORDS .
33. The reason for the final breakdown is generally linked with .................... like the loss of a loved
one or a health crisis.
Questions 34-40 Match the phobic state in the box to the symptoms below.
Choose your answers from the box and write the letters A-D next to questions 34-40.
Phobic States
A Single Phobia
B Agoraphobia
C Claustrophobia
D Social phobia