Questionnaire

Tell Us About Your Situation

If you would like to tell us about your or wish to schedule a consultation, please complete this form. Your information will be personally reviewed and you will be contacted by our office promptly either by telephone or email. Complete as many of the following as you feel comfortable answering.

Some of the questions are rather personal, and you may feel more comfortable discussing them in person. Additionally, many of the questions relate to divorce cases only and may not apply to a non-divorce situation (for example, a child support modification). If so, skip those questions as well.

Your Name (required)

Your Email (required)

Your Phone Number (only if you want us to call)

County of Residence

Type of Case

Do you have any children?
yesno

If yes, what are their ages?

How many years have you been married?

Are you currently separated?
YesNo

If yes, how long have you been separated?

What is your occupation?

What is your spouse's occupation?

Briefly describe your situation, question or concern?