CLIENT QUESTIONNAIRE

CLIENT QUESTIONNAIRE

The information requested is necessary to learn the basics about your case and to prepare us to answer any questions you may have during your consultation. Rest assured, none of the information you provide can be disclosed by our office without your consent as a result of the attorney client privilege. Call our office at (559) 230-2600 if you have any questions about this form.
Today's Date

MonthDayYear
Name (LEGAL NAME)
Date of Birth

MonthDayYear
Mailing Address:

(Please Note: Must be an address where any correspondence/documents from our office can be sent via mail. This should be an address in which opposing party has no access to.)
Street
City
State
Zip Code
County
How Long Live
Mobile Phone
Work Phone
Email
example@example.com
Employer
If self employed, business name
Position
Emergency Contact Name:
Street
City
State
Zip Code
Phone
Relationship
Date of Marriage

MonthDayYear
Date of Separation

MonthDayYear
Has a legal action already been filed?

YESNO
If yes, what type of case is it:

DissolutionLegal SeparationPaternityOther:
What County was the Case filed in?

FresnoMaderaKingsTulare
Case No.
Do you have any upcoming court dates?

YesNo
If yes, when is it?
What is the hearing for?
Are you currently represented?

YesNo
If yes, who is your Attorney?
Have you had any prior attorneys?

YesNo
If yes, who were your Attorney(s)?
Opposing Party Information:
Name (LEGAL NAME)
Date of Birth

MonthDayYear
Street
City
State
Zip Code
County
How Long Live
State
How Long Live
Employer
If self employed, business name
Position
Mobile Number
Work Number
Is he or she currently represented by an attorney

YesNo
If yes, who is the attorney?
How were you referred to our office?

AttorneyFamilyFormer Client
Name of Attorney who referred you:
Name of Family who referred you:
Name of Former Client who referred you:
If you found us on Internet, which site?

GoogleYahooAVVOOther
Minor Child(ren) of this Relationship (Please include their name, age and date of birth):
Residences of the child(ren) in the last year (Please include dates):
NOTICE
We look forward to speaking with you today and appreciate you taking the time out of your busy day to consult with us. Regardless of anything that may or may not be said in your consultation today, our office's representation of you will not begin until such time as each of us has signed a Client Fee Agreement, and you have provided us with a retainer. This is important because we both need to fully understand when your representation will begin, so there will be no misunderstandings between us.
PRINT NAME
Dated

MonthDayYear
SIGN

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CLIENT QUESTIONNAIRE

Opposing Party Information:

NOTICE