Stunt Driving Client Questionnaire
BEFORE YOU START - THIS IS IMPORTANT
The details you provide help us negotiate with prosecutors.
We need specific information about your work, family, and daily driving needs.
Providing detailed and complete answers ensures we can build the strongest possible argument on your behalf.
Every detail matters because it could be the key to negotiating a favorable outcome and protecting your ability to drive.
Take breaks if needed, but include all important information
SECTION A: Personal Information
Full Legal Name
*
Email
example@example.com
Charge
Age
*
Marital Status?
*
Single
Married
Divorced
Common Law
Other
If "Other", give an explanation
Do you have children?
*
YES
NO
How many, and what are their ages?
Describe your typical responsibilities for them (e.g., daily transportation, school pick-up/drop-off, extracurricular activities)
If you share custody of children, describe the arrangement and how it involves driving responsibilities
Do you have any adult or elderly dependents (e.g., parents, relatives) who rely on you for care, medical appointments, errands, etc.?
*
YES
NO
If yes, describe their situation (e.g., age, mobility issues, ongoing medical needs) and the extent of your caregiving responsibilities.
SECTION B: EMPLOYMENT & EDUCATION
Are you employed?
*
YES
NO
Occupation or job title
Name of your employer (If applicable write "self-employed" if this applies"
Length of time in your current role
Does your job or business require a valid driver’s license?
YES
NO
Please explain what is required in driving for your work
How often do you need to drive for work?
Specific driving duties
Consequences at work or in your business if you lost your license
We do NOT need this letter now, but can you confirm if you would be able to provide a letter from your employer or business-related documentation confirming the necessity of a valid driver’s license if it becomes necessary?
YES
NO
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SECTION C: Income & Expenses
Approximate monthly income (before and after taxes)
*
Approximate total monthly expenses
*
Additional financial obligations
Does anyone else contribute to your household income? If yes, how much?
*
Is there a potential financial impact if you lose your license? If so, please describe
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SECTION D: Transportation & Logistics
Typical commute distance to and from work or regular travel requirements for self-employed individuals
Public transportation availability and limitations
Cost or feasibility of alternative transportation
SECTION E: Driving History & License Details
What was your license class at the time of the charge?
*
G
G2
G1
Other
If Other - Please describe
Have you ever had your license suspended (not including the current stunt charge?
*
NO
YES
If YES, provide details
Have you taken any remedial or defensive driving courses?
*
NO
YES
If YES, provide details
Have you ever received a speeding ticket where the officer reduced the speed of the ticket at the roadside or where the court reduced the speed of the ticket in the final outcome?
*
NO
YES
If YES, provide details
How would losing your license affect your employment or your ability to run your business if self-employed?
How would losing your license affect your family responsibilities or daily life?
SECTION F: Stunt Driving Charge Details
Weather
*
rain, snow, clear, etc
Road conditions
*
wet, dry, icy etc
Traffic
*
heavy, moderate, light etc
What type of road were you driving on?
*
Residential
Highway
Rural Road
Other
Have you driven in this area before?
*
YES
NO
Were you aware of the speed limit or any speed limit changes?
*
YES
NO
Did unfamiliarity with the area contribute to the incident?
*
YES
NO
Circumstances & contributing factors
Why do you think you were driving at the speed you were caught at? (e.g., emergency, confusion, rushing to a client or work-related task if self-employed) Any other factors: stress, rushing to an appointment, vehicle issues, etc.
How did you interact with the police officer? (Cooperative, polite, etc.)
Did the officer mention any other problematic driving behaviors (e.g., swerving, cutting off other drivers)?
Did you apologize or show regret at the time?
*
YES
NO
If YES, provide details
Have you changed any driving habits since?
*
YES
NO
If YES, provide details
SECTION G: Personal & Family Responsibilities
Weekly schedule of driving commitments for children (if applicable)
school, extracurriculars, daycare
Distances to children’s schools or activities
Are there medical conditions requiring frequent travel (for you or family members)?
*
YES
NO
If YES, please explain
We do NOT need this documentation now, but can you provide medical records or documentation demonstrating these travel needs if it becomes necessary? Frequency of such medical appointments (e.g., diabetes checkups, therapy sessions)
*
YES
NO
Any emergency transportation needs?
*
YES
NO
If YES, please explain
Do you provide transportation for other family members (elderly parents, spouses, siblings)?
*
YES
NO
If YES, please explain
Is anyone else in your household able to drive?
*
YES
NO
Do others rely on you for their commuting or errands?
*
YES
NO
SECTION H: Justification & Explanations
One-Time Incident or Pattern
*
Was this speeding incident out of character for you? Provide any explanations or justifications (e.g., medical emergency, unfamiliar signage)
Mistake Explanation
*
If unfamiliar with the area, explain how that contributed. If you misread the speed limit, provide details.
Lessons Learned
*
What steps have you taken to ensure you do not repeat this behavior?
SECTION I: Community Involvement & Character
Do you volunteer or participate in any community programs?
*
YES
NO
Details of where, how often, and the impact of your contributions
Volunteer Work Letters (We do NOT need these records now, but can you provide records or documentation of your volunteer or community service work if it becomes necessary?)
*
YES
NO
Any history of donations or charity work?
*
YES
NO
If YES, provide details
Any awards or commendations related to work or community service?
*
YES
NO
If YES, provide details
Charitable Proof Letters (We do NOT need these letters or documentation now, but can you confirm if you would be able to provide proof of awards, commendations, or letters of recognition if it becomes necessary?)
*
YES
NO
Character Reference Letters (We do NOT need these letters or documentation now, but can you provide letters from employers, community leaders, or others attesting to your good character if it becomes necessary?
*
YES
NO
SECTION J: Additional Comments
Is there anything else you believe the prosecutor should know about you or the incident?
NO
YES
If YES, please explain here
Are there special circumstances not covered above?
NO
YES
If YES, please explain here
Declaration & Signature
Please confirm that all information provided is accurate to the best of your knowledge
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