Business Intake Form

1

Client Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

How did you hear about us?* This field is required.

Website / Online Search

Social Media

Referral

5

Help Us Understand Your Situation Better

6

What Is Your End Goal With Respect to Hiring An Attorney?* This field is required.

7

What best describes what you need help with?* This field is required.

Contract Drafting

Contract Review

On-Demand General Counsel Services for My Business

Legal Audit of My Business

Business Litigation/Dispute Resolution

Business Formation - Set Up

Collections

8

What Would Make Your Experience With Us Exceptional?

9

Are you the sole decision maker when it comes to hiring an attorney for your business?* This field is required.

Yes

No

10

Are you willing to hire us if you find this is the right fit?* This field is required.

Yes, I have the funds available

Yes, I will source the funds

No

11

Have You Hired An Attorney Before For Your Business?* This field is required.

YESNO

12

What Type of Relationship Structure Are You Looking For?* This field is required.

Retainer

Flat Fee

Hybrid

13

How soon are you looking to hire an attorney?* This field is required.

14

Please provide your further comments.