Intake Questionnaire
Please answer the questions below to the best of your ability.
What is your first name?
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What is your last name?
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What is the best phone number for us to reach you?
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What is your email address?
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Please describe why you are reaching out to our firm.
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When is your first court appearance? (If known)
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Are you already represented by another attorney?
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Yes
No
If yes, please provide the name and contact information for your attorney.
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Is there anything else about you that we should know?
How do you want us to contact you?
Phone
Email
Text Message
How did you hear about our firm?
Google
LinkedIN
Friend
Family
Other
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Please fill in all the required fields before submitting this form.
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