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Our Team
Areas of Practice
Divorce, Alimony, Separation & Annulment
Child Custody
Guardian ad Litem
Contempt & Enforcement of Judgements
Paternity & Legitimation
Modification of Existing Orders
Prenuptial Agreements
LGBTQ+ Issues
Mediation & Arbitration
Appeals
Collaborative Law
Child Support
Property Division
Grandparent & Third Party Custody
Blog
FAQs
Contact
Pay Online
Our Team
Areas of Practice
Divorce, Alimony, Separation & Annulment
Child Custody
Guardian ad Litem
Contempt & Enforcement of Judgements
Paternity & Legitimation
Modification of Existing Orders
Prenuptial Agreements
LGBTQ+ Issues
Mediation & Arbitration
Appeals
Collaborative Law
Child Support
Property Division
Grandparent & Third Party Custody
Blog
FAQs
Contact
Pay Online
Schedule a Consultation
Client Questionnaire
Please fill out the following client questionnaire and hit the submit button.
If you prefer, you can also
download the form
and bring it to your first consultation.
Client
(Required)
Opposing Party
(Required)
Client Address
Street
(Required)
City
(Required)
State
(Required)
Zip
(Required)
County
(Required)
Opposing Party Address
Street
(Required)
City
(Required)
State
(Required)
Zip
(Required)
County
(Required)
Client Mailing Address
Client Different Mailing Address?
Yes
No
Street
City
State
Zip
County
Opposing Party Mailing Address
Opposing Party Different Mailing Address?
Yes
No
Street
City
State
Zip
County
Contact Information (check preferred method)
Client Contact Method
Home Phone
Work Phone
Mobile Phone
Fax Number
Email Address
Client Email
Client Phone
Opposing Party Contact Method
Home Phone
Work Phone
Mobile Phone
Fax Number
Email Address
Opposing Party Email
Opposing Party Phone
Information on Current Marriage
Date of Marriage
(Required)
MM slash DD slash YYYY
City/State of Marriage
(Required)
Date of Separation:
(Required)
(i.e. last time you had marital relations)
MM slash DD slash YYYY
Wife's Maiden Name
Maiden Name to be Restored
Yes
No
How long did/have you lived at the marital home?
How long have you lived in that county?
How long have you lived in Georgia?
Are you interested in reconciliation?
Yes
No
Is your spouse interested in reconciliation?
Yes
No
Have you tried marriage counseling?
Yes
No
If yes, when and with whom?
Children of Current Marriage
Children Information
Name
Date of Birth
Resides With
Add
Remove
Are any other children expected?
Yes
No
Do any of the children have special needs?
Yes
No
Please specify any special needs of the children
Where and with whom have the children lived for the past five years
Child's Name
Resides With
Dates
Add
Remove
Where do the children attend school?
Child's Name
Attends
Monthly Tuition
District
Add
Remove
Does anyone other than you or the other parent have any claim with respect to your children for custody, visitation, guardianship or for any other reason?
Client Background Information
Date of Birth
Place of Birth
Employer
Position/Title
Annual Salary
Annual Bonus
Employed Since
Highest Level of Education Earned
Religious Affiliation (if any)
Vehicle(s) Make/Model/Year/Color
Vehicle Registration Name
Vehicle Registration Name
Opposing Party Background Information
Date of Birth
Place of Birth
Employer
Position/Title
Annual Salary
Annual Bonus
Employed Since
Highest Level of Education Earned
Religious Affiliation (if any)
Vehicle(s) Make/Model/Year/Color
Vehicle Registration Name
Vehicle Registration Name
Opposing Party Information on prior divorce if applicable
Number of prior marriages
Name(s) of prior spouse(s)
Date(s) of prior divorce(s)
County and State of prior divorce(s)
Names/ages of child(ren) from prior marriage(s)
Child support order for those child(ren)
How much received/paid in child support
Client Information on prior divorce if applicable
Number of prior marriages
Name(s) of prior spouse(s)
Date(s) of prior divorce(s)
County and State of prior divorce(s)
Names/ages of child(ren) from prior marriage(s)
Child support order for those child(ren)
How much received/paid in child support
Health Information
Are you, your spouse, or any of your children currently receiving any medical or psychological treament?
Yes
No
If yes, please specify who is receiving treatment, who provides the service and what medication or treatments received
Who provides health insurance for the family?
Husband
Wife
Name of Insurance Companies
Health
Vision
Dental
Other
Has your spouse consulted an attorney regarding this matter as far as you know?
Yes
No
If yes, please indicate the attorney's name
Do you have a will?
Yes
No
Is your will in need of revision?
Yes
No
Who are the benficiaries of your will?
Name of your accountant
Are there bank accounts, lines of credit, stock and investment accounts or other accounts to which your spouse has access?
Yes
No
If yes, please specify
Does your spouse have in his or her possession credit cards for which you are responsible?
Yes
No
Have you signed anything which may affect the case, including prenuptial or postnuptial agreements, or other documents presented by your spouse?
Yes
No
If yes, please specify
Have you or your spouse sold any real estate property in the last five years?
Yes
No
If yes, please specify
Referral
Who may we thank for referring you to our firm?
May we send a thank you letter to the person who referred you to our firm?
Yes
No
Please feel free to write in below any additional information you would like to provide that was not covered by this questionnaire