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You Parent Child Grandparent Other Family Member Other Loved One Other
2. Is this inquiry about:
Serious Illness recent death long range plan dispute of an estate Care of an elderly person appointing a guardian Other
3. Is this inquiry about:
a plan for the future the estate of someone who recently died Other
4. Is this inquiry about:
reducing estate taxes how to pass property to heirs keeping a family business in the family protecting assets from creditors avoiding litigation among heirs advance health care decisions appointing a power of attorney making charitable gifts Other
1. Is this inquiry about:
debtor creditor Other
2. Is this about a lawsuit, foreclosure, garnishment or repossession?
Yes. If yes, is it in the future or already started No
you personally your business someone else’s business Other
1. Is this inquiry about injuries you, a relative, friend or loved one sustained in an accident?
Yes No a. What best describes the kind of accident: auto bus/train pedestrian Bicycle/motorcycle animal injury injured by a device, tool or object medical/dental injured by another person injured on the property of someone else Other b. When did the accident happen? c. Would you be interested in a free consultation? Yes No d. Where did the accident happen? e. Who or what caused the accident? a. Is this inquiry about property damages only? Yes No b. Please describe your accident. c. Is this inquiry about a concern that your may be a defendant? Yes No d. Do you have insurance covering this accident? Yes No
Yes No
a. What best describes the kind of accident: auto bus/train pedestrian Bicycle/motorcycle animal injury injured by a device, tool or object medical/dental injured by another person injured on the property of someone else Other b. When did the accident happen? c. Would you be interested in a free consultation? Yes No d. Where did the accident happen? e. Who or what caused the accident?
a. What best describes the kind of accident: auto bus/train pedestrian Bicycle/motorcycle animal injury injured by a device, tool or object medical/dental injured by another person injured on the property of someone else Other
b. When did the accident happen?
c. Would you be interested in a free consultation? Yes No
d. Where did the accident happen?
e. Who or what caused the accident?
a. Is this inquiry about property damages only? Yes No b. Please describe your accident. c. Is this inquiry about a concern that your may be a defendant? Yes No d. Do you have insurance covering this accident? Yes No
a. Is this inquiry about property damages only? Yes No
b. Please describe your accident.
c. Is this inquiry about a concern that your may be a defendant? Yes No
d. Do you have insurance covering this accident? Yes No
