Attorneys

What is your marital status?

Select Single Married Divorced

How many children do you have?

-- If yes, how many are under the age of 18?

-- How many are under the age of 21?

Do you own a house?

Yes
No

Do you own any other property, such as other realty, stocks, bonds, or other securities?

Yes
No

Do you work?

Yes
No

Do you still live together?

Yes
No

Are you interested in a divorce?

Yes
No

Are you interested in divorce by mediation?

Yes
No

Have you discussed this with your spouse?

Yes
No

What type of services are needed (check all that apply)?

Adoption
Child Custody
Child Support
Divorce
Domestic Violence
Spousal Support
Visitation Rights
Other

Please provide other pertinent information.

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