Thank you for choosing us to help you!  Please answer the questions so we can communicate with you more effectively.
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What is your first name?

 
What is your middle name?

 
What is your last name?

 
What is your date of birth?

 
Which county is your case in? (if known)

 
What is the case number?

 
If we need to mail you something, what address can we send it to?

 
City, State and ZIP

 
What is your email address?

 
Do you check your email daily?

     
 
What is your phone number?

 
Can we text you reminders?

     
 
We hate filling out questionaires too!  Don't worry, we're almost done!

 
Who will always be able to find you, no matter what?

Sometimes, there is an emergency that we HAVE to talk to you, but we can't contact you the usual way.  (Don't worry, we will not share personal information, we'll just tell them that your attorney has an urgent message for you and needs to talk to you in person)
 
What is their phone number?

 
What is their address?

 
How may we contact you?


 
On a scale from 1 to 5, with 1 being painful and 5 being wonderful, how does this questionnaire compare with traditional paper ones?






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