Please answer all questions fully and honestly. The answers may affect your case. YOUR ANSWERS TO THESE QUESTIONS ARE COMPLETELY CONFIDENTIAL AND WILL NOT BE RELEASED TO ANYONE WITHOUT YOUR PERMISSION. Please sign your name at the end of the form. This questionnaire is NOT an agreement for me to represent you. All clients must sign a written contract before any representation will begin. As an alternative to filling this form online, you may also download this form in MSWord format.