Name*

Email*

Phone*

Text Ok?* YesNo

How long have you been married?* Less than 1 year1 to 5 years5 to 10 years10 to 20 years20 to 30 years30+ years

Are you currently separated?* YesNo

Is your spouse aware that you are considering divorce / legal separation?* YesNoUnsure

Our relationship dynamic is amicable?* YesNoVariesUnsure

Do you have minor children together?* YesNo

Do you own a home together?* YesNo

Zip code of primary residence?

Is your spouse employed?* YesNo

Are you employed?* YesNo

What is the estimated net worth of your community property?* Less than $250,000$250,000 to $500,000$500,000 to $1M$1M to $5M$5M to $10MOver $10MI don't know

Are there any assets in particular that you are concerned about?

Please share anything else you would like us to know.