Financial Assessment Questionnaire

Thank you for reaching out to Voices of a Heart Foundation. Your responses to the following questions will help us better understand your unique financial situation and tailor our support to meet your specific needs. Please answer each question to the best of your ability. Your information will be kept confidential.


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Email *
Name *
Age
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Contact Information (Email/Phone):

 *

Living situation:

 *
Current Employment Status
 *
Please provide an estimate of your monthly income
 *
Monthly Expenses: List your monthly expenses, including rent/mortgage, utilities, groceries, car payment, insurance and any other significant costs
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Assets and Debts: Do you have any significant assets (e.g., property, savings) or debts (e.g., loans, credit card debt)?

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Legal Representation Experience: Have you consulted with a lawyer regarding your divorce or family law matters before? If yes, please provide details
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Are you currently being represented by an Attorney? (if yes, please provide attorneys information) If no, answer N/A
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Current Financial Challenges Briefly describe any specific financial challenges or concerns you are currently facing. *
Number and Ages of Children: How many children do you have? (Provide ages as well)
If you do not have children, please answer N/A *
Child Custody and Support:
Are there any ongoing child custody or child support matters that we should be aware of. If you do not have children, please answer N/A  
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Desired Legal Support: What specific legal support do you need? (e.g., initial consultation, retainer fees to start the divorce process)
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Other Information: Is there any additional information you would like to share about your situation that may be relevant to our assessment?
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