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Divorce Clarity Call

This intake form helps me understand your situation, your concerns, and where you feel stuck or unsure. There are no “right” answers here—just your truth. Share what you’re comfortable sharing.

Everything you submit is private and confidential. I review each form personally so I can give you thoughtful, strategic guidance that actually fits your life—not generic advice.

Take your time. You don’t have to have it all figured out. This is the first step toward clarity.

Take a breath. When you’re ready, begin below.

Start

Question 1 of 35

Contact number:

Question 2 of 35

What is your preferred platform?

A

Zoom

B

Google Meet

C

Phone Call

D

Whatsapp

Question 3 of 35

Preferred Time and Date:

We'll contact you at your most convenient time!

Question 4 of 35

What best describes your current situation?

A

Undecided on ending my marriage

B

Decided to divorce but haven’t shared

C

Spouse mentioned divorce

D

Actively discussing separation

E

Separated living together

F

Separated living apart

G

Divorced

H

Other

Question 5 of 35

Are you safe right now?

A

Yes

B

No

C

I’m not sure

Question 6 of 35

SAFETY CONTEXT

A

Emotionally unsafe

B

Partner unpredictable

C

Avoids conflict

D

Yelling/threats/control

E

Unsure what safe means

Question 7 of 35

Do you currently work with a therapist or counselor?

A

Yes, regularly

B

Yes, occasionally

C

No

D

Looking for one

Question 8 of 35

Do you have a support system?

A

Strong support

B

Some support

C

Mostly alone

D

Isolated

E

Complicated

Question 9 of 35

What kind of support do you need?

A

Someone to talk to

B

Practical help

C

Community

D

Professional

E

Not sure

Question 10 of 35

How long have you been married?

A

< 5 years

B

5–9 years

C

10–19 years

D

20+ years

Question 11 of 35

Do you work?

A

Full-time

B

Part-time

C

Stay-at-home

D

Left workforce

E

Other

Question 12 of 35

Are you confident to be self-supporting?

A

Very confident

B

Somewhat

C

Not confident

D

Unsure

Question 13 of 35

Do you have children?

A

Minor children

B

Adult children

C

Both minor and adult children

D

None

Question 14 of 35

Do you anticipate conflict in parenting? (parenting issues, custody, etc)

A

No conflict

B

Some tension

C

Major conflict

D

Not sure

Question 15 of 35

Who is the primary caregiver of the child/ren?

A

Mostly me

B

Mostly spouse

C

Shared

D

Not sure

E

Disputed

Question 16 of 35

Do you expect to receive or pay child support?

A

Expect to receive

B

Expect to pay

C

Not sure

D

Haven’t thought

Question 17 of 35

Who manages the finances?

A

Me

B

Spouse

C

Shared

D

Unsure

Question 18 of 35

Who is the primary earner in your household?

A

Me

B

Spouse

C

Equal

D

Unsure

Question 19 of 35

Do you have a personal income?

A

Full-time

B

Part-time

C

Self-employed

D

None

E

Inconsistent

Question 20 of 35

What is your income range?

A

$0

B

<50k

C

50–100k

D

100–250k

E

250k+

F

Unsure

Question 21 of 35

What is your spouse's income range?

A

$0

B

<50k

C

50–100k

D

100–250k

E

250k+

F

Unsure

Question 22 of 35

How much are the marital assets?

A

<250k

B

250–750k

C

750k–2M

D

2M+

E

Unsure

Question 23 of 35

Do you need help in dividing assets?

A

Yes

B

Maybe

C

No

Question 24 of 35

Do you own business/es?

A

Yes

B

No

C

Unsure

Question 25 of 35

Do you have prenup?

A

Yes

B

No

C

Unsure

Question 26 of 35

Can you support yourself for long-term?

A

Yes

B

Somewhat

C

No

D

Unsure

Question 27 of 35

Have you consulted or retained a lawyer?  

A

Retained

B

Consulted

C

Plan to

D

Unsure

E

Self-rep

Question 28 of 35

How confident are you in your legal team’s ability to communicate clearly, develop an effective strategy, and negotiate for what you want and need?

A

Very confident

B

Somewhat

C

Low

D

None

E

Unsure

Question 29 of 35

What state are you in?

Question 30 of 35

What is the biggest challenge you're facing right now?

Question 31 of 35

Is there any context you'd like to clarify?

Question 32 of 35

What kind of support do you need?

Question 33 of 35

Is there any cultural context that needs to be considered in your situation?

A

Yes

B

Somewhat

C

Possibly

D

None

Question 34 of 35

How do you see yourself 6 months from now?

Question 35 of 35

What top three questions do you have for me?

Confirm and Submit