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Although Massachusetts Rules of Conduct prevent us from giving you any legal advice until we are formally retained, we will be happy to answer any general questions regarding your Massachusetts family law matter.  If you would like to schedule an hour-long, no-obligation consultation, please complete this form as fully as possible and forward the information requested below.  We need this information to understand your individual situation.  Please be assured all information we receive will be kept strictly confidential.

Tell Us About Yourself (Required Fields appear in Bold)

Your Name:
E-mail Address:
Phone Number:

Have you been served with a Complaint? 

Yes No
Have you lived in Massachusetts more than one year? Yes No
If you have children, please tell us how many and their ages:
Do you own or rent your present home? Own Rent
If you own your home, what is the approximate market value?
If you own your home, what is the approximate mortgage balance?
What is your occupation?
What is your wage or salary? 

Less than $10,000
$10,000-$50,000
$50,000-$99,999
$100,000-$149,999
More than $150,000


What is your spouse’s occupation?
What is your spouse’s wage or salary?

Less than $10,000
$10,000-$50,000
$50,000-$99,999
$100,000-$149,999
More than $150,000

Do you and/or your spouse have a retirement plan?

 Yes No
Do you have a family-owned business?

 Yes No
Do you or your spouse own a professional practice?

Yes No
Is there a Hearing pending on this matter?

Yes No

What type of services are needed (check all that apply)?



 Alimony
Child Custody
Child Support
Divorce
Enforcement of Prior Order
Modification of Prior Order
Parenting Plan
Prenuptial Agreement
Restraining Order
Settlement Agreement
Visitation Rights

Please describe your situation:

What goals do you wish to achieve?
Have you previously met with another attorney relating to this matter?

 Yes No
Are you interested in scheduling an appointment to meet with Attorney Pollack?

 Yes No

When do you anticipate retaining a lawyer for this action?



 Immediately
Within two weeks
Within one month
Within three months
Uncertain

How will you pay for legal services when you hire your attorney?



 Funds are available
Credit card
Personal savings
Loans from friends/family
Other

How would you prefer that we contact you ?
Phone
E-Mail



Contact us about your legal matter today!








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Phone: (800) 910-DIVORCE