Client Questionnaire
SAM HASLER
ATTORNEY AT LAW
1106 Meridian Street, Suite 251 Anderson, IN 46016
765-641-7906
ATTORNEY AT LAW
1106 Meridian Street, Suite 251 Anderson, IN 46016
765-641-7906
E-mail: samuelhasler@yahoo.com
Client Consultation Information
Thank you for choosing Hasler Law Office to handle your legal matter. In order to assist you better, please take a few moments to answer the following questions. Please understand that any information that you give me will be confidential but that an attorney-client relationship will not exist until and unless I am retained in this matter.
1. Please list your full name: ____________________________________________________
2. Current address where you are residing, including the Zip Code:
__________________________________________________________________________________________
__________________________________________________________________________________________
3. What is your telephone number and what is the best time to call?
_______________________________________________________
4. What is the legal problem that you want to consult with me about?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Date: _____________________
_________________________________________________
Your name (signature, please)
Your name (signature, please)