New Prenup Client Information Request To make sure our first phone call is as effective as possible please answer the questions below. It is important to answer every question so we have a complete picture of your situation. Initial Phone Call InformationLegal Name(Required) First Middle Last Cell Phone(Required)Email(Required) Fiancé Legal Name(Required) First Middle Last Fiancé Cell Phone(Required)Fiancé Email(Required) Background QuestionsWedding Date(Required) MM slash DD slash YYYY Pre-Nuptial Needs(Required)Short description of how we can help you. Have You Been Married Before? Yes No Has Your Fiancé Been Married Before? Yes No Have you discussed Mediation with your Fiancé?(Required) Yes No Do Either of You Have Any Children?(Required) Yes No Names and Ages of Children(Required)Click Plus (+) symbol to add rowsFirst NameAgeYours (Y/N) Add RemoveHow Did You Hear About Us?(Required) Friend Past Client Professional Referral Google Facebook Is there someone we should thank for the referral?(Required) Other Helpful InformationYour Annual Income(Required)Fiancé's Annual Income(Required)Your Occupation?(Required) Fiancé's Occupation?(Required) Estimated Total Assets?(Required)Estimate of Total Debt?(Required)Are you a Florida Resident?(Required) Yes No How many years have you been a resident?(Required)What is Your Greatest Concern Right Now?(Required)What Do You Think Will be the Biggest Challenge of Creating a PreNup?(Required)Have You Been to Individual Therapy / Counseling?(Required) Yes No Have You Been to Couples Therapy / Counseling?(Required) Yes No How do You Think Your Children Feel About You Getting Married?(Required)On a Scale of 1 - 10 With 10 Being Difficult and 1 Being Easy, How Difficult Do You Think This Process WIll Be?(Required)Please enter a number from 1 to 10.Do You Know Much About the PreNup Process?(Required) In a Perfect World When Would You Like Everything Completed?(Required) MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.
