Review and Preparation of Contracts - Questionnaire

Name:

Address
(include city, state, and zip):

Telephone:

 - Home

 - Work

 - Cell

Email address:

Confirm email:

Would you like us to:
(1) Review an existing contract;

(2) prepare a new contract for you; or

(3) does this matter involve a breach of contract by one of the parties?

- Select - Review Existing Contract Draft a New Contract Breach of Contract

If you would like us to REVIEW an existing contract,
please provide the following information.

Type of business entity or entities involved.

You may select more than one.

  Partnership
  Sole Proprietorship
  C Corp.
  S Corp.
  Other Corp.
  Unknown

Type and/or purpose of contract:

The other party to the contract and whether the other party is your employer:

  Other party is my employer

Have you engaged in any negotiations concerning the contract with the other party to the contract?

-- Select -- Yes No

If the answer above is yes, whom have you negotiated with and was that person an attorney?

Name of person negotiating with you:

Person negotiating was an attorney:
-- Select -- Yes No

Have you already signed the contract?

-- Select -- Yes No

If you signed the contract, did you have another attorney review it before signing it?

If not, why not?

Explain any reasons why you did not consult an attorney before signing the contract.

If you would like us to PREPARE a new contract for you,
please provide the following information.

Type of business entity or entities involved.

You may select more than one.

  Partnership
  Sole Proprietorship
  C Corp.
  S Corp.
  Other Corp.
  Unknown

Type and/or purpose of contract.

The name of the other party to the contract and whether the other party is your prospective employer.

Have you engaged in any negotiations with the other party to the contract regarding its terms?

-- Select -- Yes No

If your answer to the above is yes, please describe the current status of the negotiations.

Does this involve a potential BREACH OF CONTRACT case?

If this matter involves a potential breach of contract case, please let us know the following:

When was the contract breached?

Which party allegedly breached the contract?

The circumstances under which the contract was breached?

The status of the parties' duties or the extent to which the parties have performed their duties under the contract at the time the contract was breached?

How did you hear about our firm?

-- Select -- Attorney Yellow Pages Newspaper Article Web Search Other

If an attorney referred you, what is the name of the attorney or firm?

If another person referred you, what is that person?s name?

Additional Information

Please provide any additional information about yourself or the case which would help the attorneys understand your potential case or explain your answers to the above questions.

Scheduling

We will contact you by email unless this is not possible.  If you cannot communication via email, please indicate the most convenient method of communication and the best time and day to contact you.

PLEASE READ THE FOLLOWING STATEMENTS AND INDICATE YOUR ACCEPTANCE OF THESE TERMS PRIOR
TO SUBMITTING THIS FORM.

I have prepared the answers to these questions and to the best of my ability.

THIS MUST BE ANSWERED OR YOU CANNOT SUBMIT THE FORM!

I understand that the submission of this form does not create any obligation for me or for any attorney at Delegal Law Offices. 
I further understand that submission of this form does not create an attorney-client relationship and that the lawyer is not obliged
to schedule a consultation with me.

I understand and agree that Delegal Law Offices, P.A., will have no duty to keep confidential the information that I am transmitting to the law firm through this questionnaire.


THIS MUST BE ANSWERED OR YOU CANNOT SUBMIT THE FORM!