Prospective Client Intake Sheet
Thank you for allowing the Law Office of Robert M. Wells to serve you!

In order to provide the best service possible in connection with your legal matter, please complete this brief client
intake sheet. The information you provide is confidential and will only be used by Attorney Wells and his staff in
connection with your legal matter.

Email address *
Name *
Your answer
Email *
Your answer
Phone number *
Your answer
Address
Your answer
How did you hear about our legal services? *
Your answer
Are you seeking a legal strategy session for yourself? *
Briefly Describe Your Legal Matter That You Need Assistance With *
Your answer
Ideally, if things turn out precisely the way you want, How Would You Like Your Legal Matter Resolved?
Your answer
Knowing that there are no guarantees, what result can you accept?
Your answer
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