Fee Waiver Application
My goal is to keep you out of court and build your conflict resolution skills. Your feedback will help me determine if I have met that goal and, if not, what I can improve.

Please take a few minutes to complete this short survey.
Email address *
Your Full Name *
Your answer
Your prior year's gross income from your income tax return *
Your answer
Your current monthly income *
Your answer
Your current monthly expenses *
Your answer
Your favorite coffee shop *
Your answer
Average times you visit that coffee shop each week. *
Your favorite restaurant *
Your answer
Your guilty pleasure? *
Your answer
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