You were referred to a participating attorney of this service. To maintain the quality of service, we ask that this questionnaire be completed.

1. Were you satisfied with the service you received from the attorney?

2.  Were you satisfied with the service you received from the referral service?

3.  Approximately how long did the initial conference last?

4.  Were any letters or other documents or court papers prepared by the attorney?

5.  Is the attorney presently handling a lawsuit or other legal problems for you?

6.  What was the total fee paid to date for this case?

7.  Did you agree to pay an additional fee at the close of your case (ie: contingency or percentage)?

8.  Do you feel that the total fee was reasonable?

Thank you for your cooperation. Please use the following space if you have any additional comments, suggestions, or would like to elaborate on any of the above.