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Client Information for Power Hour

Please complete the form to provide us with your initial information.  

Click the button below to start.

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Question 1 of 10

Full Name

Question 2 of 10

Your date of birth

Question 3 of 10

Full address and postcode 

Question 4 of 10

Telephone number

 

Question 5 of 10

Email address

Question 6 of 10

Name of your husband/wife?

Question 7 of 10

Do you have any children?  

 

If so, please provide their names and dob.

Question 8 of 10

I need to know what stage you are in your divorce or family matters.  Please tick any that apply from below:

(Select all that apply)
A

Separated

B

Ready to start divorce proceedings

C

Already started divorce proceedings

D

Need to reach agreement on plans for children and/or finances

E

Court proceedings already started for finances or children

F

Something else

Question 9 of 10

Please provide as much information about your situation, what's has happened and what stage you are at so  that we can use the power hour constructively

Question 10 of 10

Can you confirm that you agree to the terms & conditions attached to the email.  

A

I agree to the terms and conditions

Confirm and Submit