Questionnaire

Your side of the story is very important to us!

Please complete the questionnaire now, while these events are fresh in your mind. Your responses will help us best advise you about your case and put a halo on your head in the courtroom.

Name *
Primary Phone *
Alternate Phone
Email *
Home Address *
Date of Birth *
Place of Birth
U.S. Citizen? *
Social Security Number *
If Veteran, Give Details
Date and Time of Arrest
What Court is Handling This Case
Next Court Date
OUI Offense In Your Lifetime (1st, 2nd, etc.)
Other Charges You Are Facing In This Incident
Which Police Department Was Involved
Please Describe Your Realistic, Desired Outcome of This Case
We Want Avoid Scheduling Court Dates That Interfere With Your Life. Do You Have Any Trips Out of State Planned or Other Dates You Absolutely Cannot Return to Court?
Family Status (Married, Single, etc.)
Dependent Children (Names and Ages)
Does Anyone in Your Household Know?
License Number and State
Do You Have a Commercial Driver's License ("CDL")?
Employer and Address
Job Title and How Long With Employer
Is Vehicle or License Required For Employment
Prior Employment (Past 5 or 10 Years or So) and How Long at Each Job
Education Background (e.g. Highest Level, Name of Institution)
Any Current Conditions That Might Affect Your Balance or Coordination
Do You Have a Firearms ID or License to Carry
Prior to coming to me for legal assistance, did you consult with any other attorney(s) about the present OUI case and, if so, with whom
Do you understand that you are free to follow that attorney's advice (or any other attorney's advice), and that you are in no way bound to use my legal services in your case unless you hire me?
During the 24-hour period prior to this incident, describe your activities from the time you woke up until arrest occurred. Tell me who you were with, what you drank, at what time the drinks were consumed, what size drinks you had, etc.
Who was with you, if anyone, when you were arrested
Were any alcohol containers visible to the officer from outside your vehicle
Were any other suspicious or illegal items visible from outside your vehicle when police approached (e.g. weapon, rolling papers, marijuana pipe)
Describe your shoes (if any) during field sobriety tests
Road or shoulder conditions where tests were given (e.g., level, sloping, smooth, rocky, wet, grassy, dirt, holes, wide, narrow, line to walk on, no line, raining, snowing, hot, cold)
Emotions (e.g., crying, nervous, can't recall)
Did police indicate whether any part of the encounter (roadside, transport, booking) was video recorded
Did you take a breath test at the station and, if so, what was the result
If you were taken to hospital, was your blood drawn
Did police ask for your consent for a blood test and, if so, did you consent or refuse
if you refused the breath or blood test, please describe why
If there was an accident, please describe what happened
Was anyone injured
If you were ever arrested anywhere for anything, the prosecutor will have this info so it is important that I know where, what were the charges, and how was the case disposed of
Were you ever previously required to take "driver alcohol awareness" classes
Are you on probation for any other offenses (please describe what for and what court)
What was going on in your life before this incident
I want to get to know my clients as people and not just as defendants. Please write as long or as short an autobiography as you wish. This will also help me put a halo on your head at court.

Your side of the story is very important to us!

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