Family Law Questionnaire Template (Page 5 of 9) in pdf

Family Law Questionnaire Template Page 5

With whom do the children reside?

Wife/Mother Husband/Father

 Other

If other, please provide the name and address of this individual(s):

Have there been any prior court actions involving these children?

 Yes

No

If yes, please provide the following:

Type of action:

County/State:

Case Number:

Current status:

Do you and the other party have any type of agreement, verbal or written regarding custody of

these children?

 Yes

 No

If yes, please provide the details of that agreement:

(If the agreement is in writing, please provide us with a copy)

If no, what arrangement would you like to have:

What does the child(ren) want? *Please note that what the child wants may not

necessarily be in their best interest.

Please briefly describe the allocation of parenting duties between you and the other party:

Does any child of the marriage/relationship now (or has any child in the past) received any

type of counseling?

 Yes

 No

If yes, please provide the nature of that counseling and the provider’s name, address

and telephone number:

Family Law Questionnaire Template Page 5