Fixed Fee Divorce Questionnaire

Your Details

• Name
• Address
• Date of Birth

• Telephone Number

  • Home
  • Mobile
  • Work
• Email Address
• Occupation

Your Partner's Details

• Full Name
• Address
• Date of Birth
• Occupation
• Has your Wife/Husband instructed solicitors to your knowledge? Please select Yes No
• If YES, please provide details:

Children — Statement of Arrangements

• Children Of The Family

  Provide full details of all children born to either of you before, during or after the marriage and who are still living with the you.

  Details of the Children & Living Arrangements:

  Child 1

  • Full name of child
  • Gender
    • M
    • F
  • Date of Birth, or state if over 18
  • Resides with
  • At Address
  • Is this arrangement agreed by both parties? (if No, provide details)
  • Please tick if Over 16, but under 18 and in education, training or working full time
  • Please tick if Child of Both parties
  • Please tick if child of the family but NOT born to you e.g. stepchildren

   

  Child 2

  • Full name of child
  • Gender
    • M
    • F
  • Date of Birth, or state if over 18
  • Resides with
  • At Address
  • Is this arrangement agreed by both parties? (if No, provide details)
  • Please tick if Over 16, but under 18 and in education, training or working full time
  • Please tick if Child of Both parties
  • Please tick if child of the family but NOT born to you e.g. stepchildren

   

  Child 3

  • Full name of child
  • Gender
    • M
    • F
  • Date of Birth, or state if over 18
  • Resides with
  • At Address
  • Is this arrangement agreed by both parties? (if No, provide details)
  • Please tick if Over 16, but under 18 and in education, training or working full time
  • Please tick if Child of Both parties
  • Please tick if child of the family but NOT born to you e.g. stepchildren

   

  Child 4

  • Full name of child
  • Gender
    • M
    • F
  • Date of Birth, or state if over 18
  • Resides with
  • At Address
  • Is this arrangement agreed by both parties? (if No, provide details)
  • Please tick if Over 16, but under 18 and in education, training or working full time
  • Please tick if Child of Both parties
  • Please tick if child of the family but NOT born to you e.g. stepchildren

   

  Child 5

  • Full name of child
  • Gender
    • M
    • F
  • Date of Birth, or state if over 18
  • Resides with
  • At Address
  • Is this arrangement agreed by both parties? (if No, provide details)
  • Please tick if Over 16, but under 18 and in education, training or working full time
  • Please tick if Child of Both parties
  • Please tick if child of the family but NOT born to you e.g. stepchildren

   

• Children Of Either Party Who Are NOT Children Of The Family

  Details of the Children & Living Arrangements:

  Child 1

  • Full name of child
  • Gender
    • M
    • F
  • Date of Birth, or state if over 18
  • Resides with
  • At Address
  • Is this arrangement agreed by both parties? (if No, provide details)
  • Born to or adopted by Petitioner
  • Born to or adopted by Respondent

   

  Child 2

  • Full name of child
  • Gender
    • M
    • F
  • Date of Birth, or state if over 18
  • Resides with
  • At Address
  • Is this arrangement agreed by both parties? (if No, provide details)
  • Born to or adopted by Petitioner
  • Born to or adopted by Respondent

   

  Child 3

  • Full name of child
  • Gender
    • M
    • F
  • Date of Birth, or state if over 18
  • Resides with
  • At Address
  • Is this arrangement agreed by both parties? (if No, provide details)
  • Born to or adopted by Petitioner
  • Born to or adopted by Respondent

   

  Child 4

  • Full name of child
  • Gender
    • M
    • F
  • Date of Birth, or state if over 18
  • Resides with
  • At Address
  • Is this arrangement agreed by both parties? (if No, provide details)
  • Born to or adopted by Petitioner
  • Born to or adopted by Respondent

   

  Child 5

  • Full name of child
  • Gender
    • M
    • F
  • Date of Birth, or state if over 18
  • Resides with
  • At Address
  • Is this arrangement agreed by both parties? (if No, provide details)
  • Born to or adopted by Petitioner
  • Born to or adopted by Respondent

   

• Health & Education Details (Children of the family only)

  Child 1

  • Full name of child
  • Generally in good health? Please select Yes No
  • if No, provide details
  • Are there any special Health needs? Please select Yes No
  • If Yes, provide details of any serious disability, chronic illness or care needed and how it is to be provided
  • Name of School, College or place of training
  • Are there any special Education needs? Please select Yes No
  • (if yes, provide details)

   

  Child 2

  • Full name of child
  • Generally in good health? Please select Yes No
  • if No, provide details
  • Are there any special Health needs? Please select Yes No
  • If Yes, provide details of any serious disability, chronic illness or care needed and how it is to be provided
  • Name of School, College or place of training
  • Are there any special Education needs? Please select Yes No
  • (if yes, provide details)

   

  Child 3

  • Full name of child
  • Generally in good health? Please select Yes No
  • if No, provide details
  • Are there any special Health needs? Please select Yes No
  • If Yes, provide details of any serious disability, chronic illness or care needed and how it is to be provided
  • Name of School, College or place of training
  • Are there any special Education needs? Please select Yes No
  • (if yes, provide details)

   

  Child 4

  • Full name of child
  • Generally in good health? Please select Yes No
  • if No, provide details
  • Are there any special Health needs? Please select Yes No
  • If Yes, provide details of any serious disability, chronic illness or care needed and how it is to be provided
  • Name of School, College or place of training
  • Are there any special Education needs? Please select Yes No
  • (if yes, provide details)

   

  Child 5

  • Full name of child
  • Generally in good health? Please select Yes No
  • if No, provide details
  • Are there any special Health needs? Please select Yes No
  • If Yes, provide details of any serious disability, chronic illness or care needed and how it is to be provided
  • Name of School, College or place of training
  • Are there any special Education needs? Please select Yes No
  • (if yes, provide details)

   
• What are the contact arrangements between the child(ren) and non-resident parent?
• Have you (the Petitioner) and Respondent agreed to these contact arrangements ? Please select Yes No
• If no, please give details:
• Who Will care for the child(ren) on a day to day basis ?
• Have you (the Petitioner) and Respondent agreed to who will care for the child(ren) on a daily basis? Please select Yes No
• If no, please give details

• If Contact Arrangements have NOT been agreed and there is a dispute, are you intending to:

  • Seek to resolve matters with the respondent directly?: Please select Yes No
  • Propose the use of Alternative Dispute Resolution, such as mediation: Please select Yes No
    • If NO, would you agree to do so?: Please select Yes No
  • Make an application to the court? : Please select Yes No
• Does your Husband/Wife pay maintenance for the Children? Please select Yes No

  • If YES:–

    • Was this voluntarily, or through the CSA?: Please select Voluntarily CSA

    • Please provide full details of the arrangement:

    If NO:–

    • Do you intend to make a claim through the CSA or Courts?: Please select Yes No
• Will there be any changes in the living arrangements as a result of the divorce? Please select Yes No
• Are any of the children in the care of the local authority, or under the supervision of a social worker or probation officer ? Please select Yes No
  • If YES, please provide details (please include information about any current proceedings in the youth or family court):
• Are any of the children the subject of a Child Protection Plan ? Please select Yes No
  • If YES, please provide details (include name of local authority and the date of registration):
• Are there, or have there been, any proceedings in any court involving the children, for example residence or contact proceedings, care of supervision, adoption or wardship Please select Yes No
  • If YES, please provide details (include name of local authority and the date of registration):
• Are there, or have there been, any proceedings in any court which may have an impact on the children. E.g. non molestation orders, or criminal proceedings relating to domestic violence ? Please select Yes No
  • If YES, please provide details (include name of local authority and the date of registration):

Any Other Issues

Are there any other issues which you feel we should be aware of at this stage in your proposed divorce?