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We look forward to the possibility of meeting with you. If you wish to arrange a consultation with one of our attorneys, please contact us or call (800) 910-DIVORCE. 

After obtaining some basic information about your case, we will assist you with questions you may have regarding our services, our fees, and our charge for consultations. It is important that you find an attorney that is right for you and we believe that personal contact is the first step.

Your Name:
E-mail Address:
Phone Number:

Have you been served with a Complaint? 

Yes No
In which county do you reside?

Barnstable
Berkshire
Bristol
Dukes
Essex
Franklin
Hampden
Hampshire
Middlesex
Nantucket
Norfolk
Plymouth
Suffolk
Worcester
Have you lived in Massachusetts more than one year? Yes No
If you have children, please tell us how many and their ages:
Do you own or rent your present home? Own Rent
If you own your home, what is the approximate market value?
If you own your home, what is the approximate mortgage balance?
What is your occupation?
What is your wage or salary? 

Less than $10,000
$10,000-$50,000
$50,000-$99,999
$100,000-$149,999
More than $150,000


What is your spouse’s occupation?

What is your spouse’s wage or salary?

Less than $10,000
$10,000-$50,000
$50,000-$99,999
$100,000-$149,999
More than $150,000

Do you and/or your spouse have a retirement plan?

Yes No
Do you have a family-owned business?

Yes No
Do you or your spouse own a professional practice?

Yes No
Are you concerned about hidden assets or un/under reported income?

Yes No

What type of services are needed (check all that apply)?



Contested Divorce
Uncontested Divorce
Same-Sex Divorce
Paternity
Restraining Orders
Dept. of Social Services Defense
Custody and Parenting Plans
Child Support Issues
Alimony & Spousal Support
Income Attribution
Separation Agreements
Property Distribution
Business Valuation
Tax Issues
Divorce Estate Planning
QDROs
Prenuptial Agreements
Forensic Investigations
Father’s Rights
Grandparent Rights
Guardianship
Adoption
Parental Relocation
Interstate & Intl. Custody
Gay & Lesbian Custody
Post-Divorce Modification
Contempt Matters
Post-Divorce Collection
D.O.R. Representation
Mediation
Appellate Review


Please describe your situation:




What goals do you wish to achieve?



Are you currently represented by another attorney relating to this matter?

Yes No
If yes, in which county was your case filed?

Barnstable
Berkshire
Bristol
Dukes
Essex
Franklin
Hampden
Hampshire
Middlesex
Nantucket
Norfolk
Plymouth
Suffolk
Worcester
Is there an upcoming hearing scheduled in this matter?

Yes No
If yes, what is the date ? 
Who is your Judge?


I am not sure
Are you interested in scheduling an appointment to meet with Attorney Pollack, or a staff attorney in your area? Yes No
If yes, in which office Andover
Cape Cod
 Norwood
Plymouth
Springfield
Worcester

Which of the following meeting times would be most convenient for you?  (You may choose more than one).



Early Morning Weekdays
During the Workday
Evening Hours
Weekends

When do you anticipate retaining a lawyer for this action?



Immediately
Within two weeks
Within one month
Within three months

How will you pay for legal services when you hire your attorney?



Funds are available
Credit card
Personal savings
Loans from friends/family
Other

How would you prefer that we contact you ?



Phone
E-Mail

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Contact Us

Norwood
11 Vanderbilt Avenue
Suite 105
Norwood, MA 02062

Worcester
316 Main Street
5th Floor
Worcester, MA 01608

Andover
12 Essex Street,
Suite 208-34
Andover, MA  01810

Plymouth
Post Office Square
6 Main Street Ext.
Plymouth, MA  02360

Springfield
One Monarch Place,
13th Floor
Springfield, MA 01144

Cape Cod
3821 Falmouth Road,
Family Law Ctr. #2
Marstons Mills 02648

Western Massachusetts/Springfield Family Law Group
Contact The Western Massachusetts/SpringField Family Law Group

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