Client Initial InterviewDownload as pdf instead Client Details: Your Full Name: Address: DOB: Mobile number: Work telephone number: Email Address: Occupation: Full Name of Other Party (i.e. spouse/civil partner/former partner): Are they your: HusbandWifeCohabiteeOther What is their age and date of birth?: How did you hear about us?: Mobile number: Email address?: Occupation: How can we best help you today? To help you get the most out of this session it would be helpful for us to know which of the following applies to your circumstances. a) I want information and advice before I separate.b) I have already separated and want to know what to do next.c) I have received a letter from solicitors/Court documents. General Information Are you currently living in the same house? YesNo Do you own the property? YesNo When did you start your relationship? When did you separate (if not yet separated please write N/A)? Do you or your spouse/civil partner/cohabitee own or have a share in a business?: Please state what you want advice on: a) Divorce/dissolutionb) Money issuesc) Childrend) Issues with my cohabitee A. Divorce/Dissolution How long have you been living together? When did you get married/in a civil partnership? When did you separate? B. Money Issues Do you own a house? If so, in whose name is it in? How much is the house worth? What amount is outstanding on the mortgage? Do you have any savings? (Please estimate to the nearest £1000) Do you have any other capital assets? (Please list and give approximate values to the nearest £1000) What is your yearly income? How much to you take home every month? Do you have a pension? If so, what is it worth? Do you have any debts such as loans or credit cards? If so, how much is outstanding in total? What is your partner’s income? Do they have any other assets or debts which are not mentioned above? C. Children For each of your children please state their name, age and date of birth: Child’s name & Age & Date of birth: Do they live with you? How often do they see you/spend time with their other parent? Have you any other comments regarding your children or children arrangements? D. If you cohabit instead of being married Whose name is the house in? Have you any other comments regarding your children or children arrangements? JointYour nameTheir nameOther Is the mortgage the same? YesNo Who paid for the deposit? Wo pays the household utilities? Has anyone put any other money into the property since it was purchased? If so, how much and what for? Has anyone made any other contribution such as household improvements/building an extension etc.?