Name
First Name
Last Name
Email
Phone
(###)
###
####
What city and state do you live in?
How far do you live from the co-parent?
How did you hear about us?
Have you read one of our articles online or on social media? This is our portfolio: https://www.ourchildrenhaverights.org/educational-articles/
Yes
Yes, they are very helpful.
No
No, but I'll check them out.
Would you speak with Greg or Jake for a 10 minute informal feedback Q/A? You choose the method of communication. And receive a gift card of either $5, 10, or $15 just for participating:
Yes, after we address my intake form.
No, please address my intake form.
How old are the children?
Are you amicable with the other parent?
Yes
No
Sometimes
Is there an existing court order?
Yes
No
I'm Not Sure
Did you sign the Voluntary Declaration of Parentage (VDOP)?
Yes
No
I'm Not Sure
Are the children on your insurance?
Yes
No
Some But Not All
I'm Not Sure
What is your marital or relationship status with the co-parent? Select all that apply.
Unmarried
Unmarried, Dating One Another
Unmarried, Not Dating One Another
Married
Engaged to Marry
Separated
Divorced
Prefer Not to Answer, N/A
Which Focus Area(s) would you like help with? Select all that apply. If you’re unsure, that’s OK!
Child Custody
Coparenting
Parenting Plan
Support Obligation / Child Support
Mediation
Finding an Attorney
Representing Yourself in Court
Collaborative Divorce
Locating Community Resources
I'm Not Sure
What is the current status of your Parenting Plan?
Haven’t Started
Drafting
Finalized
Finalized, Need modifications
I’m Not Sure, N/A
What is your Employment Status?
Employed, Full Time
Employed, Part Time
Unemployed
Seeking Employment / Opportunities
Retired
Prefer Not to Answer
Have you hired or consulted a Family Law Attorney?
Yes
No
I'm Not Sure
Have you attempted mediation?
Yes
No
I'm Not Sure or N/A
Are you, or your co-parent, an active duty, retired, or military veteran?
Yes
No
Prefer Not to Answer
What are your desired results (best case scenario)?
Which area of focus interests you the most?
Education
Mental Health
Legal Aid & Document Review
I'm Not Sure
How do you think OCHR.org can help you achieve desired results?
(If you don't know, say "I'm not sure")
Are you familiar with the Bright Futures Scholarship Program?
Yes
No
Somewhat, I’d like more information
Are you and the co-parent both engaged in the your child’s education?
Yes
No
Somewhat
Do you and the co-parent share information on school and your child’s academics?
Yes
No
Somewhat