First Name *

Last Name *

Street Address *

City *

Postal Code *

State You Reside In *

Email *

Phone *

Your Age *

Spouse's First Name *

Spouse's Last Name *

Are you and your spouse still living in the same house or apt? *

Spouse's Email *

Spouse's Phone *

Spouse's Age *

Years Married *

Do you have children? *

Are you considering cohabitating post-divorce to save money or raise your kids?

Do you have pets? *

Do you and your spouse own a home together? *

Do you own other real estate properties? *

Do you and/or your spouse own a business? *

Your employment status *

Your annual base salary *

Is your income variable or commission-based? *

Do you receive options, RSUs, or other executive compensation? *

Do you receive a bonus? *

Spouse's employment status *

Spouse's annual base salary *

Is your spouse's income variable or commission-based? *

Does your spouse receive options, RSUs, or other executive compensation? *

Does your spouse receive a bonus *

How would you describe your current relationship dynamic? *

Which of you initiated divorce? *

Have you consulted with an attorney? *

Have you met with any other mediators? *

Who referred you to us?

Desired Service *

When do you want to begin the mediation process? *

I understand that this is an online meeting and that my spouse must attend.