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Client Interview Sheet Counsel / Interviewer - Date - Time - Personal Data - Client

The document is a client interview sheet containing personal information such as name, age, address, marital status, education, employment, family, and character references. It also includes a memo section noting statements from witnesses like parents, friends, and employers that need to be obtained, additional information the client promised to send, and follow up actions needed on the file.

Uploaded by

Sheryl Belchez
Copyright
© Attribution Non-Commercial (BY-NC)
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Download as DOCX, PDF, TXT or read online on Scribd
Download as docx, pdf, or txt
169 views2 pages

Client Interview Sheet Counsel / Interviewer - Date - Time - Personal Data - Client

The document is a client interview sheet containing personal information such as name, age, address, marital status, education, employment, family, and character references. It also includes a memo section noting statements from witnesses like parents, friends, and employers that need to be obtained, additional information the client promised to send, and follow up actions needed on the file.

Uploaded by

Sheryl Belchez
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
Download as docx, pdf, or txt
Download as docx, pdf, or txt
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CLIENT INTERVIEW SHEET

Counsel / Interviewer_________________Date______ Time ____


PERSONAL DATA CLIENT:
Name
______________________________________________________
First

Middle

Last

Aliases (AKA- known by any other names) _______________


Nationality__________________________

Age______

Birthdate ________________________ Sex: [ ] Male

[ ] Female

Birthplace ________________________________
Address _______________________________________________
Contact No._________________
Marital Status: [ ] Married [ ] Single [ ] Separated [ ] Widowed
IF
MARRIED,
DATE
AND
PLACE
OF
_______________________________________

MARRIAGE:

EDUCATIONAL BACKGROUND:
Highest Educational Attainment ___________________________
EMPLOYMENT:
Occupation _________________
Income ____________________
FAMILY AND COMMUNITY TIES:
SPOUSE

CHILDREN

Name_____________________ Names ____________________


Occupation ________________
____________________
Income ____________________
____________________
____________________

INFORMATION
CONCERNING
BACKGROUND/CHARACTER REFERENCES:

PETITIONERS

(1)_______________________________________
(2)_______________________________________
(3)_______________________________________
MEMO TO FILE:
Statement from the following witnesses:
Parent/s _______________________________________
Friend/s _______________________________________
Employer _______________________________________
Co-Employee/s___________________________________
Others (Pls. specify) _______________________________
Client has promised to send us the following information:
_______________________________________________________
_______________________________________________________
The following things need to be done in connection with this file:
_______________________________________________________
_______________________________________________________

__________________________
Interviewers Name and Signature

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