Questionnaire

Before we respond to your questions we would like you to complete the following. This will help us to serve you better and to give you the accurate answer you need.

Name: *
Address: *
City: *
State: *
Zip Code:
Country: *
Phone Number: *
Cell Number:
Fax Number:
Email:
Date of Birth:
Country of Birth:
Marital Status:
If Married, Citizenship of the spouse:
If in the United States, Date of Arrival:
Current Immigration Status:
If in the United States, Have you committed any crime of which you were arrested and / or charged? Yes
No
If yes, what is the nature of crime / crimes?
What was the result of the case?
Do you have any relatives who are United States citizens or permanent residents? Yes
No
If so state the relationship and the specific status of the person, for example:
  • Mother (Adult) United States Citizen.
  • Child (Minor) United States Citizen
  • Sister (Adult) Permanent resident

     Academic Background:

  
Please state whether you have a bachelors degree or more..
What is your job experience?
What other degrees or qualifications do you have?
If you are currently in the United States do you fear returning to your country? Yes
No
Why do you fear returning to your country?
What do you think will happen to you if you return to your country?
What is your question?
Is this your first time to visit our web-site? Yes
No
If answer is no do you recall when you last visited us?
   

Note that our consultation for each problem for this question is $100 dollars

         
 

  
   

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