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Divorce Questionnaire

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Divorce Questionnaire

PERSONAL INFORMATION

Date:

Client

Full name

Birth date

Age

Birthplace

Address

Work phone

Home phone

Cell phone

Pager

E-mail address

Fax

Social Security no.

Driver's License no.

State

Occupational License no(s).

Armed Forces status

Next of kin

Relation

Address

Spouse

Full name

Birth date

Age

Birthplace

Address

Work phone

Home phone

Cell phone

Pager

E-mail address

Fax

Social Security no.

Driver's License no.

State

Occupational License no(s).

Armed Forces status

Next of kin

Relation

Address

MARRIAGE

Date of marriage

Date of separation

City/County/State

How long have you lived in this state?

County?

No. of previous marriages: yours

spouse

How previous marriage(s) terminated

Wife’s maiden name / wife’s name before this marriage

Does wife desire name change? To what?

Is there a prenuptial or postnuptial agreement?
Yes No Please attach a copy of the agreement.

What is the primary reason you want this divorce?
irreconcilable differences adultery abandonment physical abuse mental abuse spouse’s addiction other

CHILDREN

1. Name Birth date Age School Grade

Social Security no. Living with Client Spouse

2. Name Birth date Age School Grade

Social Security no. Living with Client Spouse

3. Name Birth date Age School Grade

Social Security no. Living with Client Spouse

4. Name Birth date Age School Grade

Social Security no. Living with Client Spouse

5. Name Birth date Age School Grade

Social Security no. Living with Client Spouse

Residence of the children during the last five years:

Where?

With whom?

How long?

Is wife pregnant? Yes No

Is anyone other than the spouse claimed to be the father? Yes No

Are any of the children adopted? Yes No

Do you or your spouse have a health insurance policy that covers the children? Yes No

Name of health care insurance provider for children

Policy, group, or contract number

Paid by whom?

Is the premium for the insurance paid through deduction from your or your spouse’s pay? Mine My spouse’s

Does your / your spouse's health insurance require that you/he/she have the children as dependents to continue health insurance for them? Yes No

Deductible Co-pay on doctor visits Co-pay on prescriptions

Child care: No Yes How many weeks per year? Paid by whom?

Weekly cost - During school Summer

CUSTODY AND SUPPORT

What do you think the custody and visitation rights should be and why?

If you and your spouse have agreed on custody, describe.

Does anyone else claim visitation rights with your children? No Yes

Has support been paid since separation? No Yes How much per week?

If you and your spouse have agreed on child support, how much per week?

Do the children have a custody preference? Yes No

PREVIOUS LITIGATION

Has either spouse previously filed for divorce, separation, annulment, custody, etc., in this county or elsewhere? Yes No

Has there been any previous domestic violence case filed in this county involving you and/or your spouse or any other family member? Yes No

Does anyone else claim custody over children of you or your spouse? Yes No

Have you had any cases filed regarding care of the children? Yes No

Is one of the parties currently under court order to pay support for another child not of this marriage? Yes No

FAMILY HEALTH AND SOCIAL ISSUES

Do you, your spouse, or your children have any serious physical or mental disability, disorder, handicap or incurable disease? Yes No

Please explain

Any addiction issues with drugs, alcohol? Yes No

What type of substance?

What treatment and by whom?

When?

Place of treatment

Outcome of treatment

Any romantic liaisons by either party? No Yes

Any problems with debts? Gambling?

Any marriage counseling? No Yes

Please explain reason, date, and duration

Personal counseling (yours/spouse's)

Are you willing to start/continue counseling? Yes No

Would you sign a waiver of confidentiality so that we may have access to your records? Yes No

Does either spouse wish to reconcile? Yes No

Are you or your spouse receiving government aid? Yes No Caseworker Case no.

RESTRAINING ORDER INFORMATION

Please describe any violent incidents, including place and time

Has either spouse ever been arrested, convicted, imprisoned, or placed on probation? Yes No

Have you or anyone in your household ever been arrested for anything other than routine traffic tickets?

Has your spouse or anyone in your spouse’s household ever been arrested for anything other than routine traffic tickets?

If your spouse says you or anyone in your household is emotionally unstable, state who and why

Physical Description of Client

Race

Height

Weight

Eye color

Hair color

Glasses: No Yes Worn all the time? Yes No

Mustache/beard: Yes Color No

Distinguishing scars or tattoos

Any current restraining orders? No Yes

Physical Description of Spouse

Race

Height

Weight

Eye color

Hair color

Glasses: No Yes Worn all the time? Yes No

Mustache/beard: Yes Color No

Distinguishing scars or tattoos

Any current restraining orders? No Yes

Is carrying a weapon a condition of his/her employment? Yes No

EMPLOYMENT

Client

Employer

Address

Date of hire

Occupation

Weekly gross pay

Weekly take home

Pension

Early retirement benefits

Bonuses or commissions

Profit-sharing

Total income last year

Spouse

Employer

Address

Date of hire

Occupation

Weekly gross pay

Weekly take home

Pension

Early retirement benefits

Bonuses or commissions

Profit-sharing

Total income last year

Previous Employer

Address

Annual Income

Previous Employer

Address

Annual Income

Other income sources (pension, retirement, government assistance, veterans benefits, Social Security, investment funds)

EDUCATION

Client

Highest degree obtained

High school

Date of diploma or GED

Univ./College

Degree

Date obtained

Univ./College

Degree

Date obtained

Additional training

Spouse

Highest degree obtained

High school

Date of diploma or GED

Univ./College

Degree

Date obtained

Univ./College

Degree

Date obtained

Additional training

Did either spouse contribute to the education of the other? Yes No

ASSETS

List significant items of property you owned before this marriage or received as a gift or inheritance during the marriage.

List significant items of property your spouse owned before this marriage or received as a gift or inheritance during the marriage.

List significant items of property you and your spouse received, as a couple, during this marriage as a gift or inheritance.

List significant items of property your children received as a gift or inheritance during your marriage.

Real property

Additional real estate

Vehicles (car, boat, trailer, recreational vehicle, etc.)

Bank accounts or credit union accounts

Individual retirement accounts

Retirement plans, pensions, Keoghs, 401(k) plans, profit-sharing plans, stock bonus or option plans

Investments

Patents, inventions, copyrights, etc.

Life insurance

Business interests

Have you ever lived in a community property state? Yes No

Miscellaneous assets

Have you or your spouse made any substantial gifts or placed property in joint names with anyone other than the spouse? Yes No

Trust beneficiaries Yes No

Assets held at time of marriage

Do you suspect any assets are being given away, sold, or hidden from you? Yes No

EXPENSES

Expenses

Total Expenses =

Total Monthly Income - Monthly Expenses =

LIABILITIES

Please indicate with an asterisk any accounts that you have reason to believe are delinquent.

1. Creditor Account no. Type of indebtedness

Is the account current? Yes No Present balance due

Monthly payment Named borrowers Who will pay until the divorce judgment?

2. Creditor Account no. Type of indebtedness

Is the account current? Yes No Present balance due

Monthly payment Named borrowers Who will pay until the divorce judgment?

3. Creditor Account no. Type of indebtedness

Is the account current? Yes No Present balance due

Monthly payment Named borrowers Who will pay until the divorce judgment?

4. Creditor Account no. Type of indebtedness

Is the account current? Yes No Present balance due

Monthly payment Named borrowers Who will pay until the divorce judgment?

Delinquent Debt

Type Amount Length of Time Overdue

Other obligations (for example, spousal support to a former spouse)

Is anyone other than the spouse and identified children financially dependent on you? Yes No

On your spouse? Yes No

RELIEF TO BE REQUESTED

Divorce

Separate maintenance

Annulment

Custody of children

Visitation rights

Child support payments

Alimony

Spouse to vacate home

Contribution to your attorney fees

Restoration of former name

Procurement of $ in life insurance to secure child support

Property division

Property injunction

Domestic abuse restraining order

Health insurance for children or yourself

Home utility payments

Home insurance (Plaintiff/Defendant)

Mortgage payments

Debts

Other

Attorney fee arrangement

The items checked below are needed to complete your divorce case file. Please collect the items that have been checked and bring in copies or originals to the paralegal as soon as possible.

Items needed

Tax returns with schedules and W-2s-last two years

Paycheck stubs-last two months You Your spouse

Mortgage statement:

Marital home

Vacation property

Income property

Pension or retirement account statement You Your spouse

Car titles You Your spouse

Life insurance cash value statement

Savings account statements

Investment account balance statements

Appraisal for

Appraisal for

Prenuptial or postnuptial agreement

Past three years tax returns, including W-2 forms

Current pay stubs from January to present

Past six months bank statements for all checking and savings accounts (upon receiving it, provide current months bank statement)

Verification of debts (i.e., credit card statements, invoices, monthly statements, etc.)

Verification of assets (i.e., monthly or quarterly statement of any asset listed above in General Information Sheet)

Vehicle titles

Boat titles, Motorcycle titles

NADA (blue book) value of automobiles (highlight car value - you may obtain this information from a bank, car dealership, etc.)

Warranty Deed or Quit Claim Deed to all real estate, including residence and/or any and all land.

Verification of medical insurance cost for children only

Verification of monthly day care cost for children

Costs of transportation for visitation

Verification of other child support payments made either by you or your spouse for any children of a previous marriage or children prior to marriage

Certificates of Deposit

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What the Divorce Questionnaire is and when it's used

A Divorce Questionnaire is a structured form used to collect standardized personal, financial, and custody-related information from parties in a divorce or separation case. Courts, mediators, family law attorneys, and case managers use the questionnaire to speed case intake, identify outstanding issues, and prepare pleadings, settlement proposals, and parenting plans. Typical sections cover personal data, marriage and separation dates, assets and debts, income, expenses, children and custody preferences, health insurance, and proposed support arrangements. Accuracy at intake reduces discovery disputes and scheduling delays during the court process.

Why a standardized Divorce Questionnaire matters

A clear questionnaire centralizes facts, reduces repeated requests for the same information, and helps attorneys and courts evaluate needs efficiently.

Why a standardized Divorce Questionnaire matters

Who completes and relies on a Divorce Questionnaire

The form is typically completed by the divorcing parties, their attorneys, or court-appointed case managers at intake or early in the case.

  • Self-represented litigants who need a guided checklist to collect required case facts quickly and consistently.
  • Family law attorneys and paralegals who use the questionnaire to prepare financial disclosures, settlement proposals, and custody affidavits.
  • Court clerks and mediators who rely on uniform responses to triage cases, schedule hearings, and identify documentation gaps.

Accurate and complete responses speed resolution and reduce the chance of contested discovery or continuance requests.

Essential sections to include in a professional Divorce Questionnaire

A comprehensive questionnaire organizes information into logical sections so reviewers can find needed facts quickly and consistently.

Party details

Full legal names, DOB, contact information, and any prior names; establishes identity for records and service of process.

Marriage timeline

Dates of marriage, separation, and any prior legal actions; these dates determine jurisdiction, asset tracing, and potential fault-based issues.

Children and custody

Names, ages, custody preferences, childcare schedules, special needs, schooling and health arrangements; supports parenting plan drafting.

Income and employment

Current employer, job title, pay frequency, gross/net pay, bonuses, and expected changes; used for support calculations.

Assets and debts

Bank accounts, retirement, real property, vehicles, business interests, mortgages and loans with estimated values and account details for division.

Insurance and benefits

Health, life, disability, and employer benefits including policy numbers and proposed coverage changes for post-divorce planning.

Required data fields commonly collected

Full legal name: Exact name on ID
Date of birth: MM/DD/YYYY
Social Security: Last four digits only
Current address: Street, city, state, ZIP
Employment: Employer and income
Asset summary: Type and estimated value

Step-by-step: completing and submitting the questionnaire

Follow this sequence to collect documents, complete fields, and deliver the questionnaire to the court or counsel.

  • 01
    Gather records: Collect pay stubs, bank statements, tax returns, titles, and insurance policies.
  • 02
    Complete fields: Enter facts accurately, use MM/DD/YYYY, and avoid abbreviations for critical fields.
  • 03
    Attach supporting documents: Upload or attach PDFs for verification of income and assets.
  • 04
    Deliver to parties: Submit to your attorney and file or serve per local rules.

Where the completed questionnaire goes and how it's used

Knowing the recipients and sequence helps ensure proper filing and prevents lost documents.

  • To your attorney: Attorney reviews for completeness and uses responses to draft pleadings.
  • To court clerk: If court requires intake forms, clerk files or attaches questionnaire to case file.
  • To opposing counsel: Shared under discovery rules or as part of settlement discussions.
  • For mediation: Neutral mediator uses questionnaire to prepare issues list and proposals.

Configuring an online questionnaire workflow

Set up a digital form with the right fields and routing rules to collect signatures, attachments, and reviewer approvals.

Field Configuration
Signature fields Require signer name and date for all parties
Conditional sections Show asset detail fields only when 'Yes' selected
Attachment uploads Allow PDFs, limit file size to court requirements
Routing rules Send to counsel then court clerk when complete

Digital signing and eSubmission considerations

Use a compliant eSignature workflow that supports audit trails, authentication, and secure storage before submitting electronically.

  • Authentication: Use email, SMS, or ID verification
  • Audit trail: Capture IP, timestamp, and signer actions
  • File formats: Prefer PDF/A for court filings

Ensure the chosen platform supports required retention, privacy rules, and any court-specific e-filing format before eSubmitting.

Practical tips to complete the Divorce Questionnaire accurately

Use these best practices to avoid delays and follow court expectations when providing case information.

Assemble documentation first
Collect bank statements, tax returns, pay stubs, titles, and insurance policies before you start. Having attachments ready prevents incomplete entries and speeds verification, reducing the chance of court continuances.
Be precise with dates and amounts
Enter exact dates in MM/DD/YYYY format and use full dollar amounts without rounding when possible. Small discrepancies often trigger discovery requests and can prolong negotiations or hearings.
Use consistent names and addresses
Use your legal name and current physical address consistently across all forms and exhibits. Inconsistent information can complicate service, identity verification, and enforcement of orders.
Note changes promptly
If financial circumstances, employment, or residence change after submission, notify counsel and the court promptly to avoid inaccurate disclosures and to preserve credibility in contested proceedings.

Key risks and legal consequences of inaccurate or incomplete questionnaires

Perjury exposure: False statements can lead to sanctions or criminal penalties
Delayed proceedings: Incomplete data can cause continuances and added costs
Adverse rulings: Missing disclosures may result in unfavorable evidentiary inferences
Financial adjustments: Errors in assets or income affect support and division outcomes
Discovery disputes: Inaccuracies can trigger subpoenas and motions
Enforcement risk: Undisclosed assets expose parties to post-judgment enforcement actions

Common mistakes to avoid when preparing a Divorce Questionnaire

  • Leaving fields blank instead of writing 'None' or 'N/A' creates ambiguity and prompts follow-up requests from counsel or the court.
  • Round or estimated figures in asset values without notes lead to disputes in valuation and can require appraisals later.
  • Failing to attach supporting documents such as pay stubs or bank statements increases the likelihood of discovery motions.
  • Using inconsistent dates or names across forms can delay service and verification processes and complicate enforcement of orders.

How different legal workflows use the Divorce Questionnaire

Real-world examples illustrate how questionnaires reduce back-and-forth and clarify issues early in a case.

Uncontested divorce intake

A self-represented filer completed a structured questionnaire before filing

  • The attorney used the responses to draft a settlement without multiple follow-ups
  • The result reduced attorney hours and helped the court process the final decree more quickly by minimizing incomplete filings.

Custody mediation prep

A mediator provided a tailored questionnaire to both parents in advance

  • Responses highlighted childcare schedules and special needs
  • The mediator used that information to focus sessions, shortening mediation from multiple meetings to a single, productive session with a drafted parenting plan.

Comparing eSignature vendors for use with a Divorce Questionnaire

Key pricing and compliance features for typical eSignature providers. Place signNow first; verify plan details directly with vendors before purchase.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day trial Yes, trial available Yes, trial available Yes, trial available Yes, trial available
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently asked questions about the Divorce Questionnaire

Answers to common questions about e-signing, validation, and next steps after completing the questionnaire.


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