Name *

(As shown on birth certificate or marriage marriage)

First Name

Last Name

Phone *

(###)

###

####

Have you made a Will before? *

yes

no

Do you own interstate or international assets? *

yes

no

What is your current legal relationship status? *

(Check all that apply)

Currently single

Partner (not living together)

Partner (together less than 2yrs)

Partner (together more than 2 yrs)

De facto partner (living together)

Engaged

Married

Separated from de facto partner less than two years

Separated from de facto partner more than two years

Separated from spouse less than one year

Separated from spouse more than one year

Separated but not yet divorced

Divorced

Divorced from a previous spouse prior to current partner/spouse

Widowed

Tell me a little bit about your current family structure: *

(Check all that apply)

Don't have children / don't plan to any time soon

Don't have children but plan to soon

Children under 18 years

Children aged 18-25 years

Children aged 25+ years

Children with current partner

Children with previous partner

Stepchildren

Adopted children

Donor-conceived children (I am a legal parent)

Donor-conceived children (I am a donor)

Grandchildren

Great grandchildren

Other financial dependents living with you - eg elderly parents, person with a disability

Do you require advice on, or need your Will to include, any of the following:

(Check all that apply)

Blended family structure

Non-traditional family structure

Donor conception

Letting someone live in my property after I die, but not inherit it

Leaving somebody out of my Will, or leaving somebody less than what they might be entitled to at law

Protecting assets for somebody with financial, addiction, or other issue

Separation / divorce

Other (set out below)

Would you like to include an organ donation clause in your Will? *

(Note: you must also register to be an organ donor)

yes

no