Give your clients a form
they can actually complete.

Plain English. HIPAA-compliant. Brandable with your firm name. Free for attorney clients.

Most client intake forms
get returned half-empty.

Legal intake forms written for lawyers confuse clients. They use form numbers, legal jargon, and ask for information clients don’t know they need. The result is multiple callbacks, delays, and frustrated clients before the case even starts.

Our intake questionnaire is written in plain English for the person sitting at their kitchen table trying to understand their own finances. Every question is conversational. Every field has a hint. The document checklist at the end tells clients exactly what to bring.

A form that maps to
every petition field.

Behind the plain-English questions, every answer maps directly to the corresponding official bankruptcy form field. When a client completes our intake, we have everything we need to prepare a complete petition — no callbacks, no guessing.

8 plain-English sections
Covers all schedules A/B–J
SOFA and Means Test data
Document checklist included
Your firm name and logo
E-signature compliant
No email of sensitive data
Secure Jotform dashboard
Request Your Free Intake Form
Bankruptcy Client Intake Questionnaire
Chapter 7 & 13 · HIPAA-Compliant · 8 Sections
What’s inside
Part 1 About You — personal info, prior bankruptcies, joint filing
Part 2 What You Own — real estate, vehicles, household goods, accounts, retirement
Part 3 What You Owe — secured debts, all unsecured creditors, special debts
Part 4 Monthly Income — employment, other sources, payroll deductions
Part 5 Monthly Bills — home, food, health, transportation, family
Part 6 Leases & Ongoing Contracts
Part 7 Financial History — 2-year lookback, transfers, garnishments
Part 8 Secured Property Plan — keep, surrender, or not sure
HIPAA BAA — Jotform verified
Free for attorney clients