Curtin Law Office Online Assessment A simple initial assessment of your status with respect to estate planning and elder law from the Curtin Law Office
First Name *
Last Name *
Email *
Phone *	### - ### - ####
State where you live *
Age *	Please select one:21 - 3535 - 4545 - 5555 - 6565+
Are you married? *	Yes   Divorced   Single
Do you own a home? *	Yes   No
Other real estate? *	Yes   No
Do you have children? *	Yes   No
Do you or a family member have a disability? *	Yes   No
Approximately how much do your savings and investments total?	Please select one:Under $100,000$100,000 - $250,000$250,000 - $500,000$500,000 - $1,000,000$1,000,000 +
Check which of the following documents you have: *	Will   Durable Power of Attorney   Living will or Health Care Proxy   Revocable Living Trust   None of the above
How recent are the documents you checked above? *	Less than 3 Years   3 - 5 Years   5 Years +   I do not have any of the documents
Do you have a question or particular concern?
Terms of use below *	I have read the terms and agree  The information provided in response to your Legal Check-Up is intended, but not promised or guaranteed, to be correct, complete and up-to-date. The information is not intended to be, and is not, a source of advertising, solicitation or legal advice. No person who receives a Legal Check-Up response should consider himself or herself to have formed an attorney-client relationship with the Curtin Law Office or any of its member attorneys. By clicking the "yes" button, you are agreeing that you are not forming an attorney-client relationship with Curtin Law Office or any of its principals or member attorneys and that your use of the Web site and the responses to Your Legal Check-Up are for information purposes only.