First Name *
Last Name *
Email *
Phone No. *
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Where are you in the divorce process?
Are you satisfied with your current legal counsel?

Rate the challenge of the following aspects of divorce for you (1: Not a concern at all → 5: seems impossible to handle)

Navigating the Legal Process
Dividing Assets & Finances
Resolving Everything Fairly Without Going to Court
Managing Child Custody & Co-Parenting
Coping Emotionally & Mentally
Figuring Out Housing or Relocation
Health, Wellness & Self-Care
Preparing for Life After Divorce
I Am Not Sure Where to Start
How important are the following for you (1: not important at all → 5: absolutely crucial)
Understanding and Protecting My Legal Rights
Ensuring Financial Security
Taking Care of My Children
Healing Emotionally & Finding Peace
Building a Better Future
Which location best represents where you need support?  *
** NOTE: We have resources and professionals in our network that can assist you regardless of where you live. If you don't see your location listed above, please select the one that's closest to you.
How would you prefer to receive support? *
What is your annual income?  *
What is your spouse's annual income?  *
On a Scale of 1-5, How Ready Are You to Get Support and Take Action?
How did you first hear about Divorce Support Network?  *
If you were referred by a professional:
Please share the name of the referring professional (if known):