LAW FIRM CLIENT INTAKE SURVEY CHECKLIST

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--- INITIAL CONTACT & SCHEDULING ---
[ ] Date of Initial Contact
[ ] Time of Initial Contact
[ ] Client's Full Name
[ ] Method of Initial Contact (Phone, Email, Website Form, Referral, In-Person)
[ ] Phone Number (if applicable)
[ ] Date of Scheduled Consultation
[ ] Time of Scheduled Consultation
[ ] Brief Description of Matter (initial inquiry)

--- CONFLICT OF INTEREST CHECK ---
[ ] Confirm Conflict Check Performed? (Yes, No)
[ ] Clientâ€™s Previous Counsel? (N/A, Yes, Unknown)
[ ] Name of Previous Counsel (if applicable):
[ ] Details of Potential Conflict (if any):
[ ] Number of Related Cases Checked:
[ ] Conflict Review Required? (Yes, No)
[ ] Reviewing Attorney Name:

--- CLIENT INFORMATION GATHERING ---
[ ] Client's Full Name
[ ] Client's Email Address
[ ] Client's Phone Number
[ ] Client's Date of Birth (YYYY-MM-DD)
[ ] Client's Address (Street Address)
[ ] Client's City
[ ] Client's State
[ ] Client's Zip Code
[ ] Briefly Describe the Legal Matter

--- FEE AGREEMENT & RETAINER ---
[ ] Hourly Rate
[ ] Retainer Fee Amount
[ ] Billing Frequency (Monthly, Quarterly, Upon Completion)
[ ] Detailed Fee Description
[ ] Retainer Start Date
[ ] Client Signature
[ ] Attorney Signature

--- ENGAGEMENT DOCUMENTS REVIEW ---
[ ] Client Signature
[ ] Date of Signature
[ ] Client Acknowledgment of Fee Agreement (Acknowledged and Understood, Requires Clarification)
[ ] Client Comments/Questions (if any)
[ ] Conflicts Check Review (Reviewed and Cleared, Further Review Needed)
[ ] Attorney Signature

--- CASE FILE CREATION & MANAGEMENT ---
[ ] Case File Number
[ ] File Creation Date
[ ] Initial Case Summary
[ ] Case Type (Civil, Criminal, Family, Corporate)
[ ] Initial Documents (e.g., intake form)
[ ] Primary Jurisdiction (Court Location)
[ ] Assigned Attorney
[ ] Deadline for Initial Review

--- INITIAL CONSULTATION NOTES ---
[ ] Client's Description of Issue
[ ] Estimated Hours for Initial Review
[ ] Date of Initial Consultation
[ ] Time of Initial Consultation
[ ] Client's Communication Preference (Phone, Email, In-Person)
[ ] Attorney's Initial Assessment of Case
[ ] Potential Legal Claims Identified (Breach of Contract, Personal Injury, Property Dispute, Other)
[ ] Next Steps Discussed

--- COMPLIANCE & REGULATORY CHECKS ---
[ ] Date of Client Identification Verification
[ ] Client Identification Method Used (Passport, Driver's License, Government-Issued ID, Other)
[ ] ID Number (if applicable)
[ ] Anti-Money Laundering (AML) Screening Conducted? (Yes, No)
[ ] AML Screening Date (if conducted)
[ ] AML Screening Results/Notes
[ ] Conflict of Interest Database Searched? (Yes, No)
[ ] Conflict of Interest Database Search Notes

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