Preliminary Interview

Record this information while its still fresh in your memory.

Please include contact information.

Please answer the questions as truthfully as possible. Do not guess an answer (approximations are fine, but not as reliable). The results depend on your truthfulness.

Use the Send to Ken button at the end of the form to submit your answers.

All information is strictly confidential.

Personal Information








Do you currently have a Commercial Driver's License?
/

















Your Current Arrest Matter

Is it your goal to win your DWI case?
/





Have you ever been arrested for DUI/DWI before?
/


Are you currently on probation or parole?
/

Please check below all other tickets/charges received with this DWI:







What did the officer indicate to you as the reason for the traffic stop or contact with you (check all that apply)?








Did the officer see you driving, or if he/she did not, did you admit to driving a vehicle?
/

Was there an accident?
/


Was anyone injured? (check all that apply)





Did you drink any alcoholic beverages, and/or take any drugs, within 10-hours of being stopped by the officer?
/


If you drank alcoholic beverages, what type? (check all that apply)















Think about the drinks you had. Many people underestimate how many drinks they had, or cannot remember. This can be extremely important to your case though. In order to calculate your Blood Alcohol Level please indicate how many drinks you had total (one drink is equal to a 12-ounce beer, a regular 4-ounce glass of wine, 1-shot [1.5-ounces] of hard liquor)?





If you were on prescription medications or other drugs, what type? (select all that apply)











Did you take any field balance/coordination (field sobriety tests [FST's]) tests prior to being arrested and handcuffed?
/



Were you ordered or did you do them voluntarily?
/

Please select the field sobriety tests you were ordered to perform (check all that apply)












Did the officer advise you that tests were 100% optional and that no penalty would result from not doing them?
/

Did you fail to satisfactorily perform the balance and coordination tests as demonstrated to you by the officer?
/

Did you blow into a field breathalyzer or hand-held type gadget?
/




Did the officer advise you that you could refuse to take the hand-held gadget breath test?
/

Did you take a blood, breath or urine chemical test? (check all that apply)






Did you take the chemical test within 2 hours of driving?
/


If you took at least one chemical test, did you elect (choose for yourself) the chemical test?
/





If you are charged with refusing a chemical test, where or when did you supposedly refuse?















What type of law enforcement officer was the arresting officer?














Did the officer treat you fairly and professionally?
/


If you have checked your answers...