Advice Please
498A Victim Questionnaire
Your details will not be shared with any other organization
.
Please fill in the details in this form inorder for us to help you. You must provide a reliable method (phone number or e-mail) for us to contact you. If you provide us with contact number, we ususally call within 24 hours
Please fill in all fields marked with a *
Name
*
Email
*
Your Location (City, State, Country)
*
How did you hear About us
News Article Comments
Google Search
Yahoo Search
Google Ads
Pamphlet
Rediff Adv
Newspaper Adv
News Article
Media TV Channel
Friend
Blogs
Other Internet Sites
*
498A Registered
YES
NO
*
Place 498A Registered
Date 498A Registered
Any Other IPCs
Relatives Accused
Anyone Jailed
YES
NO
*
Case is at the Stage
498a Not Filed Yet
Complaint in Women Cell
498a Registered (FIR)
Chargesheet Filed
Final Report
*
Money Spent on case so far
Lived in joint Family
YES
NO
*
Marriage Date
Wife Age When she filed 498a
Wife's Education Level
B.Sc.
B.Com.
B.A.
B.Tech
M.Sc.
M.Com.
CA/CS
LLB
M.A.
M.Tech.
MBBS
PhD
12th pass only
Other specialization
Still Studying
*
Wife works (earns)?
HouseWife, does not work
Earning member, works at a company
*
Filed for Divorce
YES
NO
*
Do you have children
YES
NO
*
Wife still living with you
YES
NO
*
Negotiating with Wife
YES
NO
*
She took her Stridhan Back
YES
NO
Not Applicable
*
She had Any Medical Problems
No Medical Problems
Mental Problems
Physical Problems
Willing to help other Victims
YES
NO
*
Ready to give Press/TV interview?
YES
NO
May Be
*
Contact Number
Case Details *
(please be
precise
for us to help you with proper advice)
