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Matrimonial Case Assessment Questionnaire
Instructions:
Fill only those heads that are relevant to your matter. Every unanswered field will automatically appear as
N/A
in the generated output.
Generic Questions
Your full name
Your gender
Male
Female
Other
Father's name
Mother's name
Date of birth
Phone number
Email ID
Religion
Hindu
Muslim
Christian
Sikh
Jain
Buddhist
Special Marriage Act / Civil
Other
Current address
Occupation / designation / profession
Educational / professional qualifications
You are approaching as
Husband
Wife
Prospective husband
Prospective wife
Parent of husband
Parent of wife
Sibling / relative of husband
Sibling / relative of wife
Other
Spouse / opposite party full name
Spouse / opposite party gender
Male
Female
Other
Spouse / opposite party father's name
Spouse / opposite party date of birth
Spouse / opposite party phone number
Spouse / opposite party email ID
Spouse religion
Hindu
Muslim
Christian
Sikh
Jain
Buddhist
Special Marriage Act / Civil
Other
Spouse / opposite party current address
Spouse occupation / designation / profession
Spouse educational / professional qualifications
Marriage / relationship category
Hindu Marriage
Muslim Marriage / Nikah
Christian Marriage
Special Marriage Act Marriage
Interfaith marriage not under Special Marriage Act
Engagement / Roka / Pre-marriage dispute
Live-in relationship
Marriage disputed / validity disputed
Date of marriage / nikah / ceremony / engagement
Place of marriage / ceremony
Whether registered? If yes, details
Matrimonial / shared household address
Date parties started cohabiting
Date of separation / last cohabitation
Current status of relationship
Living together
Separated informally
Deserted
Staying at parental home
Litigation already pending
Mutual settlement talks ongoing
No marriage solemnized / engagement dispute only
Relief / case type required
Complete chronological narrative of the dispute
Marriage-law-specific particulars
If Hindu marriage: rites/customs followed
If Muslim marriage: nikahnama, mehr amount, paid/unpaid, talaq/khula/mubarat/faskh issues
If Christian marriage: church denomination, priest/pastor, church certificate details
If under Special Marriage Act / interfaith: notice, registration office, objection/threat/conversion issues
Cruelty Questions
Physical cruelty
Mental cruelty
Verbal abuse
Sexual cruelty
Emotional neglect
Economic control
False allegations / threats
Interference by in-laws
Interference by natal family
Addiction / alcoholism / substance abuse
Extra-marital conduct / suspicious conduct
Desertion / withdrawal from society
Refusal of cohabitation
Refusal of physical relations
Threat of suicide / self-harm allegations
Social media humiliation / public defamation
Date of first major incident
Date of last major incident
Most serious incident with date, place and brief description
Pattern of cruelty with date-wise summary
Witnesses to cruelty incidents
Proof available for cruelty
Any police call / complaint / DD entry / PCR / women cell / counselling arising from cruelty
Any injuries / MLC / hospitalisation / medicines / counselling / psychiatric treatment
Any reconciliation / mediation / return to matrimonial home after incidents
Any other cruelty facts not covered above
Domestic Violence Questions
Details of shared household and present possession / occupation
Dispossession / denial of entry / lockout / threat to dispossess
Physical abuse details
Sexual abuse details
Verbal / emotional abuse details
Economic abuse details
Whether jewellery / stridhan / clothes / documents / devices are withheld
Whether child was exposed to abuse or used as leverage
Protection order / residence order / return of articles / compensation / custody / injunction sought
Whether any Protection Officer / DIR / Mahila Cell / CAW Cell proceedings already exist
Immediate threat, safety concern or need for urgent interim relief
Other domestic violence facts
Maintenance Questions
Are you seeking maintenance or defending maintenance?
Seeking maintenance
Defending maintenance claim
Seeking child support only
Seeking reduction / enhancement / modification
Any previous maintenance order / interim maintenance / voluntary payment / arrears
Your monthly income and source
Other side monthly income and source as known to you
Your monthly expenses with breakup
Child monthly expenses with breakup
Lifestyle during marriage / standard of living
Any allegation of concealed income / cash business / unaccounted lifestyle / luxury spending / social media display
Educational qualification and earning capacity of both sides
Special expenses: rent, school, medical, disability, travel, insurance, caretaker, litigation, EMIs etc.
Dependents
Other maintenance-related facts
Dowry Related Questions
Any dowry / cash / jewellery / car / property / gift demands? Give date-wise details
List of articles, gifts, jewellery, cash, stridhan, marriage expenses from each side
Who currently has possession of jewellery / stridhan / expensive gifts / bills / receipts?
Were there beatings / threats / expulsion linked to dowry demands?
Any complaint under 498A / dowry / cruelty / CAW Cell / FIR / charge sheet? Give full particulars
Names of all persons involved / implicated / likely to be implicated
If defending, specify which relatives were living separately with full addresses and supporting facts
Any demand for settlement / compromise / mediation regarding criminal case or articles
Proof of dowry allegations / defence
Other dowry-related facts
Child Custody Questions
Number of children
Names, ages and dates of birth of all children
Who presently has physical custody?
Schooling / class / fees / transport / coaching / tuition details
Medical / disability / therapy / special-needs details of child
Who has been primary caregiver till date?
Whether one side is denying access, influencing child, removing child, threatening relocation or passport misuse
What custody / visitation / overnight access / holiday access / video call arrangement is sought?
Any safety issues for child in hands of either parent / family member?
Other custody-related facts
Income Affidavit Questions
Present residence, ownership, rent, who owns the property, and who pays house expenses
General monthly expenses
Past / pending legal proceedings regarding maintenance, child support, DV, family court etc.
Any maintenance already paid / received / awarded / arrears / compliance status
Details of dependent family members with relationship, age and dependency
Independent income / pension / assets / tax liability of dependents, if any
Approximate monthly expenses on dependents
Physical / mental disability / serious ailment / regular medical expenditure of you, spouse, children or dependents
Child maintenance and education expenditure breakup, if any
Employer name / business name / profession details
Designation / nature of work
Monthly gross / net / in-hand income
Salary components / perquisites / HRA / allowances / incentives / bonus / commissions / reimbursements
If private job: employer certificate, Form 16, salary slips, incentives, PF/ESI details
If government service: department, employee code, posting, pay slip, bank credit details
Income tax returns available for one year before marriage, one year before separation and current period
Income from rent, interest, shares, dividends, FDRs, mutual funds, agriculture, professional work, side business or any other source
All bank accounts, account type, approximate balance, and whether statements are available
Self-acquired immovable / movable property details
Joint property / jointly owned assets / post-marriage acquisitions
Share in ancestral property
Investments, FDRs, shares, demat, mutual funds, insurance policies, crypto, provident fund etc.
Jewellery and ornaments of both parties acquired during / after marriage
Transfers / sale / alienation of property during subsistence of marriage
Loans / liabilities / mortgage / credit card dues / personal borrowings / guarantees
EMIs, lender, amount, date and purpose of loan, outstanding amount
If self-employed / business person: nature of business / profession / proprietorship / partnership / company / LLP / HUF details
If self-employed / business person: approximate monthly and annual income and liabilities
If self-employed / business person: GST / audited balance sheet / books / ITR / partnership share / company filings
What do you know about the other spouse’s qualifications, earning, assets, liabilities and residence?
If either side is NRI / OCI / foreign national / living abroad: nationality, address, employer, foreign income, tax, expenses and remittances
Any other financial fact relevant to maintenance / income affidavit
Other Litigation / Criminal / Settlement Questions
Any FIR, complaint, charge sheet, bail, anticipatory bail, notice, mediation, counselling, Lok Adalat or quashing issue
Any pending divorce, restitution, judicial separation, custody, guardianship, maintenance or DV proceedings
Any settlement discussions, written terms, payment proposal, mutual divorce proposal, alimony offer, return of articles plan
Immediate reliefs required urgently
List of documents presently available with you
Any other facts not covered above
Generate Output
Clear Form
Matrimonial Case Assessment Questionnaire
Instructions:
Fill only those heads that are relevant to your matter. Every unanswered field will automatically appear as
N/A
in the generated output.
Generic Questions
Your full name
Your gender
Male
Female
Other
Father's name
Mother's name
Date of birth
Phone number
Email ID
Religion
Hindu
Muslim
Christian
Sikh
Jain
Buddhist
Special Marriage Act / Civil
Other
Current address
Occupation / designation / profession
Educational / professional qualifications
You are approaching as
Husband
Wife
Prospective husband
Prospective wife
Parent of husband
Parent of wife
Sibling / relative of husband
Sibling / relative of wife
Other
Spouse / opposite party full name
Spouse / opposite party gender
Male
Female
Other
Spouse / opposite party father's name
Spouse / opposite party date of birth
Spouse / opposite party phone number
Spouse / opposite party email ID
Spouse religion
Hindu
Muslim
Christian
Sikh
Jain
Buddhist
Special Marriage Act / Civil
Other
Spouse / opposite party current address
Spouse occupation / designation / profession
Spouse educational / professional qualifications
Marriage / relationship category
Hindu Marriage
Muslim Marriage / Nikah
Christian Marriage
Special Marriage Act Marriage
Interfaith marriage not under Special Marriage Act
Engagement / Roka / Pre-marriage dispute
Live-in relationship
Marriage disputed / validity disputed
Date of marriage / nikah / ceremony / engagement
Place of marriage / ceremony
Whether registered? If yes, details
Matrimonial / shared household address
Date parties started cohabiting
Date of separation / last cohabitation
Current status of relationship
Living together
Separated informally
Deserted
Staying at parental home
Litigation already pending
Mutual settlement talks ongoing
No marriage solemnized / engagement dispute only
Relief / case type required
Complete chronological narrative of the dispute
Marriage-law-specific particulars
If Hindu marriage: rites/customs followed
If Muslim marriage: nikahnama, mehr amount, paid/unpaid, talaq/khula/mubarat/faskh issues
If Christian marriage: church denomination, priest/pastor, church certificate details
If under Special Marriage Act / interfaith: notice, registration office, objection/threat/conversion issues
Cruelty Questions
Physical cruelty
Mental cruelty
Verbal abuse
Sexual cruelty
Emotional neglect
Economic control
False allegations / threats
Interference by in-laws
Interference by natal family
Addiction / alcoholism / substance abuse
Extra-marital conduct / suspicious conduct
Desertion / withdrawal from society
Refusal of cohabitation
Refusal of physical relations
Threat of suicide / self-harm allegations
Social media humiliation / public defamation
Date of first major incident
Date of last major incident
Most serious incident with date, place and brief description
Pattern of cruelty with date-wise summary
Witnesses to cruelty incidents
Proof available for cruelty
Any police call / complaint / DD entry / PCR / women cell / counselling arising from cruelty
Any injuries / MLC / hospitalisation / medicines / counselling / psychiatric treatment
Any reconciliation / mediation / return to matrimonial home after incidents
Any other cruelty facts not covered above
Domestic Violence Questions
Details of shared household and present possession / occupation
Dispossession / denial of entry / lockout / threat to dispossess
Physical abuse details
Sexual abuse details
Verbal / emotional abuse details
Economic abuse details
Whether jewellery / stridhan / clothes / documents / devices are withheld
Whether child was exposed to abuse or used as leverage
Protection order / residence order / return of articles / compensation / custody / injunction sought
Whether any Protection Officer / DIR / Mahila Cell / CAW Cell proceedings already exist
Immediate threat, safety concern or need for urgent interim relief
Other domestic violence facts
Maintenance Questions
Are you seeking maintenance or defending maintenance?
Seeking maintenance
Defending maintenance claim
Seeking child support only
Seeking reduction / enhancement / modification
Any previous maintenance order / interim maintenance / voluntary payment / arrears
Your monthly income and source
Other side monthly income and source as known to you
Your monthly expenses with breakup
Child monthly expenses with breakup
Lifestyle during marriage / standard of living
Any allegation of concealed income / cash business / unaccounted lifestyle / luxury spending / social media display
Educational qualification and earning capacity of both sides
Special expenses: rent, school, medical, disability, travel, insurance, caretaker, litigation, EMIs etc.
Dependents
Other maintenance-related facts
Dowry Related Questions
Any dowry / cash / jewellery / car / property / gift demands? Give date-wise details
List of articles, gifts, jewellery, cash, stridhan, marriage expenses from each side
Who currently has possession of jewellery / stridhan / expensive gifts / bills / receipts?
Were there beatings / threats / expulsion linked to dowry demands?
Any complaint under 498A / dowry / cruelty / CAW Cell / FIR / charge sheet? Give full particulars
Names of all persons involved / implicated / likely to be implicated
If defending, specify which relatives were living separately with full addresses and supporting facts
Any demand for settlement / compromise / mediation regarding criminal case or articles
Proof of dowry allegations / defence
Other dowry-related facts
Child Custody Questions
Number of children
Names, ages and dates of birth of all children
Who presently has physical custody?
Schooling / class / fees / transport / coaching / tuition details
Medical / disability / therapy / special-needs details of child
Who has been primary caregiver till date?
Whether one side is denying access, influencing child, removing child, threatening relocation or passport misuse
What custody / visitation / overnight access / holiday access / video call arrangement is sought?
Any safety issues for child in hands of either parent / family member?
Other custody-related facts
Income Affidavit Questions
Present residence, ownership, rent, who owns the property, and who pays house expenses
General monthly expenses
Past / pending legal proceedings regarding maintenance, child support, DV, family court etc.
Any maintenance already paid / received / awarded / arrears / compliance status
Details of dependent family members with relationship, age and dependency
Independent income / pension / assets / tax liability of dependents, if any
Approximate monthly expenses on dependents
Physical / mental disability / serious ailment / regular medical expenditure of you, spouse, children or dependents
Child maintenance and education expenditure breakup, if any
Employer name / business name / profession details
Designation / nature of work
Monthly gross / net / in-hand income
Salary components / perquisites / HRA / allowances / incentives / bonus / commissions / reimbursements
If private job: employer certificate, Form 16, salary slips, incentives, PF/ESI details
If government service: department, employee code, posting, pay slip, bank credit details
Income tax returns available for one year before marriage, one year before separation and current period
Income from rent, interest, shares, dividends, FDRs, mutual funds, agriculture, professional work, side business or any other source
All bank accounts, account type, approximate balance, and whether statements are available
Self-acquired immovable / movable property details
Joint property / jointly owned assets / post-marriage acquisitions
Share in ancestral property
Investments, FDRs, shares, demat, mutual funds, insurance policies, crypto, provident fund etc.
Jewellery and ornaments of both parties acquired during / after marriage
Transfers / sale / alienation of property during subsistence of marriage
Loans / liabilities / mortgage / credit card dues / personal borrowings / guarantees
EMIs, lender, amount, date and purpose of loan, outstanding amount
If self-employed / business person: nature of business / profession / proprietorship / partnership / company / LLP / HUF details
If self-employed / business person: approximate monthly and annual income and liabilities
If self-employed / business person: GST / audited balance sheet / books / ITR / partnership share / company filings
What do you know about the other spouse’s qualifications, earning, assets, liabilities and residence?
If either side is NRI / OCI / foreign national / living abroad: nationality, address, employer, foreign income, tax, expenses and remittances
Any other financial fact relevant to maintenance / income affidavit
Other Litigation / Criminal / Settlement Questions
Any FIR, complaint, charge sheet, bail, anticipatory bail, notice, mediation, counselling, Lok Adalat or quashing issue
Any pending divorce, restitution, judicial separation, custody, guardianship, maintenance or DV proceedings
Any settlement discussions, written terms, payment proposal, mutual divorce proposal, alimony offer, return of articles plan
Immediate reliefs required urgently
List of documents presently available with you
Any other facts not covered above
Generate Output
Clear Form
Your Name
*
Your Email
*
Subject
*
Matrimonial Questionnaire
*
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