K r e m e r s

 


 

 

How did you become injured?

 

Who was mainly to blame?

 

Why do you blame the above? *

 

What are your main injuries?

 

Do you have continuing symptoms?

 

What date were you injured?

 

 

Do you have any witnesses?

 

Are your witnesses happy to help?

 

Was there an official investigation?

 

Has anybody been prosecuted?

 

Has anybody admitted blame?

 

Have you been off work, or "out of action"?

 

If so, for how long?

 

Have you lost earnings?

 

If you live in the UK, then where?

 

If you are outside the UK, then where?

 

Should I call you at home or at work?

 

Which day of the week is best?

 

What time of day is best?

 

What is your telephone number?*

 

What is your e-mail address?*

 

What is your name?*

 

Please click the 'submit' button to send me the details, which will be treated in the strictest confidence.

I will then contact you at the time you requested. Any advice will be on a free, no obligations basis, and does not constitute the acceptance of formal legal instructions.

Thank you for completing this questionnaire. Your interest is much appreciated.

  


© 2011 Boris Kremer, all rights reserved