McPhadden Samac Merner Barry

MSMB Bishop's College School Questionnaire:

Any information provided to us by way of answering the questionnaire will be kept in the strictest confidence. We will not release your identity to anyone without your express permission. If you would like to consult with one of the firm’s lawyers, on a confidential, no obligation, basis, please complete the questionnaire and contact us by telephone or email.

GET A FREE EVALUATION OF YOUR CASE

THERE IS NO FEE UNLESS WE WIN YOUR CASE

COMPLETING THIS QUESTIONAIRE DOES NOT ESTABLISH A SOLICITOR – CLIENT RELATIONSHIP WITH THE LAW FIRM. THE LAW FIRM WILL NOT BE RETAINED UNTIL IT RECEIVES A SIGNED RETAINER AGREEMENT.

* First Name:

Middle Name:

* Last Name:

* Address 1:

* City/Town:

* Province:

Postal Code:

Country:

* Telephone Number (###) ###-#### optional ext

Mobile Phone (###) ###-#### optional ext

Email address:

When did you attend Bishop's College School?

	MM		DD		YYYY
From		/		/
To		/		/

* 11. Were you sexually, physically or psychologically
abused by Harold Forster?

If so, which?

Sexually Abused?

Physically Abused?

Psychologically Abused?

If so, when? (actual or approximate date(s)?

MM

DD

YYYY

Approximate Date:

/

/

Approximate Date:

/

/

Approximate Date:

/

/

Approximate Date:

/

/

Approximate Date:

/

/

If you were sexually assaulted by someone other than Harold Forster
while attending Bishop's College School, by whom? Name(s):

Last Name, First name:
Last Name, First name:
Last Name, First name:

Do you have any additional comments you would like to make particularly about the nature of the assaults?

back