Former Client Survey We would appreciate it if you would take a minute to complete this survey about the legal services we provided you. Former Client Survey Claimant's Name* Type of Claim(s) - check all that apply* Virginia Workers' Compensation SSDI (Social Security Disability Insurance) Adult SSI (Suplemental Security Income) 1. Why did you choose Mr. Lutkenhaus as your attorney?*2a. Were you pleased with our representation?* Yes Somewhat No 2b. Explain:3. Would you recommend him to your friends and/or relatives?* Yes No 4. Do you have any comments about the legal services you received?5. Do you have any suggestions for improvements?*6. Do you agree to your comments being posted in the testimonial section of this website and/or www.virginiadisabilitylawyer.com?* Yes Yes, but use an alias instead of my real name No thanks CommentsThis field is for validation purposes and should be left unchanged. Thank you for choosing our firm to represent you in your time of need.
