This signed questionnaire by the attorney will help the defendant make an informed decision on choosing the best attorney to represent him in court. Without a signed document the client has no idea of the quality of representation he will receive in court.

1. Name of court appointed attorney.______________________________________ Firm________________________ Phone_________________________________
2. What law school did you graduate from? ________________________________
3. What year did you graduate? Month_________ Year 19_____
4. Did you graduate in the upper ten percent of your class? Yes___ No___ The upper half of the class? Yes___ No___
5. How many years have you practiced law? ____ How long as a court appointed attorney? Months___ Years___ How long have you been employed with your present firm? Months___ Years ___
6. How many criminal defendants have you represented as the attorney of record? ____ What percentage of these cases have you won? ___ Lost___
7. What percentage of your cases have you settled with a plea bargain? ____% Will you attempt to get me to take a plea-bargain? Yes___ No__
8. Will you lose your right to act as a court appointed attorney if you have too many cases that go to trial? Yes___ No___
9. Have any complaints been filed against you with the Oregon Bar Association? Yes___ No___
10. To protect my legal interests will you agree to request separate trials on individual charges placed against me, if this would be to my advantage? Yes___ No___

11. Will I have reasonable access to you to discuss my case? Yes___ No___ How much time will you give me to discuss my case with you? ____ How many estimated hours will you spend on my case. ____ hours May I call you at your office? Yes___ No___

12. Are you willing to describe in a written and signed statement what you will do to protect my civil and Constitutional Rights and the strategy you will use to defend me in court? Yes___ No___

13. As my court appointed attorney how much do you expect to be paid for your services? $______ How much an hour does this amount to? $_________

14. Will the state of Oregon pay your law firm to represent me in court? Yes___ No___ Will I then be billed by the state for your services when I am able to pay. Yes___ No___

15. Will you see to it that I do not appear before a judge or jury in prison garb and that I am appropriately attired during hearings or a trial? Yes___ No___

16. I believe that my client has a right to know and should be fully informed regarding my legal background and legal expertise to defend him. I agree to be completely familiar with my client’s case. I will fully inform my client regarding his legal options. I agree not to threaten, intimidate, use profanity, or verbally harass my client. I will not attempt to coerce him to do anything contrary to his best legal interests. I will not discuss his case with the district attorney, prosecutors, judges, other attorneys, or anyone else without my clients written permission. I affirm that I’m familiar with the US Constitution, the Oregon Constitution, and all federal, state, county, and city laws my client may be charged with violating. I affirm that I am competent and experienced in criminal law. I will be forthright, honest, and represent my client in a professional manner.