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Home
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Menu

Home
About Us
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Contact Us
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Home
About Us
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Menu

Home
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[qsm quiz=2]

[qsm quiz=1]

AXIDENTLAWYERS VALUE ASSESSMENT TOOL

ARE YOU MALE OR FEMALE?

MALE FEMALE

WHAT STATE DID THE ACCIDENT OCCUR IN?

ARE YOU ENQUIRING ON YOUR OWN BEHALF OR SOMEONE ELSE’S BEHALF?

MY OWN SOME ONE ELSE

IF SOMEONE ELSE, DID THAT PERSON DIE AS A RESULT OF THE ACCIDENT?

YES NO

IF YOUR OWN, WERE YOU INJURED IN THE ACCIDENT?

YES NO

WERE THERE ANY WITNESSES?

YES NO

WERE PARAMEDICS CALLED?

YES NO

WAS THE POLICE CALLED?

YES NO

WAS A POLICE REPORT MADE?

YES NO

WERE YOU TRANSPORTERD TO A HOSPITAL?

YES NO

IF SOMEONE ELSE, IS THAT PERSON RELATED TO YOU?

YES NO

DID YOU GO TO AN URGENT CARE THE SAME DAY?

YES NO

DID YOU GO TO SEE A PHYSICIAN THE SAME DAY?

YES NO

DID YOU SEE A PHYSICIAN SHORTLY AFTER?

YES NO

ARE THERE INSURANCE COVERAGES IN FORECE TO COVER THE DAMAGES?

YES NO

DOES THE PARTY AT FAULT HAVE INSURANCE TO COVER YOUR DAMAGES?

YES NO

DO YOU HAVE INSURANCE TO COVER YOUR DAMAGES?

YES NO

DID YOU HAVE ANY OF THE FOLLOWING IMMEDIATELY AFTER THE ACCIDENT?

PANIC ATTACK $200 SEVERE ANXIETY $200 DIFFICULTY SPEAKING $200 NAUZEA $200 VOMITING $200 HEADACHE $200 DIZZINESS $200 BLURRED VISION$200 VISUAL PROBLEMS $200 NECK PAIN $3500 BACK ACHE $3500 CHESTWALL PAIN $500 CHESTPAIN $500 SHORTNESS OF BREATH $500 PARALYSIS $25000 BIFFICULTY WALKING $2000 DIFFICULTY USING HANDS $20,000 ABDOMINAL PAIN $10,000 NOSEBLEED $25000 BLOOD IN URINE $25000 BLOOD FROM RECTUM OR IN FECES $75000 ANY OTHER BLEEDING $5000 OTHER SYMPTOMS (Please add here)

HOW DID THE ACCIDENT HAPPEN?

CAR ACCIDENT $5,000 TRUCK ACCIDENT $10,000 BICYCLE ACCIDENT $15,000 BUS ACCIDENT $15,000 CONSTRUCTION ACCIDENTAL INJURY $15,000 DOG BITE $10,000 E-SCOOTER RENTAL $10,000 UBER/LYFT PASSENGER $50,000 UBER/LYFT DRIVER $50,000 MOTORCYCLE $150,000 PEDESTRIAN ACCIDENT $150,000 SLIP & FALL $80,000 TRAIN & RAIL ACCIDENT $80,000 PREMISES ACCIDENT $80,000 BIG RIG ACCIDENT $250,000 PEDESTRIAN ACCIDENT $150,000 ATV ACCIDENT $150,000 AVIATION ACCIDENT $500,000 BOATING ACCIDENT $500,000 ELEVATOR ACCIDENT $300,000 ESCALATOR ACCIDENT $250,000 ELECTRIC SCOOTER ACCIDENT $200,000 MOTORIZED SCOOTER ACCIDEDENT $150,000 TRAIN ACCIDENT $100,000 WHIPLASH INJURY ACCIDENT $30,000 OTHER ----SPECIFY: Type here please>

WERE YOU SO SEVERELY INJURED THAT YOU COULD NOT WALK AFTER THE ACCIDENT?

YES NO

AS A RESULT OF THE ACCIDENT, HOW MANY OF THE FOLLOWING DID YOU SUFFER?

SKIN AND MUSCLE INJURY to HEAD $30,000 HEAD TRAUMATIC BRAIN INJURIES WITH BRAIN FUNCTION ISSUES $500,000 MEMORY LOSS $500,000 MENTAL FUNCTION CHANGES $500,000 NECK INJURY $100,000 BACK INJURY $100,000 BODY INJURY $50,000 AMPUTATION $1000,000 BROKEN BONES/FRACTURES $100,000 KNEE MENISCUS INJURIES $75000 HIP INJURY $100,000 ROTATOR CUFF INJURY $100,000 SPINAL COLUMN INJURY WITH NEUROLOGICAL PROBLEMS $250,000 EYE INJURY WITH VISUAL PROBLEMS $250,000 FACE INJURIES AND FACIAL DISFIGUREMENT $750,000 Men $1000,000 Women SKIN AND TISSUE TEARS $100,000 BODY DISFIGUREMENTS $100,000 NOSE INJURIY $100,000 NOSE BREATHING PROBLEMS $100,000 SPLEEN INJURY $500,000 LIVER INJURY $500,000 BOWEL INJURY $500,000 BLADDER INJURY $500,000 LUNGS INJURY $750,000 KIDNEY INJURY $750,000 RIB FRACTURE $300,000 OTHER ORGAN INJURY $300,000 ORTHOPEDIC INJURIES $200,000 SPINAL CORD INJURIES $300,000 TRAUMATIC BRAIN INJURY (TBI) $750,000 BURN INJURY $500,000 DISFIGURMENT OF ANY KIND $500,000 LOSS OF A PART OF YOUR BODY (DISMEMBERMENT) $750,000 EYE INJURY OF ANY KIND $500,000 HAND INJURY $250,000 FOOT INJURY $300,000 HIP INJURY $400,000 KNEE INJURY OF ANY KIND $300,000 HIP FRACTURE $350,000 KNEE FRACTURE $300,000 ANKLE FRACTURE $100,000 ARM FRACTURE $100,000 NECK FRACTURE $250,000 SPINAL COLUMN FRACTURE $300,000 BONE FRACTURES CUTTING THROUGH THE SKIN $300,000 BONE FRACTURES WITH BONE PIECES MOVED APART FROM EACH OTHER BUT NOT THROUGH SKIN $75,000 BONE FRCTURES WITH FINE LINE FRACTURES $75,000 MULTIPLE BONE FRACTURES $150,000 EYE INJURIES WITH VISUAL CHANGES $500,000 INJURY LEADING TO INABILITY TO WALK NEEDING WHEELCHAIR PERMANENTLY $2,000,000 INJURY LEADING TO INABILITY TO WALK FOR A FEW WEEKS $100,000 INJURY LEADING TO INABILITY TO WORK FOR A FEW WEEKS $100,000 INJURY LEADING TO INABILITY TO USE ONE ARM FOR A FEW WEEKS $100,000 INJURY LEADING TO INABILITY TO USE BOTH ARMS FOR A FEW WEEKS $500,000 INJURY LEADING TO INABILITY TO USE BOTH ARMS PERMANENTLY $20,000,000 INJURY LEADING TO INABILITY TO CARE FOR YOURSELF NEEDING ASSISTANCE$10,000,000. SPINAL CORD INJURY WITH PERMANENT NEUROLOGICAL DEFICIT TO ARMS AND LEGS $50,000,000

ARE ENQUIRING ON BEHALF OF SOMEONE WHO PASSED-AWAY IN THE ACCIDENT:

Wrongful Death

ARE YOU THE SPOUSE OF THE DECEASED?

YES NO

WHAT KIND OF VEHICLE?

MOTORCYCLE CAR SUV SMALL-MEDIUM PASSENGER TRUCK 4X4/LARGE PASSENGER TRUCK

WERE YOU THE DRIVER?

YES NO $5,000

HOW WAS YOUR VEHICLE INVOLVED IN THE ACCIDENT?

OUR VEHICLE HIT THE OTHER VEHICLE (CASE MAY NOT BE GOOD) THE OTHER VEHICLE HIT OUR VEHICLE

HOW MUCH DO YOU ESTIMATE THE DAMAGE TO YOUR VEHICLE WAS?

LESS THAN $1500.00 (CASE MAY NOT BE GOOD) 1500 TO $10,000.00 $10,000.00 TO $20,000.00 $20,000.00 TO $30,000.00 MORE THAN $30,000.00 THE VEHICLE WAS TOTALLED AND NOT DRIVABLE.

HOW DID THE ACCIDENT HAPPEN?

THE OTHER VEHICLE BROKE THE LAW AND CAUSED THE ACCIDENT THE OTHER VEHICLE PASSED THE RED LIGHT AND CAUSED THE ACCIDENT THE OTHER VEHICLE PULLED IN FRONT OF US INTENTIONALLY THE OTHER VEHICLE SUDDENLY HIT THE BREAKS TO CAUSE THE ACCIDENT THE OTHER VEHICLE SIDE SWIPED OUR CAR THE OTHER VEHICLE HIT OUR CAR FROM THE BACK THE OTHER VEHICLE HIT OUR CAR FROM THE BACK AND DROVE US INTO THE CAR IN FRONT OTHER (Describe briefly please:)

THE ACCIDENT HAPPENNED IN THE FREEWAY WHILE OUR CAR WAS AT:

FULL STOP MOVING AT 10 -25 MILES PER HOUR MOVING AT 25-45 MILES PER HOUR MOVING AT 45-65 MILES PER HOUR MOVING AT 65 MILES PER HOUR OR MORE

THE ACCIDENT HAPPENNED IN THE FREEWAY WHILE THE OTHER CAR WAS MOVING:

MOVING AT 10 -25 MILES PER HOUR MOVING AT 25-45 MILES PER HOUR MOVING AT 45-65 MILES PER HOUR MOVING ABOVE 65 MOLE PER HOUR

THE ACCIDENT HAPPENNED IN THE STREET WHILE OUR CAR WAS AT:

FULL STOP MOVING AT 10 -25 MILES PER HOUR MOVING AT 25-45 MILES PER HOUR MOVING AT 45-65 MILES PER HOUR MOVING AT 65 MILES PER HOUR OR MORE

THE ACCIDENT HAPPENNED IN THE STREET WHILE THE OTHER CAR WAS MOVING:

MOVING AT 10 -25 MILES PER HOUR MOVING AT 25-45 MILES PER HOUR MOVING AT 45-65 MILES PER HOUR MOVING ABOVE 65 MOLE PER HOUR

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