Family Court Services at the San Bernardino Superior Court prepared an outstanding questionnaire for purposes of child custody mediation. If you are scheduled for a consultation with Ashley A. Andrews, APC and you have child custody and/or domestic violence issues in your family law matter or you are an existing client with domestic violence issues then please print out, complete and bring this form with you to your meeting with Ms. Andrews.

For those cases with domestic violence only, please complete the domestic violence portions of the form only. Because you are bringing this form to your meeting with Ms. Andrews and not to the Court, you do not need to sign this form. The purpose of this form is to guide you in information gathering only.