Tell us about your experience working with
the Law Offices of Sameer Kumar!


Thank you for taking 5 minutes to provide us valuable input.  Here are the 3 things I’d like your help with . . .

1) Feedback. Let us know how we did. Did we handle your case well? Was everyone from the receptionist, to the paralegal to the attorney helpful and courteous? Did we do anything wrong? What could we improve upon?

Let us know exactly how you felt.

2) A Testimonial. What you say about us holds more weight than anything we could say about ourselves. So let us know what you’d like to share with others.

The best way to do this is answer 3 simple questions:

  • “What was the most valuable aspect of working with us?”
  • “How did the service or advice you received help you?”
  • “Would you recommend our services to your friends or family and why?”

That’s it. Just answer those simple questions and you’ll have given us a great testimonial.

3) Referrals. If you were absolutely THRILLED with our service we would like to ask you to refer 2-3 friends and/or family members to us. Nothing could be a greater compliment.

So go ahead and take a few minutes to fill out the information below.

And Thank You Once Again

First Name *
Last Name *
Email *
Phone *
Street Address1 *
Street Address2
City *
State *
Postal Code *
Your Birthday (MM-DD-YYYY) so we can send you a card & a gift!
Feedback: How was your experience working with us? *
Testimonial: What would you like to share with others about your experience?
Referral’s Name
Referral’s Phone #
Referral’s Email
2nd Referral’s Name
2nd Referral’s Phone #
2nd Referral’s Email
3rd Referral’s Name
3rd Referral’s Phone #
3rd Referral’s Email
By submitting this form you authorize the Law Offices of Sameer Kumar, PC to use the information provided above in our marketing and/or advertising material. If there is any information you would like withheld please send an email to sameer@kumarlaw.com or call 877-KUMAR-LAW indicating so. We respect your privacy and will gladly accomodate. We also hate spam just as much as you do, so we will never sell or distribute your contact information without your consent.