Have you experienced any of the following?
Been hurt in an accident
Been hurt because of a doctor or hospital
Lost a job or treated unfairly at work
Tricked or harassed by a company
None of the above
What type of accident?
Car
Motorcycle
Truck/Trailer
Slip & Fall
Workplace
Something else
What happened with with your treatment?
Surgery/Treatment went wrong
Medicine wasn't right
Misdiagnosed or missed illness
Something else
What happened at work?
Not paid the correct amount
Mistreated because of race/gender/age/religion
Harassed/Bullied
Let go unfairly
Something else
What happened with the company?
Personal information was mishandled or exposed
Bought a product or service that didn't work as promised
Was scammed or lied to
Received harassing calls or texts
Something else
What type of calls/texts did you recieve?
Marketing calls/text
Robocalls
Debt collection
When did this happen?
Less than 1 week ago
Between 1 - 4 weeks ago
Between 1 - 3 months ago
Within the past 1 year
Within the past 2 years
More than 2 years ago
Based on your answers we need more information
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