Personal Injury Questionnaire Template: Claim & Evidence

PERSONAL INJURY QUESTIONNAIRE TEMPLATE FAQ

What is a personal injury questionnaire?

A personal injury questionnaire is a structured form used to gather detailed information from someone who has been injured in an accident. It typically covers how the incident happened, the injuries and symptoms, medical treatment, work and income issues, and any prior claims or conditions that might be relevant.

Who uses a personal injury questionnaire and why?

Law firms, insurance companies, and claims departments commonly use personal injury questionnaires during intake or early case review. The form helps them understand the facts of the accident, evaluate the potential claim, identify missing documents, and plan next steps such as investigation, evidence gathering, or settlement strategy.

What information should a personal injury questionnaire include?

A helpful questionnaire usually asks for: basic contact information, date/time/location of the incident, how it occurred, all injured body parts and symptoms, the names of medical providers and facilities, current treatment and medications, time missed from work or school, prior injuries or claims, insurance information, and details about witnesses, photos, or police reports.

Can this Personal Injury Questionnaire be used for car accidents, slips and falls, or workplace injuries?

Yes. This Personal Injury Questionnaire Template is designed to be flexible and can be adapted for motor vehicle accidents (including DUI-related crashes), slip-and-fall or premises incidents, workplace accidents, and other personal injury situations. You can add or remove questions to match your practice area or jurisdiction.

Do answers in a personal injury questionnaire count as legal advice?

No. The questionnaire is simply a way to organize facts and background information. It does not provide legal advice and does not, by itself, create an attorney–client relationship or guarantee that a claim will be accepted. If the injured person has questions about their rights, deadlines, or case value, they should speak directly with a licensed attorney.

Can AI Lawyer help me create or customize a personal injury questionnaire?

Yes. AI Lawyer can help you adapt this Personal Injury Questionnaire Template to your practice by refining questions, adding case-specific sections, or tailoring wording to your jurisdiction or case type. Any AI-generated content is for document organization only and is not legal advice — final decisions about what to ask and how to use the information should be made by a qualified attorney or claims professional.