This form should only be completed if the Law Firm has provided the link or instructed you to do so. Please answer this Questionnaire to the best of your abilities. Unfortunately, neither Extreme or Exceptional Hardship are clearly defined by USCIS. So, the best way to argue a hardship would occur is by arguing both: (a) the scenario of you not seeing each other for many years, and (b) the scenario of everyone leaving the US.This questionnaire has been built to assist in preparing and responding to RFE's for the following USCIS Hardship Forms: I-601, I-601A, I-212, and I-612. US Citizen's (or LPR's) Full Name* First Middle Last Date of Birth MM DD YYYY Immigrant's Full Name* First Middle Last Immigrant's Date of Birth MM DD YYYY What Country is the Immigrant from:* AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Date of Marriage MM DD YYYY Email* A copy of your responses will be submitted to the email provided and to the office.Relationship Questions:How did you meet your spouse?What are your relationship goals?Do you have children?YesNoChildrenFull Name of ChildDate of Birth of ChildCountry of Birth of ChildFirst Name of MotherFirst Name of Father Upload one Meaningful Family PhotoA photo personalizes the filing and hopefully would make an officer understand that their decision would affect human beings.Financial Questions:Financial Hardship always occurs, but clear descriptions of the hardship are mandatory by USCIS in order to hopefully succeed under this hardship, along with other related items.IncomePlease describe all current forms of income: source, amount per hour/year, etcName of Current Employment for US Citizen or LPREstimate for Current Annual Income for above employmentBreakdown of all Bills in your household*Type of BillName of companyMonthly PaymentOverall Balance (if a debt) Please add as many bills as possible to help establish financial hardship.You can upload bill statements here: Drop files here or Please upload as many bill statements as possible to help establish financial hardship.Please describe what are your main expenses:*If your spouse or family member left today for many years, please describe how that would affect expenses?*Example: If a mother left a baby with a working father, the father would incur a daycare expense, loss of work to take baby to doctors, and formula would be required since no more breastmilk.How much is 1 plane ticket back and forth from your home in the US to your "hypothetical home" abroad, if this waiver was denied?If you (the US Citizen or LPR) left the US today, what debts would be defaulted on?What is the average income of employment in the foreign country you and your family would leave to, if the waiver is denied?Please describe your thoughts.Can the US Citizen or LPR Spouse or Family Member do the same employment abroad? If not, thorough describe why.Please describe as clearly as possible.If everyone left the US Today, What is your savings situation? And, how long could you live off of it abroad?If the US Citizen/LPR left current employment, would you be re-hired at the same position/pay rate/employment conditions?We are trying to figure out how things would be if you returned 2 to 10 years from now.Emotional Questions:Please describe how you would feel if your family left the US for the next few years:*Please be as specific and detailed as you can and try to provide more than 100 words.What would be some difficulties of the US Citizen / LPR readjusting to life in the new country?What is the longest amount of time you have been away from your family? And, how did that make you feel?If you are taking in medication or receiving any treatments for depression, anxiety, sleeplessness, suicidal thoughts, PTSD episodes, etc.:Please describe to the best of your abilities.Do you have any other dependents or anyone that strongly relies on you for financial/emotional assistance?If you were to leave the US to be with your family in their home country, how would that impact the dependent(s) left in the US?Violence in the Foreign CountryPlease describe any violence that has recently occurred in the abroad home area (city, county, department, parish, etc.) of the immigrant:Please attach any news articles (in English) of any local violence here: Drop files here or Accessibility to Medicine and Medical Professionals abroad:Please describe any issues with access to medicine and medical processionals in the abroad home area (city, county, department, parish, etc.) of the immigrant:Access of Education for Chrildren:Please describe the education possibilities in the Foreign Country, compared to the US:If your children have any special needs regarding education, please describe them here:Such as Speech Therapy, ESL, etc.