This Questionnaire is designed to supplement the Initial Intake Form, and this questionnaire asks additional information required by the Law Firm to prepare a N-400 Naturalization Filing for USCIS.Please only complete this Questionnaire upon instruction by the office or if the office staff provide this questionnaire's website link. Full Name* First Middle Last Phone*Travel while a Green Card HolderNumber of Trips Outside of the United States for 24 hours or more for the past 5 years?*Number of Trips of 24 hours or more outside of the United States for the past 5 years:Date Exited the USDate Returned to USCountry or Countries visitedReason for Trip Include short trips to Mexico or Canada. If you left the US as a Green Card Holder, you must state the above information. USCIS will also request 5 years of your most recent Tax Return or IRS Transcripts to show you were not Tax Evading.Parent InformationWere your parents married before your 18th birthday?*YesNoIs your mother a United States Citizen?*YesNoWhen did your mother become a US Citizen?* MM DD YYYY Is your father a United States Citizen?YesNoWhen did your father become a US Citizen?* MM DD YYYY Children InformationNumber of ChildrenFirst Name of ChildMiddle Name of ChildLast Name of ChildDate of BirthCity, State, and Country of BirthA NumberCurrent AddressWhat is your child's relationship to you? (for example, biological child, stepchild, legally adopted child) Spousal InformationAre you Currently Married*NoYesCurrent Spouse's Full Name* First Middle Last Current Spouse's Date of Birth MM DD YYYY Current Spouse's CitizenshipCurrent Spouse's A NumberCurrent Spouse's Immigration StatusWas your Current Spouse Married Previously to your Marriage?NoYesHow many times has your current spouse been married?Marital History of Current SpouseFirst NameMiddle NameLast NameDate of BirthCountry of BirthCitizenshipDate of MarriageDate marriage endedHow Marriage Ended? How Many Times have you been PREVIOUSLY married?Your Marital HistoryFirst Name of past spouseMiddle Name of past spouseLast Name of past spouseDate of BirthCountry of BirthCitizenshipDate of MarriageDate marriage endedHow Marriage Ended?