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How were you injured?
*
Car Accident
Slip & Fall
On the Job
Other
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Sorry about your Car Accident! Who was hurt?
*
Driver
Passenger
Pedestrian
Cyclist
Minor
Friend
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Sorry to hear about your slip & fall accident. Who was hurt?
*
I was hurt
A loved one was
We wear hurt
No one was hurt
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Start a free claim Where did the car Accident Happen?
*
New York
New Jersy
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When Did the Car Accident Happen?
*
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Wear you treated for your injuries?
*
I was treated at Hospital ER
I was treated at a Clinic
I was not treated
I was treatment
Other
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Start a free claim Can you describe your injuries
*
My head
My neck or back
My shoulders, knees and ankles
Every part of my body
I have axiety or emotional injury
Other injuries
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Next
What type of accident was it?
*
I was rear ended
I was hit head on
I was side swiped
Every part of my body
A car hit me
Other
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Next
Are you represented by an attorney?
*
Yes
No
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Do you want to change your attorney?
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