san diego dui defense survey

do you have a strong dui case?

* Your Name:
* Email Address:
* Phone Number:
Did police see you driving car: Were you actually seen driving the vehicle?	Yes No Don't Know or Not Applicable
Did you admit to driving car: Did you make this admission to police?	Yes No Don't Know or Not Applicable
Was there probable cause: Did police have justifiable reason to stop you?	Yes No Don't Know or Not Applicable
Did you admit to drinking: Did you make any admission to consuming alcohol?	Yes No Don't Know or Not Applicable
Did you admit to drug use: Did you make any admission to using drugs?	Yes No Don't Know or Not Applicable
Perform Field Sobriety Tests: Did you perform any field sobriety tests?	Yes No Don't Know or Not Applicable
Advised field tests voluntary: Did officer advise you field tests are voluntary?	Yes No Don't Know or Not Applicable
Give breath sample in field: Did you blow into a hand-held breathalyzer at roadside?	Yes No Don't Know or Not Applicable
Did officer advise voluntary: If so, did officer advise portable breath test was voluntary?	Yes No Don't Know or Not Applicable
Chemical test within 90 mins: Were you blood/breath tested within 90 minutes of your last drink?	Yes No Don't Know or Not Applicable
Given option of blood or breath: Were you given a choice of blood or breath test?	Yes No Don't Know or Not Applicable
Was your bac .12% or above: Did your BAC measure .12% or above?	Yes No Don't Know or Not Applicable
Did you refuse a chemical test: Did you refuse a blood or breath test after arrest?	Yes No Don't Know or Not Applicable
If yes, was forced blood drawn: Did officers force a blood sample from you?	Yes No Don't Know or Not Applicable
If refused test, advised of suspension: If so, did officer inform you of automatic license suspension?	Yes No Don't Know or Not Applicable
Arm swabbed before blood test: Did phlebotomist swab your arm prior to needle insertion?	Yes No Don't Know or Not Applicable
Was blood test voluntary: Did you voluntarily submit to the blood test?	Yes No Don't Know or Not Applicable
Did lab tech mix blood tubes well: Did the phlebotomist mix blood sample tubes well prior to handing samples to police officer?	Yes No Don't Know or Not Applicable
Breath observation period met: Did the breath test administrator observe you for 15-20 minutes prior to each breath test?	Yes No Don't Know or Not Applicable
Belch, burp, vomit or object in mouth: Did breath test administrator check for belching, burping, vomiting, or mouth objects prior to each test?	Yes No Don't Know or Not Applicable
Blow into machine more than 2x: Were you required to blow into machine more than twice?	Yes No Don't Know or Not Applicable
BAC results within .02 range variance: Were your test results within .02% of each other?	Yes No Don't Know or Not Applicable
Offered own blood sample: Did the officer give you the opportunity to obtain your own blood sample for independent testing?	Yes No Don't Know or Not Applicable
Empty bladder first time: Did you completely empty your bladder when you first urinated?	Yes No Don't Know or Not Applicable
Officer collected urine twice: Did officer collect two urine samples from you?	Yes No Don't Know or Not Applicable
Officer present for urine: Did police officer accompany you for urine samples?	Yes No Don't Know or Not Applicable
Alcohol or Drugs within 5-10 hrs: Did you use any alcohol or drugs within 5-10 hours of traffic stop?	Yes No Don't Know or Not Applicable
Did you feel under influence: Did you feel any effects of drugs or alcohol? Were you buzzed, high, tipsy, drunk, or stoned?	Yes No Don't Know or Not Applicable
Treated fairly & professionally by police: Were you treated properly while detained & in custody?	Yes No Don't Know or Not Applicable
Do you authorize form: Do you agree to a case strength evaluation?	Yes No Don't Know or Not Applicable
City of Arrest:
Date of Arrest:
Additional comments or concerns:
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