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Please complete this form and return to the address listed above. Instructions: Please answer these questions fully and truthfully.This questionnaire MUST be completed and failure to turn it in may result in delays. Client Questionnaire. Please bring this completed questionnaire with you when me meet on. To discuss the establishment of a conservatorship. Limited Conservatorship of a Person and a Small Estate. INSTRUCTIONS: Please complete ALL information. 20.4). - Complete name of applicant and have proposed conservator sign and date the form.