SSDI QUESTIONNAIRE

AM I ELIGIBLE FOR SOCIAL SECURITY DISABILITY (SSDI) OR SUPPLEMENTAL SECURITY INCOME (SSI)?

This quick questionnaire will help you check eligibility for SSDI or SSI. Get in touch with us for more information about current Social Security benefits regulations and how a Social Security benefit analyst can help you.

Do you feel you have a condition that is expected to last 12 months or longer and impact your work? *
Are you currently employed? *
Are you self-employed or a 1099 employee? *
As an example, do they allow you to take more breaks, work less hours during the week etc. to help accommodate your condition?
Do you frequently have to purchase items, due to your condition, in order to be able to work?
As an example, medications, public or private transportation?
Why did you stop working?
Are you over the age of 18? *
Did you become disabled before age 22?
Do you have a living parent that is receiving Social Security benefits of any kind? *

Enter your information, we will get in touch with you with more details on how to move forward.