Trademark Questionnaire

Please fill out this questionnaire to the best of your ability and submit. To complete a fillable PDF form instead, please download this Trademark Questionnaire. If you have any questions, feel free to contact our office.

All images and specimens should be emailed to with client name and “Trademark Images” in the subject of the email. For a full list of acceptable specimens, see this page.

Trademark Questionnaire
First, M.I., Last
If applicable.
Street, City, State, Zip Code
Please note specific fonts, colors, and designs used. If Mark is a Special Form Mark, please insert or email images.
Please use clear and concise terms.
A specimen is a real-world example of how you are using your trademark to sell your products or services. For a complete list of acceptable specimens, please see the USPTO website linked above the form.
Please note any pertinent information, including any previous applications.
If different than name above.