PRE-MEETING QUESTIONS
Personal Information
Name
*
First Name
Last Name
Age
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Are you married?
*
Yes
Widowed
No
Divorced
If yes, spouse name
Spouse Age
Do you have children?
Yes, still at home
Yes, Not at home
No
Children from previous marriage (you or spouse)
Yes
No
Financial Basics
Do you know what you spend monthly?
*
Yes
Almost
Not really
Personal Debt other than mortgage
*
Yes
No
Yes, car loan
What are your financial goals/objectives
*
Can I retire
Retirement planning
Budget planning
College planning
Basic Financial Planning
Saving on Taxes
Other
Other Goals - Share any information related to your goals or how we can help you
Do you or you spouse have any of the following
ESOP
Pension Plan
ESPP
Stock Options
Do you own a home?
*
Yes
No
Do you have a mortgage
*
Yes
No
Do you own any rental properties
*
Yes
No
Investments
Total for all savings, investments and retirement accounts you and your spouse have
*
$0 - $100,000
$100,001 -$250,000
$250,001 - $500,000
$500,001 - $1m
Greater than $1m
What types of investments do you own?
Money Market
CD's
Individual Bonds
Mutual Funds
ETF's
Individual Stocks
Variable Annuity
Fixed Annuity
What is your primary investment objective?
*
Safety
Income
Growth
A little of everything
Do you work currently with an advisor?
*
No
Yes, but seeking second opinion
Sort of
Do it myself
Are you looking for a firm to manage your investments?
*
Yes
Maybe
No
Insurance
Do you have life insurance
*
Yes
Both my spouse and I do
No
Don't know
Do you have long term care insurance
*
Yes
Both my spouse and I do
No
Do you have disability insurance
*
Yes
Both my spouse and I do
Just my spouse
No
Do you need help trying to figure out what insurance makes sense?
*
Yes
No
Retirement Readiness
Please check off retirement accounts you (and/or your spouse) have (check all that apply)
*
IRA
ROTH IRA
SEP
SIMPLE IRA
401(k)
403(b)
457
Annuity
Other (will discuss)
Have you started Social Security
*
Yes
No
Thinking about it
have you work for a state or federal government? Worked overseas?
*
Yes
No
Don't know
Do you need to decide how or when to take a pension (lump sum vs. monthly payment for example)
*
Yes
No
Don't know
Estate Planning
Do you have a will?
*
Yes
No
Shared with family what I want
Do you have a trust?
*
Yes
No
Don't know
Do you want to leave a legacy?
*
Yes
No
Maybe
Life Events
Have you recently experience the following (check all that apply)
*
Divorce
Marriage
Job change
New Child
Loss of spouse
Inheritance
Life is good
Other
Tax Planning
Are you self-employed?
*
Yes
No
Do you do your own taxes
*
Yes
No
Please share best DAYS & TIMES for meetings. Share any restrictions on meeting times and anything else you think we should know about you at this point
*
Submit
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