Introductory Meeting Questionnaire

Introductory Meeting Questionnaire
In order for us to help you reach your financial goals, please answer the questions below regarding your financial profile. Plan on about 10-15 minutes to complete them.

Once we receive these, we will reach out to schedule a complimentary introductory meeting with you.

*This is a secure form. Your information will not be shared externally.
Profile Information
Marital Status*

SingleMarriedDivorcedWidowed
Spouse's Name*

First NameLast Name
Name*

First NameLast Name
Age:*
Spouse's Age:
Email:*
List your preferred email for correspondence.
Spouse's Email:
List your spouse's preferred email address.
Please share the best days/times during business hours (9 a.m. - 4:00 p.m.) to schedule meetings?*
Children:

No childrenGrown childrenAt least one minor childCaring for parentsOther dependents
What is your occupation?*
What is your spouse's occupation?
Are you self-employed*

YesNo
Is your spouse self-employed*

YesNo
Goals
What aspects of financial planning are the most important to you? *

Answering the question, "When can I retire?"Saving for college for children or grandchildren.Aligning all areas of finances in an overall plan.Reducing taxes.Having peace of mind about my financial future.Understanding and managing my investments.Saving for retirement.Investment returns.
What is your primary investment objective?*

Safety of PrincipalIncomeIncome with GrowthGrowth with IncomeGrowthAggessive Growth
Are you currently working with an investment advisor or financial planner?*

YesNo
Are you looking for a firm to manage your investments?*

YesNoNot sure
Employer Plans

Do you or a spouse have any of the following types of benefit plans. Please enter approximate account balances for all that apply:

	You	Spouse
o 401(k)
o 403(b)
o 457 plan (Deferred comp plan)
o Profit sharing plan
o ESOP (Employee Stock Ownership Plan)
o ESPP (Employee Stock Purchase Plan)
o Stock Options (Restricted, ISO or NQs)
o SERP (Supplemental Executive Retirement Plan)

	You	Spouse	Joint (If applicable)
o Non-Retirement Accounts
o Annuity
o Roth IRA
o IRA

Investments
How much do you have in cash savings (savings, money market, CD's)?*
Enter 0 if none.
Do you own a home?*

YesNo
Approximate Value?
Do you own any rental properties?*

YesNo
Approximate Value?

How much experience do you have with the following types of investments?*

	None	5-10 Years	Over 10 Years
Mutual Funds
Index Funds
Exchange-traded funds (ETF)
Individual stocks
Individual bonds

Expenses/Debt
Do you know what your monthly living expenses are?*

YesApproximatelyNo

Please list the balances of the types of debt that you have:

	Approximate Balance
Home Mortgage
2nd Mortgage
Home Equity loan
Rental Property Mortgage
Auto loan(s)
Student loan(s)
Credit card(s)
Other

Insurance

*Check mark the boxes below if you or your spouse have the specific type of insurance.
Do you have life insurance*

YouYour spouseNo life insurance
Do you have long-term care insurance?*

YouYour spouseNo long-term care insurance
Do you have disability insurance?*

YouYour spouseNo disability insurance
Retirement Readiness
Are you currently receiving Social Security Benefits? Please mark who is currently receiving benefits.*

YouYour spouseNot currently receiving social security benefits
Do you have a pension plan?*

YouYour spouseNeither of us has a pension plan
Do you need to decide how or when to take a pension (lump sum vs annuity for example)?

YesNoI don't know
Estate Planning
Do you have a will?

YesNo
Do you have a trust?

YesNo
Life Transition
Have you recently experienced a life transition (check all that apply)?:

DivorceMarriageJob changeNew childInheritanceLoss of spouseMoving across states
Tax Planning
Do you currently work with a CPA?*

YesNo
If so, does your CPA provide you with tax planning strategies?*

YesNo
Is there anything else you would like us to know about you or your financial situation?
Thank you for completing this questionnaire!

We will be in touch with you soon.

Advisory services are offered through Bridge Financial Strategies, LLC, a Registered Investment Advisor in the State of Arizona, and where otherwise legally permitted. Julie A. Kern is not an attorney and does not offer legal advice.
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Introductory Meeting Questionnaire

Profile Information

Goals

Employer Plans

Investments

Expenses/Debt

Insurance

Retirement Readiness

Estate Planning

Life Transition

Tax Planning