Initial Inquiry Questionnaire

We do not share your info with any marketing lists or outside parties.

General Information

 
Are you married?
Do you have children?
Do you (or your spouse) have any children from previous marriages?
 
How did you hear about us, and/or find us? *

Basics

Do you know what you spend on a monthly basis?
Do you have personal debt other than a mortgage?
At what age would you like to retire? *
At what age would your spouse like to retire?
Estimate your personal debt excluding mortgage. This would be credit card debt, student loans, auto loans, etc...
What are your primary financial planning goals/objectives (check all that apply):
Other goals - Please share any additional information related to your goals or areas where you are hoping we can assist. *

Company Benefits

Do you or a spouse have any of the following types of benefit plans (check all that apply):

Real Estate/Mortgages

Do you own a home?
Do you have a mortgage?
If yes, please include your interest rate and loan term (15yr, 30yr, etc.) *

Investments

Which types of investments do you own? (check all that apply)
When you add up values for all employer sponsored retirement plans (401K, 403B, SIMPLE IRA) you have approximately:
When you add up values for all savings, investments, and non-employer sponsored retirement accounts (Traditional IRA, Roth IRA, etc.) you have approximately:
What is your household income?
What is your primary investment objective?
Are you currently working with an investment representative?
Are you looking for a firm to manage your investments?

Insurance

Do you have long term care insurance?
Do you have disability insurance?

Retirement Readiness

Please check off which types of retirement accounts you (and/or your spouse) have (check all that apply):
Have you started Social Security benefits?
Have you ever worked for the federal or state government, or worked overseas?
Do you need to decide how or when to take a pension (lump sum vs annuity for example)?

Estate Planning

Do you have a will?
Do you have a trust?
Is leaving assets to an heir or charity an important goal?

Life Transition

Have you recently experienced a (check all that apply)

Tax Planning

Are you self-employed?
Do you prepare your own income tax return?
Please share the best DAYS/TIMES during business hours for meetings, any restrictions on meeting times, and anything else you think we need to know at this point: *
Your Email - Best Email to use for scheduling. We do NOT send solicitations or add this to any lists. *
Phone Number - what is the best number to use to touch base regarding scheduling options? *
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