Pre-Meeting Questionnaire

First Name

Last Name

Email

Age

Street Address

Marital Status:

Married Single Divorced Widowed

If married, spouse’s name

Do you have children?

Yes, and they are independent Yes, and they are dependent No

Do you or your spouse have children from a previous marriage?

Yes No

Have you recently transitioned or are still transitioning through any of the following (select all that apply)?

What are your primary financial and life goals (select all that apply)?

Are you aware of the amount of money you spend on a monthly basis?

Yes No

Do have any outstanding debts?

Yes No

If yes, please select all of the following debts you have outstanding:

Are you currently or have you ever worked with a financial advisor?

Yes No

Which of the following are valuable qualities that you would like to see in your ideal advisor (select all that apply)?

Trust Credentials

Willing to teach financial information to me Willing to be collaborative

Takes ownership of my problems as if they were their own Has wisdom, knowledge, and experience that allow for valuable financial recommendations

Cares about financial needs as well as emotional, relational, and spiritual ones Values financial gifting / Charity

How much involvement would you like in the investment process?

I prefer to delegate those responsibilities to an advisor I prefer to collaborate with an advisor

What is your attitude toward risk?

Risk averse Risk neutral Risk seeking

What is your investment objective?

Preserve capital Generate income Promote growth

The sum of your savings, investments and retirement accounts has a value of

Which of the following investments do you currently own (select all that apply)?

Which of the following employee benefits do you or your spouse receive (select all that apply)?

Which of the following retirement accounts do you have (select all that apply)?

Have you begun receiving social security benefits?

Yes No

Are you or have you ever been a government employee?

Yes No

Do you own a home?

Yes No

If yes, do you have a mortgage?

Yes No

Do you own rental properties?

Yes No

Do you prepare your own taxes?

Yes No

Are you self-employed?

Yes No

Do you have a will?

Yes No

Do you have a trust?

Yes No

What is your preferred way for us to contact you?

Phone Email

If phone –

If email –

How did you find out about our services?

Pre-Meeting Questionnaire

General Information

Transitions

Goals

Budgeting & Debt

Investments

Employee Benefits and Perks

Retirement

Real Estate

Taxes

Estate

Contact Information