Financial Planning Pre-Meeting Questionnaire

The information below will help the financial advisor you are meeting with better understand your unique goals, needs and wants. Please know this information is secure and will not be shared with any outside parties.

You are not required to answer every question, so if a section does not pertain to your situation or if you are unsure how to fill out a section, you may skip it and we will discuss in your meeting.

Please be sure to fill out your email and phone number or this form will not submit.

Person 1

First name

Last name

Email

Please use the same email address you previously provided our team.

Phone number

Street address

City

State

Postal code

Occupation

Employer

Date of Birth

Desired Retirement Age

Person 2

First Name Person 2

Last Name Person 2

Phone Person 2

Email Person 2

Occupation Person 2

Employer Person 2

Date of Birth Person 2

Desired Retirement Age Person 2

Goals & Objectives

What are your retirement needs, goals, & objectives?

Income

If any fields do not apply to you, leave them blank.

Annual Salary of Person 1

$

Annual Salary of Person 2

$

Annual Social Security of Person 1

$

Annual Social Security of Person 2

$

Annual Pension of Person 1

$

Annual Pension of Person 2

$

Annual Miscellaneous Income Person 1

$

Annual Miscellaneous Income Person 2

$

Retirement Income

What are your estimated monthly income needs in retirement?

$

What is your current estimated monthly retirement income?

$

What is your estimated retirement income shortfall or surplus?

$

Debt

Remaining mortgage balance

$

Outstanding auto loan

$

Outstanding credit card debt

$

Miscellaneous outstanding debt

$

Professional Contacts

Are you currently working with any of the following professionals? (check all that apply)

Estate AttorneyCertified Public Accountant (CPA)Health Insurance Provider

Who is your Estate attorney?

Who is your CPA?

Who is your Health Insurance Provider?

Insurance

Please list the different insurances that you carry below (Life, Disability, LTC). Please include the Policy Holder, Type, Amount, and any Notes.

Investments

Investment 1

1. Investment Type

1. Account Holder

1. Amount

$

1. Notes/ Allocation

Investment 2

2. Investment Type

2. Account Holder

2. Amount

$

2. Notes/ Allocation

Investment 3

3. Investment Type

3. Account Holder

3. Amount

$

3. Notes/ Allocation

Investment 4

4. Investment Type

4. Account Holder

4. Amount

$

4. Notes/ Allocation

Investment 5

5. Investment Type

5. Account Holder

5. Amount

$

5. Notes/ Allocation

Financial Planning Pre-Meeting Questionnaire

Investments

Just a few more questions!