Client Financial Profile

Name *

First

Last

What is your age group? *

What is your primary financial goal? *

What is the time frame in which you hope to achieve your goals? *

Which of the following best describes your goals? *

In five years, how do you expect your standard of living to change? *

Five years from today, you envision your portfolio value being: *

Generating current income from your portfolio is: *

With income generated from your portfolio, you plan to: *

Imagine you've just won a $1M lottery, what would you do with the winnings? *

Which of the following statements would best describe your reaction if the value of your portfolio declined by 15% over a few weeks:: *

Which of the following investments do you feel most comfortable owning? *

Which of the following investments do you feel least comfortable owning? *

How optimistic are you about the long-term prospects for the economy? *

How optimistic are you about the short-term prospects for the economy? *

Do you plan on retiring in the next 10 years? *

Expected annual income need in retirement:

Expected monthly social security payment:

Expected monthly pension (leave blank if none)

Additional monthly expected income, if any:

Annuities, settlements, part-time employment, etc

Do you expect to draw down the value of your investments, or leave money to heirs or beneficiaries?

Are you still contributing / saving?

How much per month?

Current value of 401(k) or 403(b):

Current value of IRA(s):

Current value of non-retirement accounts:

Current value of checking / savings accounts:

Do you own a home?

Current Value:

Amount owed:

Do you own more real estate?

Current Value:

Amount owed:

Do you own more real estate?

Current Value:

Amount owed:

Value of additional assets?