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Welcome to Your Financial Planning Journey

This confidential questionnaire helps your advisor understand your complete financial picture. Take your time β€” no field is required.

πŸ”’ 100% Confidential πŸ“‹ 6 Focused Sections ⏱️ ~20 min

πŸ‘€ Client, Family & Goals

Single Married Divorced Widowed Separated
Male Female Prefer not to say
Yes No
Excellent Good Fair Poor
Yes No


Children & Other Beneficiaries


Client's Parents

RelationLiving?AgeHealthDependent?Potential Inheritance ($)
Client Father
Client Mother
Spouse Father
Spouse Mother

Community Property States

Your Financial Priorities

Select the goals that matter now. Details will appear only when needed later.

Emergency SavingsDebt ReductionLife ProtectionDisability / LTCRetirementEducationMajor PurchaseEstate / LegacyCharitable GivingBusiness Planning

πŸ›‘οΈ Financial House & Protection

Emergency Foundation

Estimated current reserve0 months
YesNo

Family Protection Snapshot

Enter only the items that apply. This is an educational estimateβ€”not an insurance recommendation.

Preliminary additional protection need$0

Estate Planning Documents

Document TypeYou Have It?Spouse Has It?Date ExecutedAttorney NameNotes

Current Insurance Coverage

TypeProviderCoverage Amount ($)Annual Premium ($)Beneficiary

Professional Advisors

RoleNameFirmPhoneLast Contact

🎯 Retirement Goals & Future Income

Retirement Timeline

YesNo
YesNoN/A

Where will you live?

🏠 Stay in current home 🏑 Downsize 🌎 Relocate 🏘️ 55+ Community ✈️ Split locations πŸ“ Other

Work in retirement?

😴 Fully retired ⏰ Part-time income 🎨 Stay active πŸ’Ό New career πŸš€ Own business

Retirement activities (select all that apply)

✈️ Travel πŸ‘¨β€πŸ‘©β€πŸ‘§ Family 🎸 Hobbies 🀝 Volunteering πŸ“š Education πŸ’ͺ Fitness 🌿 Other

Desired Retirement Income

Maintain current lifestyleApproximately 80%Specific amountUnsure

Future Income Sources

Add estimates only where known. Monthly and annual amounts will be normalized in the advisor data.

SourceOwnerStart Age / YearAmountFrequencyDurationCOLA?
Total Expected Monthly Future Income: $0
Mortgage paid offContinue mortgageContinue rentingDownsize / sellRelocateUnsure

Retirement Concerns

Expected Major Financial Changes

RetirementCareer / income changeBusiness saleHome purchase / saleRelocationInheritanceStock vestingCollege / family supportHealthcare expenseNone expected

Healthcare & Long-Term Care

YesNoIn Progress
YesNoUnsure
YesNo

Legacy & Estate Goals

YesNo
In PlaceIn ProgressNot started
YesNo

πŸ’Ό Employment, Income, Tax & Business

Choose all that applyβ€”for example, you may select both W-2 and Business Owner. Detailed monthly amounts are entered once in the Monthly Budget.

Your Current Employment

W-21099Business OwnerRetiredNot EmployedOther

Retirement Contributions

Approximate annual amounts are sufficient. Include both payroll and personal contributions.

Additional Income Sources

BonusCommissionRentalBusiness / Side JobInvestmentCompany StockOtherNone

Workplace Benefits

401(k) / 403(b) / 457Employer MatchPensionLife InsuranceDisabilityHealth / HSACompany StockDeferred CompensationOtherNone / Unsure

Current Financial Obligations

Select the obligations you currently have. Enter the actual monthly payments on the next page.

Mortgage / RentCredit CardsVehicle LoanStudent / Personal LoanBusiness DebtOtherNone
YesNo

Tax & Savings Profile

Choose β€œUnsure” when you do not know the rate. Your advisor can verify it from your tax documents.

πŸ’° Monthly Budget, Debts & Residence

Primary Residence

Enter your actual average monthly amounts. Every field is optional.

Debt Snapshot

Only obligations selected on the prior page will appear. Monthly payments entered here automatically carry into the budget.

No financial obligations selected.

Monthly Income

Total Monthly Income (A): $0

Basic Monthly Expenses

Total Basic Expenses (B): $0

Discretionary Expenses

Total Discretionary (C): $0

Monthly Summary

Total Income (A)$0
Total Basic Expenses (B)$0
Total Discretionary (C)$0
Monthly Surplus (A - B - C)$0

Savings Goals

πŸ“Š Assets, Contributions & Macro Balance

Social Security Details

Pension & Annuity Timing


Assets & Investments

Asset TypeAccount / HoldingInstitutionOwnerBalance ($)Annual Contribution ($)Employer Match ($)Tax TreatmentRisk CharacterRetirement Allocation %
Total Asset Value: $0
Total Annual Contributions + Match: $0

Macro Balance Preferences

Classify account tax treatment above to calculate the current pre-tax share. The stable percentage starts with the traditional β€œage in stable assets” rule, but may be adjusted for goals, time horizon, income needs and risk tolerance.

Pre-tax / Variable
25%
Pre-tax / Stable
25%
After-tax / Variable
25%
After-tax / Stable
25%

This is an illustrative allocation across two independent dimensions: tax treatment and risk character. It is not a recommendation. Your advisor must validate account basis, guarantees, liquidity, suitability and the final allocation.


Income Gap Analysis


βœ“

All Done! πŸŽ‰

Your financial planning questionnaire is complete.

🎯 Target Retirement Age
β€”
πŸ’° Monthly Surplus
β€”
πŸ“Š Total Assets
β€”
βœ… Guaranteed Monthly Income
β€”
πŸ“‰ Total Debt
β€”
🏠 Estimated Net Worth
β€”

The Advisor Data Package securely transfers the questionnaire values into the separate presentation builder. Keep it with the client’s confidential case files.

📋 Required 4-Step Workflow

1 Save as PDF — Open the professional report, choose Print, and select Save as PDF.
2 Save the Advisor Data Package — Click the blue button above to save the confidential JSON data file to your computer.
3 Upload Everything to Box — Upload the saved PDF, the Advisor Data Package (.json), and the supporting financial documents requested below.
4 Submit All Your Answers to Your Advisor — Click the green Submit button below. Your advisor will use the JSON file to import your case into the presentation builder.

🗎️ Supporting Documents

Required: upload both the completed questionnaire PDF and the Advisor Data Package (.json), plus the documents that apply to your financial situation.

View suggested document checklist
β€’ Questionnaire PDFβ€’ Advisor Data Package (.json)β€’ Bank and cash statementsβ€’ 401(k), IRA and retirement statementsβ€’ Brokerage and investment statementsβ€’ Pension or Social Security estimatesβ€’ Life, disability and LTC policiesβ€’ Annuity statementsβ€’ Mortgage and loan statementsβ€’ Business or company-stock statementsβ€’ Recent tax returnsβ€’ Existing financial plan or balance sheet

Do not upload passwords, PINs or unnecessary full identification numbers.

📎 Upload Your Supporting Documents

🔒 Secured by Box — No Box account required — Opens in a new tab

Need to change something? No problem.


🚀 Ready to Send Your Answers?

We are excited to receive your information!

We'd love to send all your answers directly to your advisor.

Once you submit all your answers, the questionnaire will reset to the first page.

πŸ”’ This questionnaire is confidential and intended solely for use by the client and their authorized financial advisor.