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Welcome to Your Financial Planning Journey

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

🔒 100% Confidential 📋 6 Focused Sections ⏱️ ~20 min

👤 Client Profile

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

📋 Planning Documents & Advisors

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 Vision & Planning

Retirement Timeline

YesNo
YesNoN/A

Where will you live?

🏠 Stay in current home 🏡 Downsize 🌎 Relocate 🏘️ 55+ Community ✈️ Split locations 📝 Other

Work in retirement?

😴 Fully retired ⏰ Part-time income 🎨 Stay active 💼 New career 🚀 Own business

Retirement activities (select all that apply)

✈️ Travel 👨‍👩‍👧 Family 🎸 Hobbies 🤝 Volunteering 📚 Education 💪 Fitness 🌿 Other


Retirement Concerns


Healthcare & Long-Term Care

YesNoIn Progress
YesNoUnsure
YesNo

Legacy & Estate Goals

YesNo
In PlaceIn ProgressNot started
YesNo

💼 Employment, Income & Benefits

Choose only what applies. Detailed monthly amounts are entered once in the Monthly Budget.

Your Current Employment

W-21099Business OwnerRetiredNot EmployedOther

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

💰 Monthly Budget

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

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

📊 Retirement Income & Assets

Guaranteed Monthly Retirement Income

Total Guaranteed Income: $0

Assets & Investments

Asset TypeCurrent Value ($)Est. Monthly Income ($)
Total Asset Value: $0
Total Est. Monthly Income: $0

Income Gap Analysis


All Done! 🎉

Your financial planning questionnaire is complete.

🎯 Target Retirement Age
💰 Monthly Surplus
📊 Total Assets
✅ Guaranteed Monthly Income

📋 Recommended 3-Step Workflow

1 Save as PDF — Save the full professional report to your computer.
2 Upload Your Supporting Documents — Upload your supporting documents including your professional report using the green Box button below, and attach all the requested documents to be sent to your advisor.
3 Submit All Your Answers to Your Advisor — Click the green Submit button below to send all your answers directly to your advisor.

🗎️ Supporting Documents

Upload the completed questionnaire and the documents that apply to your financial situation.

View suggested document checklist
• Bank and cash statements• 401(k), IRA and retirement statements• Brokerage and investment statements• Pension or Social Security estimates• Life, disability and LTC policies• Annuity statements• Mortgage and loan statements• Business or company-stock statements• Recent tax returns• 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.

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