• 1. What is your current age?

  2. Are you currently working?

  Yes

  No

  If yes, when do you plan to retire?

  If no, how long have you been retired or unemployed?

  3. Do you have a 401(k), 403(b), or employer sponsored plan?

  Yes

  No

  If yes, what do you plan to do with this after you retire?

  4. Do you need liquidity, or do you have sufficient liquidity for your current needs?

  5. What are your goals for your investments? (Please circle one)

  Income

  Accumulation

  6. When do you expect to start withdrawing income from your investments?

• 7. Do you want to save money on taxes?

  Yes

  No

  What type of strategies are you using right now?

  8. Do you own a business?

  Yes

  No

  If so, are you looking to sell your business in the next five years?

  9. Are you interested in leaving money to your posterity or a charitable foundation after your death?

  10. Are you aware of your parents’ assets?

  Yes

  No

  11. Are you prepared for an emergency, if they are to become incapacitated or pass away?

  12. Are your children aware of your assets?

  Yes

  No

  13. Are they prepared for your passing, or if you become incapacitated?

  14. Do you have long-term care coverage?

  15. Do you own life insurance?

• Contact information:

• 1

• 2

• 3

Δ