Client Questionnaire

Welcome to our Client Questionnaire! The first step in financial planning is helping us get to know you. In this short exercise, you’ll begin your path to a financial plan by answering some questions about your family, your goals, your retirement plans, and your assets.

New Client Questionnaire - Financial

Which advisor are you working with?

First Name

Last Name

Gender:

DOB:

Address

STE, UNIT, BLDG, FL, ETC.

City

State

Zip Code

Cell Phone

Email

Marital Status

Spouse Name / DOB

Dependents?

Dependent Name(s) / DOB

Do you have a Trust?

Trust Name

Date Trust Formed

Who would you like to name as your beneficiary(s)?

Name	Primary/Secondary	Percentage (%)

Employer Information:

Employment Status

Employer Name

Occupation / Title

No. of years

Employer Address

STE, UNIT, BLDG, FL, ETC.

City

Zip Code

Financial Information:

Gross Household Income:

Estimated Monthly Household Expenses:

Tax Bracket:

"Current Holdings" (Please complete section a-h)

a. Cash & Cash Equivalents (CDs, Money Market, etc):

b. Stocks:

c. Bonds:

d. Annuities:

e. Mutual Funds:

f. Other Property(ies) Net Equity (excludes primary residence):

g. Retirement Accounts (401(k), 403(b), IRA):

h. Other (529 plans, life policy cash values, alternative investments, etc.)

i. Total Assets (Above Total):

$

k. Liquid Net Worth:

$

Final Questions:

What are your short-term goals?

What are your long-term goals?

What keeps you up at night when it comes to finances?

Tell us about any real estate, personal property or businesses that you own?

What questions or concerns do you have at this moment?