Financial Check-In

Name(Required)

First Last

Preferred contact method:(Required)

Call

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Phone Number(Required)

Email(Required)

Please answer the following questions:

1. How do you feel about your investments?(Required)

I’m confident ─ my investments are meeting my objectives.

I’m concerned ─ I’d like to talk to my Advisor about making some changes.

I’m confused ─ I don’t understand my investments, or what the information on my statement means.

I’m fine for now. No need to follow up with my Advisor at this time.

Other

2. How do you feel about your retirement goals? Do you have a written plan?(Required)

I’m confident ─ my contribution rate and investment strategy will reach my goals.

I have a plan, but I’d like to talk with my Advisor about some updates.

I’m contributing to my retirement account at work, but I’m not ready to build a plan yet.

I don’t have a plan, but I’m ready to start! I want to get a retirement roadmap in place.

I don’t have a plan. I’m worried about retiring and what to do next.

I’m retired and I feel comfortable with my finances.

I’m retired, but I’m worried about making my money last long enough.

Other

3. How confident are you that your family would have enough money if you were to pass away unexpectedly in the near future?(Required)

I’m confident ─ my family would have adequate resources to maintain their current lifestyle without my income.

I’m concerned ─ my family would struggle without my income and I may not have enough life insurance.

I’m not sure how to feel about my family’s financial situation. I’d like to talk with my Advisor.

I’m fine ─ I don’t have anyone depending on my income, and I have enough saved to cover my final expenses.

Other

4. Have you had any big changes in your life over the past 2 years?(Required)

(Examples— changed jobs, new baby, got married/divorced, about to retire, kids heading to college, parents left an inheritance, etc.)

No major changes.

Yes, I’d like to talk with my Advisor about navigating the following changes:

Life changes:

5. Would you like your Advisor to follow up with you?(Required)

Yes