Intake From

Do you currently work with a:

Financial Advisor Investment Advisor Estate Planner Other

If yes, are you satisfied with their service? Why or why not?

What stage are you at in your career? (check all that apply):

Do you own and operate your own business or professional practice?

Yes No

If yes, tell me about it. If no, please tell me about your career.

What are your primary reasons for seeking a financial advisor?

What are your expectations from the financial planning process?

Your Current Financial Situation:

To the best of your knowledge, approximately how much do you currently have invested in the following.

Mutual Funds & Stocks

Retirement Funds (IRA, 401(k), 403(b), 457, Deferred Comp, etc.)

Qualified Tuition Savings plans (529)

Cash, Bonds, Guaranteed Certificates, etc.

Other Investments (Real Estate, etc.)

What is your approximate annual net family income?

Are there any other details of your current financial situation that you would like me to know at this point?

Intake Form