Pre-Meeting Questionnaire

Preliminary Questions

We ask that you complete the questions below to prepare for our introductory, complimentary conversation. The questions help you identify goals and help us put together an accurate proposal for you. Plan on about 10-15 minutes to complete the questions.
Our firm does not share your info with any marketing lists or outside parties.
Email*
example@example.com
Required review*
Link to BWM Compliance Folder (includes ADV):

BWM Compliance Folder
How did you hear about us, and/or find us?*
First Name*
Last Name*
Mobile Number*
Date of Birth *

MonthDayYear
Date
Date of Birth*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you married?*

YesNoWidowedDivorced
Spouse's First Name*
Spouse's Last Name*
Does your spouse go by a name other than what's listed above (nickname, shortened name, etc.)*

YesNo
Spouse Nickname / Preferred Name
Spouse's Email*
example@example.com
Spouse's Date of Birth *

MonthDayYear
Date
Do you have any children?*

Yes, they are grown.Yes, at least one is a minor.No
Do you (or your spouse) have any children from previous marriages?*

YesNo
Basics
Do you know what you spend on a monthly basis?*

YesSomewhatNo
Do you have personal debt other than a home mortgage?*

YesNoAuto loan only
What are your primary financial planning goals/objectives (check all that apply):*

Determining when I can retireAligning all the financial pieces toward a goalBusiness liquidation/succession planningCoordinating investments with tax planningReducing taxesUnderstanding and managing my investmentsSaving for retirementSaving for college for children or grandchildrenOther
Other Goals - Please share any additional information related to your goals or areas where you are hoping we can assist.
Company Benefits
Do you or your spouse have any of the following types of benefit plans (check all that apply):

Deferred Compensation PlanESOP (Employee Stock Ownership Plan)Pension PlanESPP (Employee Stock Purchase Plan)Stock Options (RSU, ISO, or NQs)SERP (Supplemental Executive Retirement Plan)
Real Estate / Mortgages
Do you own a home?*

YesNo
Do you have a mortgage?*

YesNo
Do you own any rental properties?*

YesNo
Investments
When you add up values for all savings, investments, and retirement accounts you have approximately:*

$0 - $500,000$500,001 - $1,000,000$1,000,001 - $2,000,000$2,000,001 - $4,000,000$4,000,001 - $9,999,999$10M +
Which types of investments do you own (check all that apply)?*

Money Market AccountSeries E/EE/H/HH or I-BondsIndex FundsMutual FundsExchange Traded Funds (ETFs)Individual StocksCDs (Certificates of Deposit)Individual BondsVariable AnnuitiesFixed AnnuitiesCryptocurrencyCommodities (Gold, Oil, etc.)I don't knowOther
What is your primary objective?*

Income for upcoming retirement/goalGrowth for future usSafety, preserving capital
Have you ever worked with a financial advisor?*

YesNo
Are you looking for a firm to manage your investments?*

Yes, I prefer to delegate.Maybe, if I trust their philosophy, approach, and pricing.No, this is not something I would delegate.
Do you have a preferred advisor?*

No PreferenceJason BranningKelly JenningsJohnson Rhett
Insurance
Do you own any cash-value life insurance?*

I doBoth my spouse and I doNoI don't know
Do you have long-term care insurance?*

I doBoth my spouse and I doNoI don't know
Do you have disability insurance?*

I doBoth my spouse and I doNoI don't know
Do you need help determining what types of insurance you should own?*

YesNo
Retirement Readiness
Please check off which types of retirement accounts you (and/or your spouse) have (check all that apply):*

Traditional IRAROTH IRASEP IRASIMPLE IRAInherited IRA401(k)403(b)457 (Deferred Compensation Plan)Profit Sharing AccountFlexible Spending Account (FSA)Health Savings Account (HSA)Annuity (of any type)TrustOther (we'll ask at meeting)
Have you started Social Security benefits?*

YesNoTrying to decide
Are you a military veteran?*

YesNoNo, but my spouse isBoth my spouse and I are
Have you ever worked for the federal or state government, or overseas?*

YesNoNot sure
Do you need to decide how or when to take a pension (lump sum vs annuity for example)?*

YesNoI don't know
Estate Planning
Do you have any of the following?*

WillTrustPower of AttorneyAdvanced Healthcare DirectiveLiving WillGuardianship provisions for childrenNo, I do not have any of the following
Is leaving assets to an heir or charity an important goal?*

YesNoIf I have enough
Life Transition
Have you recently experienced a (check all that apply):

MarriageDivorceJob changeNew childMovingInheritanceLoss of spouseRetirementBusiness formation/acquisitionBusiness liquidation
Tax Plannning
Are you self-employed?*

YesNo
Do you prepare your own income tax return?*

YesNo
Please share anything else you think we need to know at this point:
Should be Empty:

Preliminary Questions

Basics

Company Benefits

Real Estate / Mortgages

Investments

Insurance

Retirement Readiness

Estate Planning

Life Transition

Tax Plannning