Individual Financial Assessment

Personal Financial Assessment
This questionnaire is designed to help you highlight personal financial planning areas that may need attention. Please complete, checking all that apply for each statement. Thank you.
General Planning

Have you recently experienced a major life event?

Do you have a formal financial/retirement plan? If so, has it been reviewed in the last year?

Do you have an alternate source of income to pay your mortgage if you become disabled and are unable to work for a prolonged period of time?

Rows	Yes	No	Let's Discuss
Response

Have you established college-funding plans for children or grandchildren? Are they on track?

Rows	Yes	No	Let's Discuss
Response

Do you anticipate that your parents will need to your financial support in retirement?

Rows	Yes	No	Let's Discuss
Response

Do you maximize your annual retirement plan contributions?

Rows	Yes	No	Let's Discuss
Response

Have you established any non-taxable sources of retirement income (ex: Roth IRA, Permanent Life Insurance)?

Rows	Yes	No	Let's Discuss
Response

Have you calculated how much you need to save for retirement and the sources of that income?

Rows	Yes	No	Let's Discuss
Response

Do you know when you will be able to maximize your Social Security benefits?

Rows	Yes	No	Let's Discuss
Response

Do you have an up-to-date will that details how your assets should be distributed?

Rows	Yes	No	Let's Discuss
Response

Does your will name a guardian for your minor children?

Rows	Yes	No	Let's Discuss
Response

Do you have a durable power of attorney and written health care directives?

Rows	Yes	No	Let's Discuss
Response

Have you considered a living trust to avoid probate?

Rows	Yes	No	Let's Discuss
Response

Have you made plans to minimize the amount of tax that your heirs or charities will need to pay on your estate?

Rows	Yes	No	Let's Discuss
Response

Will your family be able to maintain its lifestyle in the event of you or your spouse's death?

Rows	Yes	No	Let's Discuss
Response

Will your life insurance be sufficient to cover the debts, taxes, and estate settlement costs that may be due on your estate?

Rows	Yes	No	Let's Discuss
Response

Would you like to set-up time to review your complete financial situation?

Rows	Yes	No	Let's Discuss
Response

Savings and accumulation strategiesRetirement PlanningInvestment analysisEducation funding strategiesWealth transfer strategiesRisk management (death, disability, health, long-term care)Life insuranceOther
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Personal Financial Assessment