Financial Needs Analysis - Risk Questionnaire (RIG)

1
Let's start off with the easy questions* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Do you have any debt?Home Loans, Car Loans, Store Loans, Credit Cards, Overdraft, Personal Loan, Family Loans
Please Select
Please Select
Yes
No
4
Please provide the basic details of your debts* This field is required.Tell us who you owe, what is outstanding, how many months or years are left and what is the interest rate being charged
5
Do you have children?These would be minor or major children, who you support financially. Your own children, step children, adopted children or children you sponsor.
Please Select
Please Select
Yes
No
6
Please provide the basic details of your children* This field is required.What is the amount you spend each month, think of schooling, food, transport, medical aid, entertainment, clothing.
7
Do you have a spouse/partner?
Please Select
Please Select
Yes
No
8
In the event of your passing, would you like to leave your spouse/partner a lump sum, income stream or both?
Lump Sum & Monthly Income
Please Select
Lump Sum
Monthly Income
Lump Sum & Monthly Income
They will be fine financially
9
Cover Amounts - Lump SumThink of a tax free lump sum that would pay out to them
10
Cover Amounts - Monthly IncomeThink of a tax free monthly income that would pay out to them
11
Cover Amounts - Lump Sum & Monthly IncomeThink of a tax free lump sum and monthly amount that would pay out to them
12
What is your current Net Income (income after tax)?This is the amount that lands in your account each month
13
In the event of an injury, illness or disability (and you unable to earn your income), what amount of your current income would you like to cover?Assume that debts are paid off, so factor your living expenses, medical expenses, lifestyle expenses and investments
14
Is there anyone else financially reliant on you? (Parents, a sibling, or other loved one?)If you are not around, and you currently support these folks, will they suffer financially. If yes, lets plan for them too
Please Select
Please Select
Yes
No
15
Please provide details - Who would you like to leave something for, and how much? Should it be a lump sum or monthly income etc.Share details below. Including who they are, their name, how much they would need and for how many years would they need this income
16
How much is in your emergency fund?This should be 3-6 months of living expenses; think bond/rent, food, transport, communication, insurance, school fees etc.
17
At what age would you like to retire?If you have not defined an exact age, share what your thinking is about retirement. Perhaps it is a staggered retirment?
18
If you were retiring today; what income would you need?Consider you won't be funding retirement investments, so this would be lifestyle expenses.
19
Do you anticipate any large expenses in retirement? If yes, please share details.Perhaps replacing a car every 5 years at R500 000 or travelling overseas once a year at R100 000?
20
Thinking of retirement, what does that look like? What do you want to be doing more of?As you will be migrating towards something fun and exciting what does that look like? Working in charities, playing sports, visiting vineyards?
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Small
Ok
Ok
21
What top 3 things do you want to achieve or do in retirement?These link into your life goals; helping others, sharing your skills, community work or perhaps studying that degree you always wanted?
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Large
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Small
Ok
Ok
Should be Empty: