Tracts Survey v5
Proactively Addressing Risks
Client Name
*
Date
*
-
Month
-
Day
Year
Advisor Name
*
Advisor Email
*
example@example.com
Core Questions:
Leaving the Money to the Children in either outright or graduated Distribution [04]
Please Select
Outright
Graduated
Other
Unknown
NA - Single/No Child(ren)
No Required “Pre-Nup” in Estate Planning Documents [05]
Please Select
Included
Not Included
Unknown
NA
Inadequate or No Umbrella Liability Insurance [06]
Please Select
50%+ of Net Worth
$1M-$2M
Unknown
None
Estate Planning:
No Wills or Trusts [new]
Please Select
Yes
No
Unknown
Ancillary Probate For Out of State Property [03]
Please Select
Yes
No
Unknown
No Coordinated Estate Plan for ‘Yours, Mine, and Ours’ Families” [23]
Please Select
Yes
No
Unknown
Risk Management / Liability:
Teenage Driver Driving a Vehicle in their Name – Additional Risk-No Umbrella Liability Coverage or Inadequate Limits [17]
Please Select
Yes
No
Unknown
High-Risk Recreational Assets Held Personally [19]
Please Select
Yes
No
Unknown
Account Titling Issues:
Accounts titled in Joint Tenancy with Rights of Survivorship [01]
Please Select
Yes
No
Unknown
Beneficiary Designations Supersede Wills/Trusts [10]
Please Select
Yes
No
Unknown
Property Titling Issues:
Out of State Property Titled in Their Personal Names [02]
Please Select
Yes
No
Unknown
Rental Property titled in their Personal Names [07]
Please Select
Yes
No
Unknown
Lakehouse/Personal Use Vacation House [new]
Please Select
Yes
No
Unknown
Life / Long Term Care Issues:
Life Insurance: Not Enough Life Insurance [8a]
Please Select
Yes
No
Unknown
Adult Children of Prospect or Client has NO or Insufficient Life Insurance [8b]
Please Select
Yes
No
Unknown
Homeowner’s Insurance Assumed to Be ‘Full Coverage [16]
Please Select
Yes
No
Unknown
No Long Term Care Insurance on Self/Spouse [11a]
Please Select
Yes
No
Unknown
No Long-Term Care Insurance on Parents/Siblings [11b]
Please Select
Yes
No
Unknown
Life Insurance: No Contingent Beneficiaries Listed on Policies [09]
Please Select
Yes
No
Unknown
Medical / Health Insurance and Social Security:
No Health Insurance or Medicare Supplement Planning [12]
Please Select
Yes
No
Unknown
Another question here
Please Select
Yes
No
Unknown
Financial:
No Strategy Around Social Security Timing [14]
Please Select
Yes
No
Unknown
Stock Option Analysis [new]
Please Select
Yes
No
Unknown
Roth IRA vs Traditional IRA [new]
Please Select
Yes
No
Unknown
Relying on a Pension Without Verifying Its Stability [13]
Please Select
Yes
No
Unknown
Overexposed to a Single Company’s Stock [15]
Please Select
Yes
No
Unknown
Net Worth Tied Up in Illiquid, Non-Income-Producing Assets [22]
Please Select
Yes
No
Unknown
College Funding:
No Plan for Future College Education Expenses [18]
Please Select
Yes
No
Unknown
Outdated or Missing Ancillary Legal and Health Documents [24]
Please Select
Yes
No
Unknown
Business Owner:
No Liquidity or Succession Plan for Closely Held Business [20]
Please Select
Yes
No
Unknown
No Disability Coverage for Business Owners [21]
Please Select
Yes
No
Unknown
Cyber Security:
Client files and personal information subject to Cyber Security Risks [25]
Please Select
Yes
No
Unknown
5 checkbox layout for questions, as an example. We may want to switch to this, but iPad view is questionable.
No
<$2M
>$2M
>20% assets
I Don't Know
4 checkbox layout for questions, as an example. We may want to switch to this, but iPad view is questionable.
No
I Don't Know
Option 3
Option 4
3 checkbox layout for questions, as an example. We may want to switch to this, but iPad view is questionable.
Yes
No
I Don't Know
Total Points
Questions Answered
Percent Score = Points / Questions
Submit for Summary Results
Should be Empty: