Prospect Checklist
Please provide as much information as possible to help us determine the best way to serve you.
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Please provide your first and last name
*
What is your date of birth?
*
What is your occupation?
*
What is your annual income?
*
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Next
Do you have a spouse?
*
Yes
No
What is your spouse's first and last name?
What is your spouse's occupation?
What is your spouse's annual income?
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Next
What's your current net worth?
*
$50,000 and under
$50,000 - $100,000
$100,000 - $200,000
$200,000 - $500,000
$500,000 - $1,000,000
$1,000,000 - $5,000,000
Over $5,000,000
What's your liquid net worth?
*
$50,000 and under
$50,000 - $100,000
$100,000 - $200,000
$200,000 - $500,000
$500,000 - $1,000,000
$1,000,000 - $5,000,000
Over $5,000,000
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Next
Please select the following financial concerns
*
Plan a budget
Start a short-term savings plan
Create or update an education savings plan for my children
Create or update an investment plan
Create or update an estate plan
Start a new business
Review tax efficiencies
Analyze my insurance needs
Organize my financial documents
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Next
What is your primary objective for your investments?
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Preservation of existing assets
Ongoing income
Capital growth
Highest potential returns
Which statement best describes your investing knowledge
*
I have limited knowledge
I understand basic principles, but don't follow the market
I have general knowledge and follow the market
I have considerable knowledge
How far does the market have to fall before you'd consider selling an investment?
*
Between 5% - 10%
Between 10% - 20%
Between 20% - 30%
Between 30% - 40%
I would stay invested
How concerned are you about the future stability of your current income sources?
*
Not at all concerned
Slightly concerned
Moderately concerned
Very concerned
With which of the following have you had experience?
*
Stocks
Bonds
Money market accounts
Certificates of deposit (CDs)
Mutual funds / ETFs
Real estate
Real estate investment trusts (REITs)
Options / futures
Trading on margin
Short selling
Derivatives
What average annual rate of return do you expect from your overall portfolio?
*
0-3%
4-6%
10-12%
13% +
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