Cabot Questionnaire

Cabot Questionnaire

Evaluate your current investment strategy by completing the secure form below and a financial advisor will contact you.
Name *

First Name Last Name
Age

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Are you married?
If yes, spouse's name:
Spouse's Age:
Do you have children?
If yes above, do you (or your spouse) have any children from previous marriages?
How did you hear about us, and/or find us?
BASICS
Do you know what you spend on a monthly basis?
Do you have personal debt other than a mortgage?
What are your primary financial planning goals/objectives (check all that apply):

Determining when retirement is realistic Coordinating investments with tax planning Saving for college for children or grandchildren Understanding and managing my investments Aligning all the financial pieces toward a goal Saving for retirement Reducing taxes Other (please share below any additional information related to your goals or areas where you are hoping we can assist)
Other Goals:
COMPANY BENEFITS
Do you or your spouse have any of the following types of benefit plans (check all that apply):

Deferred comp plan ESPP (Employee Stock Purchase Plan) ESOP (Employee Stock Ownership Plan) Stock Options (Restricted, ISO or NQs) Pension Plan SERP (Supplemental Executive Retirement Plan)
REAL ESTATE/MORTGAGES
Do you own a home?
Do you have a mortgage?
Do you own any rental properties?
INVESTMENTS
When you add up values for all savings, investments, and retirement accounts you have approximately:
Which type of investments do you own (check all that apply)?

Money market account CDs (certificates of deposit) Series E/EE/H/HH or I bonds Mutual funds Index funds Exchange traded funds Individual stocks Individual bonds Variable annuitites Fixed annuities
What is your primary investment objective?
Are you currently working with an investment advisor?
Are you looking for a firm to manage your investments?
INSURANCE
Do you own any cash-value life insurance?
Do you have long-term care insurance?
Do you have disability insurance?
Do you need help determining what types of insurance you should own?
RETIREMENT READINESS
Please check off which types of retirement accounts you (and/or your spouse) have (check all that apply):

IRA ROTH IRA SEP SIMPLE IRA 401k 403b 457 plan Annuity (of any type) Profit sharing account Other (we'll ask at meeting)
Have you started Social Security benefits?
Have you ever worked for the federal or state government, or worked overseas?
Do you need to decide how or when to take a pension (lump sum vs. annuity for example)?
ESTATE PLANNING
Do you have a will?
Do you have a trust?
Is leaving assets to an heir or charity an important goal?
LIFE TRANSITION
Have you recently experienced a (check all that apply):

Marriage Divorce Job Change New child Inheritance Loss of spouse
TAX PLANNING
Are you self-employed?
Do you prepare your own income tax return?
Please share the best DAYS/TIMES during business hours for meetings, any restrictions on meeting times, and anything else you think we need to know at this point:
Your Email - Best email to use for scheduling. We do NOT send solicitations or add this to any lists. *
example@example.com
Spouse Email - Best email to use for your spouse. We do NOT send solicitations or add this to any lists.
example@example.com
Phone Number - What is the best number to use to touch base regarding scheduling options?

Area Code Phone Number
Please verify that you are human *
Should be Empty:

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Cabot Questionnaire

BASICS

COMPANY BENEFITS

REAL ESTATE/MORTGAGES

INVESTMENTS

INSURANCE

RETIREMENT READINESS

ESTATE PLANNING

LIFE TRANSITION

TAX PLANNING