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13
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1
Acknowledgement
Note: none of the following personally identifiable information will ever be shared on our show: Full name, email address, phone number, social security number, account numbers. Although we will record our meeting and that meeting will show your net worth and income, we will not share anything beyond that.
I agree to have my financial situation recorded and posted to YouTube. Before scheduling our Retirement Makeover Meeting we will send you a release of information authorization and a our advisory agreement. I acknowledge that The Retirement Makeover engagement will be limited in scope to a single planning meeting with James and the engagement shall cease as soon as that meeting is over.
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2
What is your name?
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First Name
Last Name
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3
Please write the phonetic pronunciation of your full name.
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4
Are you already retired?
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Yes
No
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5
When did you retire?
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6
What challenges have you faced when it comes to retirement planning?
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7
What’s your biggest fear about your financial future?
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8
What are you most excited for as you plan for your retirement?
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9
What questions would you like James to answer for you on a show?
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10
What is your approximate current income?
Annually
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11
What is your approximate total investment account value?
Excluding real estate
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12
What is your approximate net worth?
Including real estate
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13
Optional: Include a brief video link sharing anything else you'd like to cover on an episode.
(Loom.com is a free video tool)
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14
What is your email?
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example@example.com
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