Financial Advisor Assessment Form

Financial Advisor Assessment Form

Please fill out this form to help us understand your financial goals and provide personalized advice for your future.

Personal Information

Name

    Date of Birth

      Marital Status

        • Single

        • Married

        • Divorced

        Number of Dependents

          Financial Goals

          What are your top 3 financial goals?

            What is your desired retirement age?

              Income and Expenses

              Annual Income

                Monthly Expenses

                  Outstanding Debts

                  e.g., loans, credit cards

                    Assets and Liabilities

                    Total Savings

                      Current Investments

                        Real Estate or Property Value

                          Mortgage or Loan Balances

                            Investment Preferences

                            How would you describe your risk tolerance?

                              • Low

                              • Medium

                              • High

                              What type of investments interest you?

                                • Stocks

                                • Bonds

                                • Real Estate

                                • Mutual Funds

                                Insurance and Estate Planning

                                Life Insurance Coverage (if any)

                                  Do you have a will or estate plan?

                                  Additional Notes

                                  Any other financial concerns or information you’d like us to know.

                                    Client

                                    Name:

                                    Date:

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