Financial Goals and Objectives

On a scale from 0 to 5, circle the number to the right of each of the items below that most accurately reflects your financial concerns. A 5 would signify a priority item, and a 0 would indicate that the particular topic has no impact on this planning process.

A. Current Financial Situation—Do You Wish to:
Improve your present standard of living —Please choose an option—12345
Increase your net worth —Please choose an option—12345
Increase available disposable income —Please choose an option—12345
Provide a hedge against inflation —Please choose an option—12345
Provide funds for a capital expenditure —Please choose an option—12345

B. If you have young children, will you:
Accumulate college tuition —Please choose an option—12345
Provide only a portion of tuition —Please choose an option—12345
Seek financial aid —Please choose an option—12345

C. How important is tax reduction/deferral?
—Please choose an option—12345

D. Which describes your portfolio preferences:
Liquidity —Please choose an option—12345
Safety of principal —Please choose an option—12345
Present income —Please choose an option—12345
Long term growth —Please choose an option—12345
Tax Benefits —Please choose an option—12345

E. I would like to invest in my own business
—Please choose an option—12345

F. Retirement income: Do you wish to:
Maintain you standard of living —Please choose an option—12345
Change your lifestyle (e.g., more travel) —Please choose an option—12345
Sell existing assets to fund retirement —Please choose an option—12345

G. For your dependents, do you wish to:
Provide guaranteed income on your death —Please choose an option—12345
Provide guaranteed income if disabled —Please choose an option—12345
Preserve assets if disabled —Please choose an option—12345

H. Charity—would you like to provide
Charitable bequest on your death —Please choose an option—12345
Charitable gifts now —Please choose an option—12345

I. Rank these in terms of importance:
Current income —Please choose an option—12345
Investments —Please choose an option—12345
Educational fund —Please choose an option—12345
Retirement —Please choose an option—12345
Taxes —Please choose an option—12345
Asset protection —Please choose an option—12345
Charity —Please choose an option—12345

NET WORTH STATEMENT TOTALS
Cash

INCOME GENERATORS

EQUITIES

SPECULATIONS

TOTAL ASSETS

Your name

Your email

Phone number

Additional information (optional)

Make sure you also have your financial co-decision makers fill out these materials, as well.

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