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Creating Your Retirement Roadmap
First Name
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Last Name
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Cell Phone
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Email
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Address
City
State
ZIP
Q1 Age/Ages
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50-59
59 1/2 - 70
70 - 75
Over age 75
*Check all that apply
Q2. When will you retire?
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Within 1 Year
2-5 Years
6-10 Years
10-15 Years
15+ years
Already Retired
Why do we need this information? Your advisor will use this information to understand your retirement timeline and create the best plan for you.
Q3. How confident are you in your long term financial plan?
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Very confident
Somewhat confident
Not confident
I don't have a plan
Why do we need this information? Advisors will use this information to help evaluate your current financial plan or, if you don't have one, we will help you create one.
Q4. What activity is most important to you in retirement?
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Traveling
Spending time with family and friends
Pursuing hobbies
Working part-time
Other
*Check all that apply
Why do we need this information? This information helps your advisor matches understand the kind of retirement you envision.
Add Your Comment
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Q5. Are you thinking about any large purchases in retirement? (i.e vacation home, RV etc.)
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Yes
No
Other
Why do we need this information? This information will help your advisor understand and help plan for your ideal retirement.
Add Your Comment
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Q6. How will you receive most of your income in retirement?
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Social Security
Pension
Investments
Passive Income from Real Estate
Other
Please check all that apply:
Add Your Comment
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Q7. Are you planning on relocating for retirement?
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Yes
No
Not Sure
Why do we need this information? This will help your financial advisor provide you with better retirement recommendations.
Q8. How would you characterize your overall health?
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Excellent
Good
Fair
Poor
Why do we need this information? This information will be provided to your advisor matches and may assist them in understanding more about your particular situation and potential needs.
Q9. How comfortable are you with investing?
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Very comfortable
Somewhat comfortable
Not comfortable at all
Why do we need this information? This information helps your advisor matches understand your current level of comfort with investing and helps them pick the right investments for you. If you're not sure how to answer, just say you're somewhat comfortable.
Q10. I consider myself?
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Saver - I want safe growth alternatives protected from stock market losses that earn conservative growth returns
Investor - I want the majority of my money in the stock market and want to invest according to my stock market risk tolerance
Both – Saver and Investor
Why do we need this information? This information helps your advisor matches understand your current level of comfort with investing and helps them pick the right investments for you.
Q11. How much of your retirement savings would you like to protect from stock market losses while still earning conservative returns?
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20%
40%
60%
80 %
None, I'm will to put all my money at risk in the stock market
Why do we need this information? This information helps your advisor matches understand your current level of comfort with investing and helps them pick the right investments for you.
Q12. How quickly would you like to improve your long-term financial strategy?
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As soon as possible
Within the next 3 months
Within the next year
No specific timeframe / I don't want to make any changes
Why do we need this information? Your advisor will use this information to understand your retirement timeline and create the best plan for you.
Q13. Are you married?
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Yes
No
Why do we need this information? Marriage can have financial and tax implications. Knowing whether or not you're married helps your advisor matches understand your financial situation.
Q14. Do you own your home?
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No
Yes
Why do we need this information? Owning a home has financial implications, from being an asset to liability for mortgage payments. An advisor can help you navigate the effects of home ownership.
Q15. Is your home paid off?
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Yes
No
Q16. Do you currently have children under 18?
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No
Yes, 1
Yes, 2
Yes, 3 or more
Why do we need this information? Navigating financial planning when you have kids can be tough, but an advisor can help. This information lets your advisor matches know if you have children so they can adjust your financial plan.
Q17. Do You Have a Pension?
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Yes
No
Why do we need this information? So we get an understanding of where your guaranteed income will be coming from.
Q18. Have you started receiving your pension yet?
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Yes
No
I need help with my choices
Does not Apply
Why do we need this information? So we get an understanding of when you will start receiving retirement income.
Q19. If you don’t have a pension, would you like to learn how to create your own Secure Guaranteed Retirement Plan?
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Yes
No
Q20. Do you own a business?
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Yes
No
Why do we need this information? Owning a business has financial implications, from taxes to the financial effects of different forms of incorporation. An advisor can help you navigate the effects of owning a business.
Q21. Do you have any of the following?
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401k
403b
457
TSP
Please check all that apply:
Q22. Do you have any IRA accounts?
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IRA
Roth IRA
Inherited IRA
Please check all that apply:
Q23. Do you have an emergency fund?
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Yes, I have at least 6 months of all my bills in a savings/checking account
Yes, I have at least 1 year of all my bills in a savings/checking account
No
Why do we need this information? This information helps your advisor matches understand your current retirement savings.
Q24. What services are most important for a retirement advisor to provide?(Please check all that apply)
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Retirement Income Planning
Investment Management expertise
Tax Knowledge
Estate Planning information
Why do we need this information? To understand how you will transition to retirement after you stop working.
Q25. Who is your current financial advisor?
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My 401k,403b,457, TSP is handled at my CURRENT employer.
My 401k, 403b, 457 TSP is handled at my FORMER employer.
I have an advisor at a large bank, brokerage firm or an independent planner
I self-direct all of my investments.
Why do we need this information? If you have an advisor and are looking for a second opinion, we will provide other qualified options.
Q26. Do any of the following apply to you?
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I’m open to a second opinion, if it will substantially increase my income in retirement, potentially reduce my risk and still have continued growth.
I have wealth that I’d like to divide with another advisor
No, I have a close relationship with my advisor and will never leave, even if you could improve my situation.
No, I’m not interested in working with another advisor, (I just want advice for some questions I have)
Why do we need this information? This information will help your advisor matches understand why you are leaving your old advisor and help them craft a plan that aligns more closely with your preferences.
Q27. If you have the funds, do you want to include a Long-Term Care Plan in your retirement plan?
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Yes, I already have and LTC plan
Yes, I want to know my options
No, I’m going to take my chances and Self Insure
Q28. Do you have or want to include a Permanent (not Term) Life Insurance plan into your retirement plan?
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Yes, I already have permanent life insurance
Yes, I want to know my options
No, I don’t want a permanent life policy
No, I don’t qualify for life insurance
Q29. Is leaving a legacy to your family / friends important to you? *
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Yes, I want to know what my options are
No, I just need money/income for myself
No, I just need money/income for myself & Spouse/significant other
Q30. Is leaving a charitable Legacy important to you? *
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Yes, I definitely want to include this in my Legacy Plan
Yes, if there is anything left over
No, I don’t want to include any charities in my legacy plan
Q31. Consultations will be held through video-conferences
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I am comfortable with Video-Conferences
I would like to meet at one of your Orange County offices
Why do we need this information? This information helps us find you an advisor that can meet with you on your terms, whether that is online or in person.
Q32. Please estimate your household income.
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Less than $40k
$40k - $74,999
$75k - $99,999
$100k - $149k
$150k - $250k
$250k+
Why do we need this information? This information helps your advisor understand your financial situation and lifestyle.
Q33. Please estimate your total retirement savings (Include those in current or former employer plans)
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Less than $100k
$100k to $250k
$250k to $500k
$500k to $750k
750 to 1 Million
Over 1 Million
Why do we need this information? This information helps advisors understand how much you have to invest.
Q34. How did you hear about us?
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Seminar / Workshop
Online
Referral
Other
Q35. My retirement savings are for?
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Only Myself
Myself and my spouse/significant other
Myself and my spouse/significant other (if applicable) , then leave a legacy to those I/we love.
Q36 Regarding Debts: (excluding home & cars)
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Debt-free
under $25,000
$25,000 - $50,000
$50,000 - $100,000
over $100,000
Q37. Is there anything else you would like to share about your situation?
This is your opportunity to provide any additional information or ask your advisor something before your chat.
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