An overview of your financial development, income protection, life insurance coverage and estate organization
…always from your point of view.
Please check the boxes that reflect your personal views. A- Essential B-Fairly Important C- Of Little Value D- Does Not Apply
Saving and accumulating money regularly is
The involvement of my spouse/partner in our financial affairs is
Having an investment porfolio that offers high-growth potential is
Assistance from a qualified professional in planning for my future financial security is
If I should ever become disabled, a replacement income would be
Owning adequate personal life insurance is
In the event of my untimely death, paying off all loans and mortgages would be
When I die, my family’s ability to maintain its current standard of living is
In my opinion, will planning and having a current will is
Having a competent financial professional who understands financial products and their proper use is
Y – Yes N – No U – Unsure D – Does Not Apply
I know what I want to accomplish financially.
I have fully outlined my financial objectives.
My spouse/partner has a clear understanding of our financial situation.
I am skilled at managing my income and expense flow.
I maintain a current list of my assets and liabilities.
I systematically save and accumulate money for investment opportunities.
My spouse/partner actively participates in our financial affairs.
I have made specific plans to provide for the higher education needs of my children.
My employer provides an adequate pension plan.
My spouse/partner has an adequate pension plan.
I understand the government benefits to be provided upon my retirement.
I would like assistance in reviewing my financial development.
In the event of a prolonged disability, I know how long I could survive on my present savings.
My spouse/partner’s income is required to meet our present monthly obligations.
I have disability insurance to cover my mortgage payments.
My employer’s benefit plan provides income replacement coverage if I become disabled.
I have a personal disability program.
My spouse/partner has adequate disability income protection.
My spouse/partner has long-term care insurance coverage.
I understand the importance of critical illness coverage.
I would like assistance in reviewing my income protection needs.
I fully understand my life insurance death benefits.
My life insurance program was designed with my specific objectives in mind.
My spouse/partner will have financial peace of mind in the event of my death.
My life insurance program is consistent with the requirements of my estate.
I know what income my family will receive from the after-tax proceeds of my estate upon my death.
I am satisfied with the quality of advice provided by my life insurance professional.
I would like assistance in reviewing my life insurance coverage.
I am well informed about the organization of my estate.
In the event of my death, specific plans have been made for the distribution of my assets.
My spouse/partner has a full understanding of our estate.
My will is current and consistent with my estate plans.
My spouse/partner has a valid, up-to-date will or trust.
A guardian has been appointed for our minor children.
I maintain a current list of important personal papers and their locations.
My executor is familiar with the contents and location of my will and estate plans.
I understand my death benefits provided through government programs.
I understand the death benefits I have through my employer.
I understand how taxes will be applied to my estate.
The value of my estate is protected from the effects of “tax erosion”.
The financial needs of my children are protected in my estate.
All my beneficiary designations are up to date.
My estate has provisions for standard of living adjustments.
I would like assistance in organizing my estate.
In the next year I intend to:
Graduate
Pay off a loan
Marry
Save more money
Purchase a home
Start a financial plan
Have a child
Purchase property
Change careers
Invest more money
Receive a promotion
Spend less money
Start a business
Sell property
Receive an inheritance
Sell a business
Borrow money
Retire
Other
Please check the boxed that reflect your present situation A – More than 3 years ago B – One to three years ago C – Less than one year ago
My Last financial development review was
My last income protection review was
My last life insurance coverage review was
My last estate organization review was
Financial Development Income Protection
Savings and accumulation
Disability Income Insurance
Education funding for children
Mortgage Disability coverage
Investment planning
Spouse/partner disability coverage
Building personal wealth
Long-term care insurance
Saving for retirement
Long-term care for my spouse/partner
Pension income funding
Critical illness protection
Personal life insurance
Beneficiary arrangements
Insurance for my spouse/partner
Survivor benefits
Mortgage insurance protection
Planning for my estate
Standard of living update
Tax considerations
Business life insurance
Estate distribution
Insurance for my children
Personal estate organization
Special Requests
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