Personal Viewpoint

An overview of your financial development, income
protection, life insurance coverage and estate organization

…always from your point of view.

My Views

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

Financial Development

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.

Income Protection

Y – Yes N – No U – Unsure D – Does Not Apply

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.

Life Insurance Coverage

Y – Yes N – No U – Unsure D – Does Not Apply

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.

Estate Organization

Y – Yes N – No U – Unsure D – Does Not Apply

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.

Changes

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

Other

Review Status

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

Discussion Priorities

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

Life Insurance Coverage Estate Organization

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

Customer Information:

"Your Viewpoint brought to you by Dave Shortill and the “Cotton System”"