What is your current age?
*
Under 30
30-40
40-50
50-60
Over 60
Are you currently employed or retired?
*
Employed
Retired
Self-employed
What is your primary financial goal?
*
Building wealth through investments
Planning for retirement
Managing existing wealth
Protecting assets and ensuring financial security
Ensuring a stable income in retirement
What is your estimated annual income?
*
Under $50,000
$50,000 - $100,000
$100,000 - $200,000
$200,000 - $500,000
Over $500,000
Do you currently have any of the following? (Select all that apply)
*
401(k) or other employer-sponsored retirement plans
IRA (Traditional or Roth)
Taxable investment accounts
Real estate investments
Life insurance policies
Annuities
How would you describe your risk tolerance when it comes to investments?
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Very conservative
Conservative
Moderate
Aggressive
Very aggressive
Do you own a business or have business-related financial planning needs?
*
Yes
No
Which of the following best describes your current retirement planning status?
*
I haven’t started planning yet
I have started planning but need help
I have a plan in place but need to review and optimize it
I am already retired and want to ensure my plan remains effective
Do you have a plan in place for long-term care or health-related expenses in retirement?
*
Yes
No
What type of financial advisor support are you looking for?
*
One-time consultation
Ongoing advisory services
Specific project-based assistance (e.g., setting up a retirement plan)
Comprehensive wealth management
Where can we send your results?
First Name
Email
*
Phone
*
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