Financial Overview
Assessment

Please fill out the form before taking the test.

Items marked with * are required..

Name: *
email: * ID:
Address: *
City: * State/Prov: * Zip/Postal Code: *
Home phone: Bus. phone: * Cell phone:
Age:
Occupation:
Marital status:
Partners name:

Please select the appropriate answer for each of the items listed below.

When the entire test is completed (not before), press the Submit button or the Enter key.

Please answer all the questions.

Changes

Do you want to develop a financial plan?

1
Yes
No

Borrow Money?

2
Yes
No

Buy personal property?

3
Yes
No

Realize a capital gain?

4
Yes
No

Buy stocks?

5
Yes
No

Find a financial advisor?

6
Yes
No

Start a business?

7
Yes
No

Purchase a home?

8
Yes
No

Build more wealth?

9
Yes
No

Invest more money?

10
Yes
No

Pay off a loan?

11
Yes
No

Review your will?

12
Yes
No

Will you receive an inheritance?

13
Yes
No

Sell Stocks?

14
Yes
No

Move to another location?

15
Yes
No

Change careers?

16
Yes
No

Sell property?

17
Yes
No
Review Status

My last financial development review was

18
More than three years ago
One to three years ago
Less than one year ago

My last investment strategy review was

19
More than three years ago
One to three years ago
Less than one year ago

My last estate organization review was

20
More than three years ago
One to three years ago
Less than one year ago

Estate Organization

I am well informed about the organization of my estate.

21
Yes
No
Unsure
Does not apply

My will is current and consistent with my estate plans.

22
Yes
No
Unsure
Does not apply

My spouse/partner has a valid, up-to-date will or trust.

23
Yes
No
Unsure
Does not apply

A guardian has been appointed for our minor children.

24
Yes
No
Unsure
Does not apply

My beneficiary designations are current.

25
Yes
No
Unsure
Does not apply

My executor understands my will and estate plan.

26
Yes
No
Unsure
Does not apply

My executor knows the location of my personal papers

27
Yes
No
Unsure
Does not apply

I have made specific plans to distribute my estate upon my death.

28
Yes
No
Unsure
Does not apply

I understand how taxes will be applied to my estate.

29
Yes
No
Unsure
Does not apply

The value of my estate is protected from the effects of 'tax erosion'

30
Yes
No
Unsure
Does not apply

I know what income my family will receive from the after-tax proceeds of my estate.

31
Yes
No
Unsure
Does not apply

My life insurance program is consistent with the needs of my estate plan

32
Yes
No
Unsure
Does not apply

I understand how life insurance can protect my estate from the effects of taxation.

33
Yes
No
Unsure
Does not apply

I understand how taxes will be applied to the beneficiaries of my retirement benefits.

34
Yes
No
Unsure
Does not apply

I would like assistance in organizing my estate.

35
Yes
No
Unsure
Does not apply
Lifestyle Protection

My current standard of living will continue if I have a severe accident or illness

36
Yes
No
Unsure
Does not apply

My disability protection continues if I leave my employer.

37
Yes
No
Unsure
Does not apply

My spouse/partner has adequate income protection coverage.

38
Yes
No
Unsure
Does not apply

My disability income program covers debt repayments.

39
Yes
No
Unsure
Does not apply

I have adequate long-term care insurance.

40
Yes
No
Unsure
Does not apply

My spouse/partner has adequate long-term care insurance

41
Yes
No
Unsure
Does not apply

I have adequate critical illness coverage.

42
Yes
No
Unsure
Does not apply

My life insurance will maintain my family’s lifestyle.

43
Yes
No
Unsure
Does not apply

My spouse/partner has sufficient life insurance to maintain our family’s lifestyle.

44
Yes
No
Unsure
Does not apply

I have an adequate pension plan.

45
Yes
No
Unsure
Does not apply

My spouse/partner has an adequate pension plan.

46
Yes
No
Unsure
Does not apply

Our retirement income will meet the demands of our desired lifestyle.

47
Yes
No
Unsure
Does not apply

I am prepared to alter today’s lifestyle to guarantee future financial security.

48
Yes
No
Unsure
Does not apply

I would like assistance in reviewing my lifestyle protection needs.

49
Yes
No
Unsure
Does not apply
My Views

Developing a higher level of wealth is

50
Essential
Fairly Important
Of Little Value
Does not Apply

The involvement of my spouse/ partner in our financial affairs is

51
Essential
Fairly Important
Of Little Value
Does not Apply

Exchanging some of today’s lifestyle for future security is

52
Essential
Fairly Important
Of Little Value
Does not Apply

Maximizing my tax-deferred savings and investments is

53
Essential
Fairly Important
Of Little Value
Does not Apply

Having an investment portfolio that offers high growth potential is

54
Essential
Fairly Important
Of Little Value
Does not Apply

In my investments, a low risk factor is

55
Essential
Fairly Important
Of Little Value
Does not Apply

Having a worry-free investment plan for the future is

56
Essential
Fairly Important
Of Little Value
Does not Apply

If I became disabled, a replacement income would be

57
Essential
Fairly Important
Of Little Value
Does not Apply

My family’s ability to maintain their current standard of living upon my death is

58
Essential
Fairly Important
Of Little Value
Does not Apply

Protecting the value of my estate from tax erosion is

59
Essential
Fairly Important
Of Little Value
Does not Apply

Long term retirement income planning is

60
Essential
Fairly Important
Of Little Value
Does not Apply

Assistance from a qualified financial advisor in planning my financial affairs is

61
Essential
Fairly Important
Of Little Value
Does not Apply
Financial Development

I know what I want to accomplish financially.

62
Yes
No
Unsure
Does not Apply

My spouse/partner actively participates in our financial affairs.

63
Yes
No
Unsure
Does not Apply

My spouse/partner has a clear understanding of our financial situation.

64
Yes
No
Unsure
Does not Apply

I have fully outlined my financial objectives.

65
Yes
No
Unsure
Does not Apply

My financial plans include education funding for my children

66
Yes
No
Unsure
Does not Apply

I accumulate and build wealth systematically.

67
Yes
No
Unsure
Does not Apply

I have prepared a financial plan with defined short, medium and long-term goals.

68
Yes
No
Unsure
Does not Apply

My spouse/partner and I each have our own long-term financial plans.

69
Yes
No
Unsure
Does not Apply

I allocate a specific percentage of my earnings for wealth development.

70
Yes
No
Unsure
Does not Apply

I am satisfied with the rate of return on my current wealth development program.

71
Yes
No
Unsure
Does not Apply

I understand how taxation affects the real return on my wealth accumulation.

72
Yes
No
Unsure
Does not Apply

I know how life insurance integrates with my financial plan.

73
Yes
No
Unsure
Does not Apply

I am satisfied with the quality of financial advice and service I currently receive.

74
Yes
No
Unsure
Does not Apply

I would like assistance in reviewing my financial development

75
Yes
No
Unsure
Does not Apply
Investment Strategy

Stability in the value of my investments is critical.

76
Yes
No
Unsure
Does not Apply

I have a current asset allocation formula as part of my investment strategy.

77
Yes
No
Unsure
Does not Apply

My investment strategy takes advantage of dollar-cost averaging.

78
Yes
No
Unsure
Does not Apply

I am currently taking maximum advantage of tax-deferred retirement plans.

79
Yes
No
Unsure
Does not Apply

I have accurately projected my retirement income needs and sources of income.

80
Yes
No
Unsure
Does not Apply

My portfolio had larger than expected losses in the Bear Market from 2000 to 2003.

81
Yes
No
Unsure
Does not Apply

My current strategy has been predominantly Buy and Hold.

82
Yes
No
Unsure
Does not Apply

My Strategy has performed to my expectations.

83
Yes
No
Unsure
Does not Apply

I have pre-determined Stop Loss Points in place that will limit my losses.

84
Yes
No
Unsure
Does not Apply

My advisor monitors the performance of my holdings frequently.

85
Yes
No
Unsure
Does not Apply

I am satisfied with the advice and service I receive from my financial advisor.

86
Yes
No
Unsure
Does not Apply

I would like assistance in reviewing my investment strategy.

87
Yes
No
Unsure
Does not Apply