Investment Planning Questionnaire

This valuable questionnaire is designed to highlight personal planning areas that may need attention and to give us a better view of your current priorities so that we may better serve you. Please fill out the form, checking all that apply for each statement. This is a very important document to us and your family.



Assessment Areas Yes No I Don't Know I'd Like to Discuss
1. I have an updated Will, Health Care Proxy and Durable Power of Attorney in place.
2. Income to my spouse and/or family is assured in th event of my death.
3. I have a plan in place to distribute my assets upon my death in order to minimize estate tax exposure and maximize wealth to my heirs.
4. My income is protected in the event I'm sick or hurt and unable to return to work.
5. I've arranged for all of my IRA's and 401K's to be stretched over the lifetime of my beneficiaries.
6. I know my IRA's and Annuities have both Primary and Contingent Beneficiaries listed.
7. I have an old 401K or 403b that I want to roll into an IRA.
8. I am considering converting my Traditional IRA into a Roth IRA this year or next.
9. I am satisfied with my current investment strategy and the tax efficiency on my investments.
10. I believe my (and my spouse's) retirement funds will be adequate, even if we live very long lives.
11. I am satisfied with my employer's tax favored retirement plan.
12. I currently have a satisfactory systematic, savings plan.
13. I have made provisions for helping my children and grandchildren achieve their educational goals.
14. I have my tax return done and analyzed by a CPA who reduces my tax liability.
15. I would like a call to set-up an appointment.
16. I would like to receive your newsletter.