Pre-Planning Needs Analysis Pre-Planning Needs Analysis "*" indicates required fields What is most important to you?* Safety Growth Income All Three When Investing, Do you try to?* Beat the market: I’m willing to take the appropriate amount of risk for the potential to earn returns that exceed market indices such as Stocks, Mutual Funds, Managed Portfolios, and Speculative Investments. Be the Market: Looking for market-type returns while taking risk equal to or less than the comparable market indices such as Tactical Managed Money, Diversified Mutual Funds, Index Funds, and 401(K)’s. Beat the Bank: I would like to beat the current CD and Money Market Bank rates but; Would like to increase return, without risking principal. Have you ever invested in any of the following products? (check all that apply)* Certificates of Deposit (CDs) Stocks and Bonds Mutual Funds IRA’s & 401K’s Money Market Accounts Index Annuity Variable Annuity Rental Property Comments about those products?Which best describes your current investment strategy? (check all that apply)* Follow my Advisor’s plan Buy and Hold On-Line trading Work with my bank Do it myself I don’t have one Comments about your investment strategy?What keeps you up at night? (check all that apply)* Low Interest Rates at the Bank Running Out of Money Another Stock Market Crash Not leaving Anything for My Heirs Market Volatility Future Long-Term Care Needs Losing Income if I Outlive My Spouse Others* Do you have an Immediate Need for income from your investments?* Yes No Do you anticipate a Future Need for supplemental retirement income?* Yes No Is leaving a Tax-Free Legacy for your family a High priority for you?* Yes No Do you have a quantifiable Risk Mitigation System in place to protect your portfolio if the economy or markets were to move in a negative direction again?* Yes No Would you be interested in discussing a strategy that will Guarantee Your Principal while still giving you some upside growth potential?* Yes No I would like to get a Fiduciary Second Opinion and a BluePrint analysis of my current investment portfolio?* Yes No CommentsWhat time of day would be best to contact you to set an exploratory meeting?* Morning Afternoon Evening Name* First Last Phone*Email* Address* Street Address City State / Province / Region ZIP / Postal Code
