Pre-Fit Questionnaire

A number of people do not have financial peace of mind because of their fears of running out of money, but if they could see clearly that they were in good financial shape, it would reduce their stress, even in times of difficulty.

We want to understand what is important to you so we can help prioritize your goals and determine the optimal plan to fund them. This shifts your focus to all aspects of your financial life, rather than the retirement-only focus.

To help us get started, we will require some information about your goals and some details about your current situation

Client ID

Full name *

Date of Birth *

Gender

Male

Female

Marital Status *

Date of Marital Status

Email *

Mobile Phone

Home - Street Address *

Home - City *

Home - Province *

Home - Postal Code *

Who would you like to plan for? *

Co-Client ID

Co-Client Full name

Co-Client Mobile Phone

What would you like to plan for? *

Financial Organization

Cash Flow

Debt and Credit Management

Major Expense

Growing my wealth

Protecting my money

Addressing Taxes

If other, please explain

What is/are your biggest financial worries? *

I am worried about my cash flow and want help accessing credit

I am worried about overdue tax returns

I am worried about the money I owe in taxes

I don't have enough money to pay my bills

I am worried that I do not have enough money for retirement

My finances are disorganized and I need help getting things in order

I am worried about children/aging parents and don't have a plan to address my responsibilities

Debt and/or creditors are starting to become overwhelming

I have received money unexpectedly and I do not want to spend it foolishly

What is standing in the way of your goals? *

My current income is not enough for my daily needs

I have a lot of debt and the payments use most of my income

I recently had a significant life change (illness, divorce) that drastically changed my finances

I am impulsive and spend my money on short term wants

My spouse and I do not talk about money

My spouse and I cannot agree about how we should be spending money

I am overwhelmed with the paperwork and I don't know where to start

Nothing stands in the way of my goals. I am on track to do everything I set out to achieve

What would you do if the people you trusted gave you conflicting advice? *

Where do you go to get financial advice? *

Social Media

Internet Research

I am a financial professional and I manage my own advice

I read articles from the financial industry

I have a trusted friend / family member

I pay a financial professional

I don't get advice from anyone

Which of these protection goals are important to you? *

Protect my family if I am not around

Prepare for the unexpected

Not to be a burden to my family

Protect my lifestyle

Income security / safety net

None

Which of these lifestyle goals are important to you? *

Spend more time with the people I care about

Make work optional / Retirement

Grow as a person / expand my passions

Improve / Maintain health and wellness

Spend guilt-free

None

Which of these commitment goals are important to you? *

Support my charitable causes

Educate those I care about

Support other family members

Provide a lasting legacy

Minimize taxes

None

Managing Risk *

Check all the options that you would like to work on.

Replace Income

Protect Assets

Final Expenses

None

Accumulation for Future *

Check all the options that you would like to work on.

Real Estate Purchase

Education Fund

Cash Reserve Fund

None

Financial Independence *

Check all the options that you would like to work on.

Systematic Savings

Lifestyle - Major Expense

Retirement Savings

None

Wealth Preservation *

Check all the options that you would like to work on.

Estate Planning

Family Business

Charitable Programs

None

Addressing Taxes *

Tax Deferral Programs

Small Business

Future Tax Strategies

None

How do you feel about renting vs owning a home? *

How do you feel about saving for your children's education? *

In your opinion, what percentage of your income should you save? *

How do you feel about saving for retirement? *

When would you like to stop working or retire?

Do you currently have a retirement plan?

Do you currently have an estate plan? *

Do you currently have life insurance? *

No life insurance

Bank Mortgage Insurance

Group Benefits Life Insurance

Personal Life Insurance

Unsure

What do you want your life insurance to do for you? *

Income Replacement

Debt

Inheritance

Charitable Giving

Retirement Income

Final Expenses

If you were diagnosed with a critical illness (heart attack, cancer, stroke etc) - what would you be concerned about? *

How long could you live on your reserves if you were unable to work due to illness or injury? *

Name of Employer

Job Title

Annual Income

Have you had any difficulty with your credit in the last 10 years? *

I do not have any credit difficulties

I have difficulty paying my bills on time

I have/had an Orderly Repayment of Debt Order

I have/had a consumer proposal order

I have/had a personal bankruptcy

I have/had a corporate bankruptcy

I have/had a court judgement that I have to make payments

Mutual Funds and Stocks (Non-Registered) Assets

Retirement Assets (RRSP, RRIF, LIRA)

Pension Assets

Education Savings (RESP)

Tax Free Savings (TFSA)

Cash, Bonds, GIC (Bank Accounts)

Market Value of Real Estate

Do you have any of the following accounts (even with zero balance)? *

Credit Card

Line of Credit

Mortgage/HELOC

Student Loan

Car Loan

Personal Loan

Investment Loan

Business Loan

None

Credit Card Balance

Line of Credit Balance

Mortgage/HELOC Balance

Student Loan Balance

Car Loan Balance

Personal Loan Balance

Investment Loan Balance

Business Loan Balance

Do you currently work with any professionals? *

Financial planner

Insurance agent

Investment advisor

Bookkeeper

Accountant

Lawyer

Other professional

None

How do you feel about your financial planner?

Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very Satisfied

Not applicable

How do you feel about your insurance advisor?

Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very Satisfied

Not applicable

How do you feel about your investment advisor?

Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very Satisfied

Not applicable

How do you feel about your bookkeeper?

Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very Satisfied

Not applicable

How do you feel about your accountant?

Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very Satisfied

Not applicable

How do you feel about your lawyer?

Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very Satisfied

Not applicable

How do you feel about your other professional?

Very dissatisfied

Dissatisfied

Neutral

Satisfied

Very Satisfied

Not applicable

If neutral *

N/A

It was a one time transaction

I call them when I need them and I don't usually need them

I don't expect professionals to give me service because I do not have much money

I like to do everything myself for convenience

I don't provide the information they request because I am overwhelmed or I forget to give it to them

I haven't been interested in more service than they have been providing

If you are satisfied, *

N/A

Frequency of communication

Availability for Meeting/Answering Questions

They understand my needs

They speak my language

They have low or no fees

They are very knowledgeable about products