Pre-Fit Questionnaire
Section 1 of 40
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Website (leave blank)
Client Info
First Name
Last Name
Date of Birth
Gender
Select...
Female
Male
Other
Marital Status
Select...
Single
Common-law
Married
Separated
Divorced
Widowed
Date of current Marital Status
Date the current marital status began (marriage / separation / etc.).
Email
Mobile Phone
Street Address
City
Province
Select...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Who would you like to plan for?
Select...
Myself
Myself and my spouse
My business
Employment Status
Are you a business owner?
Select...
Yes
No
Business Type
How did you hear about us?
Referred By
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Co-Client Info
Co-Client First Name
Co-Client Last Name
Spouse Email
Co-Client Mobile Phone
Spouse Date of Birth
Spouse Employment Status
Spouse Annual Income
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Family
Number of Children
Children Ages
Comma-separated (e.g. 8, 12, 15).
Household Size
Total people in the household.
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Understanding Your Expectations
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
What is your primary reason for seeking an advisor?
Select...
I am in financial crisis
Financial issues are keeping me up at night
I am stuck in the paycheque to paycheque cycle
I am starting out / starting over and I feel lost
I would like someone to help me get on track with my goals
When it comes to money, I want a professional to take care of it
I need an impartial, third party opinion of my progress
I am doing research about my options. I am not actively seeking financial advice
I feel like I pay too much in taxes and want a plan to reduce it
I just experienced a major life event and need guidance to navigate the situation
Other
If other, please explain
What are your expectations from the advisor?
I want a better rate of return
I want to understand the consequences of my decisions regarding my other goals
I want to enjoy more of the things in life I value
I want advice for a decision I need to make in the near future. I am not looking for long term advice
I want a process to better understand and navigate my finances
I want to learn how to manage my finances without a professional
I want an advisor who will work with me long-term
I want an advisor who is friendly and pleasant
I want to see my advisor more than once a year
I want my advisor to explain the problems and solutions in a way I can understand
I want an advisor who will analyze my portfolio with a variety of metrics like standard deviation, beta etc.
I want an advisor who will provide me with a comprehensive plan on spending, retirement, insurance, investments, and legacy
I want someone to analyze my spending and help me understand where it is going
I want to understand everything I already own, what they are for, and when to use
I am very knowledgeable and I expect my advisor to implement what I want without questioning me
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?
Select...
I would do nothing. I don't want to make the wrong choice
I would listen to my friend/family because they know me best
I would take the advice of the professional because that is why I hired them
I would do more research
I would listen to the person who could give me what I wanted
I would take the advice of the person who had the most experience in the situation
What is your biggest goal?
Biggest Concerns
Biggest Concern — Details
Where do you go to get financial advice?
Select...
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
How do you define financial success?
Tax Concerns
Opinion on your current savings rate
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What Is Important to You
What plans do you have for the next 12-24 months?
Wedding
Purchase Real Estate
Sell Real Estate
Expand my family
Change employment
Start a business
Receive inheritance
Pay for post-secondary
Pay off large loan
Save more money
Invest more money
Borrow more money
Start a financial plan
Retire / Stop working
None
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
Financial Goals (free-form)
Additional Concerns
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Planning Priorities
Managing Risk
Replace Income
Protect Assets
Final Expenses
None
Check all the options that you would like to work on.
Accumulation for Future
Real Estate Purchase
Education Fund
Cash Reserve Fund
None
Check all the options that you would like to work on.
Financial Independence
Systematic Savings
Lifestyle - Major Expense
Retirement Savings
None
Check all the options that you would like to work on.
Wealth Preservation
Estate Planning
Family Business
Charitable Programs
None
Check all the options that you would like to work on.
Addressing Taxes
Tax Deferral Programs
Small Business
Future Tax Strategies
None
Check all the options that you would like to work on.
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Personal Values
How do you feel about renting vs owning a home?
How do you feel about saving for your children's education?
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Retirement
Desired Retirement Lifestyle
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Personal Values
In your opinion, what percentage of your income should you save?
Select...
None
5%
10%
15%
20%
25%
30%
40%
50%
More than 50%
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Retirement
Monthly Income Need in Retirement
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Personal Values
How do you feel about saving for retirement?
Target Retirement Age
Select...
50
55
60
65
70
75
75+
Do you currently have a retirement plan?
Select...
Yes
No
Do you currently have an estate plan?
Select...
Yes
No
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
What would you like your life insurance to pay for?
Pay off debts
Pay off mortgage
Provide education funding
Provide income to spouse
Provide income to children
Medical expenses
Long Term Care expenses
Charitable giving
Provide Inheritance
Pay all taxes owing
Pay funeral expenses
When asked about your main concern in a serious illness (cancer, heart attack, stroke), you said you would be worried about
Pre-filled from prefit's critical-illness concerns answer. Edit freely.
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Estate
Do you have a Will?
Select...
Yes
No
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Personal Values
How long could you live on your reserves if you were unable to work due to illness or injury?
Select...
Do not know
No reserves
0-3 months
3-6 months
6-9 months
9-12 months
12-18 months
Indefinitely
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Estate
Do you have a Power of Attorney?
Select...
Yes
No
Estate Planning Concerns
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Income
How do you currently receive income?
Unemployed
Homemaker
Employee / Job - Hourly or salary
Commission
Self-employed
Rental Property
Investment Income
Pension - Employer
Disability Benefits
Social Assistance
Old Age Security
Canada Pension Plan
Child Support
Alimony or Palimony
Employer
Job Title
Other Income (amount)
Other Income Type
CPP / OAS Expected
Annual Gross Income
Do you file your own taxes?
Select...
Yes
No
Have you had any difficulty with your credit in the last 10 years?
Select...
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
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Assets
Non-Reg Investments
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Balance Sheet
Bank / Savings
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Assets
RRSP / RRIF / LIRA
Pension / Group Plan
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Balance Sheet
Other Assets
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Assets
RESP
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Balance Sheet
List all accounts even if zero balance?
Select...
Yes
No
Confirm you've listed every account on your books.
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Assets
TFSA
Cash, Bonds, GIC (Bank Accounts)
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Balance Sheet
Monthly Debt Payments (total)
Total Debt
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Assets
Market Value of Real Estate
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Liabilities
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 Cards
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Insurance
Do you have Life Insurance?
Select...
Yes
No
Life Insurance Coverage Amount
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Liabilities
Line of Credit
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Insurance
Do you have Disability Insurance?
Select...
Yes
No
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Liabilities
Mortgage / HELOC
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Insurance
Do you have Critical Illness Insurance?
Select...
Yes
No
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Liabilities
Student Loan
← Back
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Insurance
Do you have Group Benefits?
Select...
Yes
No
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Liabilities
Vehicle Loan
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Insurance
Critical Illness Worries
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Liabilities
Personal Loan Balance
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Insurance
Insurance Concerns
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Liabilities
Investment Loan
Business Loan
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Current Professionals
Do you currently work with any professionals?
Financial planner
Insurance agent
Investment advisor
Bookkeeper
Accountant
Lawyer
Other professional
None
Worked with a financial advisor before?
Select...
Yes
No
How do you feel about your financial planner?
Select...
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Not applicable
How do you feel about your insurance advisor?
Select...
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Not applicable
How do you feel about your investment advisor?
Select...
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Not applicable
How do you feel about your bookkeeper?
Select...
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Not applicable
How do you feel about your accountant?
Select...
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Not applicable
How do you feel about your lawyer?
Select...
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Not applicable
How do you feel about your other professional?
Select...
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Not applicable
If you are dissatisfied, what is the reason?
N/A
Frequency of communication (They never contact me)
Availability for Meeting/Answering Questions (They do not respond in a timely manner)
They do not understand my needs
I don't understand when they are talking to me
I feel like their fees are too high
They spend too much or too little time talking about products
I feel like a transaction instead of a client
They constantly sell me products that I do not think I need
They make promises they cannot keep
They cannot provide me with the results I am seeking
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
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Investments
Investment Knowledge Level
Select...
Risk Tolerance
Select...
Investment Time Horizon
Select...
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Notes
Additional Notes
Advisor Notes (internal)
Advisor-only — not shown to client.
I consent to the collection / processing of my personal information for the purpose of providing financial advice.
Select...
Yes
No
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