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Home
Approach
Services
About
Contact
Part 1 - Just The Big Picture Information To Start
Collecting a little information up-front means we spend more of our one-on-one time talking about you.
About You
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Indicates required field
Client 1
Name
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First
Last
What is your date of birth?
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What do you do for a living? Who do you work for?
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What is your income?
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Client 2
Name
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First
Last
What is your date of birth?
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What do you do for a living? Who do you work for?
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What is your income?
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What Help Are You Looking For?
What is your biggest financial concern?
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Is there anything else you think we should know?
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How is it you'd like us to help? What do you want from this relationship?
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What are your longer-term financial goals?
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Have you received financial advice before?
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Yes
No
What was the result?
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How did you hear about us?
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Internet Search
Social Media
Referred by a Friend
Referred by an Accountant or Lawyer
Other
Where Are You Financially?
Do you own your HOME?
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Yes
No
How much is it worth?
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Any Debt?
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Do you have INVESTMENT PROPERTY?
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Yes
No
What is it valued at?
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Any Debt?
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Do you own a BUSINESS?
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Yes
No
What is your business worth?
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Any Debt?
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Do you have SUPERANNUATION?
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Yes
No
What are the balances?
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Any Debt?
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Do you have any SHARES?
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Yes
No
What are they currently worth?
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Any Debt?
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Do you have MANAGED FUNDS?
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Yes
No
How much have you currently invested?
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Any Debt?
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Do you have a PENSION Account?
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Yes
No
What is the investment balance?
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Do you have TERM DEPOSITS?
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Yes
No
How much?
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Do you have other money with the BANK?
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Yes
No
Balances?
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If OTHER, please provide detail
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Email
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Phone Number
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Yes, I would like to be kept up-to-date on current financial issues, investing and other special topics
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Yes
No
I agree to receiving marketing and promotional materials
Submit