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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
*
Indicates required field
Client 1
Name
*
First
Last
Client 2
Name
*
First
Last
What is your age?
*
Under 35
36-45
46-55
56-65
Over 65
Prefer not to say
What is you age?
*
Under 35
36-45
46-55
56-65
Over 65
Prefer not to say
What do you do for a living? Who do you work for?
*
What do you do for a living? Who do you work for?
*
What is your household income?
*
Less than $50,000
$50,001 - $100,000
$100,001 - $150,000
$150,001 - $200,000
Greater than $200,000
Prefer not to say
What Help Are You Looking For?
What is your biggest financial concern right now?
*
What are your longer-term financial goals?
*
How is it you'd like us to help? What do you want from this relationship?
*
Have you received financial advice before?
*
No
Yes
What was the result?
*
Is there anything else you think we should know?
*
How did you hear about us?
*
Internet Search
Advertisement
Friend
Accountant/Lawyer
Other
Where You Are Financially Right Now
Do You Have?
*
Your Own Home
Investment Property
Land
Business Ownership
Shares
Managed Funds
Term Deposits
Account Based Pension
Defined Benefit Pension
Debts
Other
If other, please provide detail
*
What is the Total Value of Your Investments?
*
Less than $250,000
$250,001 - $500,000
$500,001 - $750,000
$750,001 - $1,000,000
More than $1,000,000
Prefer not to say
This includes investment property, super balances, shares, bank accounts etc
How much debt do you have?
*
I have no debt
Less than $250,000
$250,001 - $500,000
$500,000 - $1,000,000
More than $1,000,000
Prefer not to say
This includes your home loan and investment debt
Email
*
Phone Number
*
Yes, I would like to be kept up-to-date on current financial issues, investing and other special topics.
*
Yes
No
I agree to receiving marketing and promotional materials
*
Submit