Income Strategy Intake Form
Please complete this form to help us understand your financial situation and preferences for developing a personalized income strategy.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Current Employment Status
*
Please Select
Employed Full-Time
Employed Part-Time
Self-Employed
Retired
Unemployed
Other
What are your current sources of income? (Select all that apply)
*
Salary/Wages
Business Income
Investment Income (Dividends/Interest)
Rental Income
Pension/Social Security
Other
Approximate Total Monthly Income (USD)
*
What are your main financial goals? (Select up to 3)
*
Supplement Current Income
Build Retirement Savings
Save for a Major Purchase
Debt Reduction
Wealth Accumulation
Other
How would you describe your investment experience?
*
None
Beginner
Intermediate
Advanced
Which investment vehicles are you interested in? (Select all that apply)
Stocks
Bonds
Mutual Funds/ETFs
Real Estate
Small Business/Entrepreneurship
Other
Risk Tolerance Assessment
*
Rows
Low Risk
Moderate Risk
High Risk
How much risk are you willing to take with your investments?
1
2
3
How would you feel if your investment temporarily lost value?
4
5
6
What is your expected investment time horizon?
*
Less than 1 year
1-3 years
3-5 years
5+ years
Please share any additional information, concerns, or questions you have regarding your income strategy needs.
Submit
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