New Client Registration

First Name

Last Name

Email

Alternate Email

Home Phone

Cell Phone

Work Phone

Marital Status

Number of children

Preferred method of contact?

Email

Phone

Best time to contact

Morning

Afternoon

Evening

What topics are you most interested in discussing?

What are your financial goals?

What do you expect from us in helping you get there?

What Learning Style best suits you?

Visual

Hearing

Doing/Hands On

What channel do you most often use for gathering information?

Social Media

Email

Television/News

Magazine/Newspaper

Other

What are your biggest concerns? Retirement; education; business planning; etc.

What interest do you have outside of returns?-e.g. electric vehicles; environment/sustainability; board governance; social activism; franchise development; majority ownership opportunities; Limited Partnership Opportunities; General Partnership Opportunities; Youth education; Youth Sports; Secondary Education; Businesses with philanthropic ideals;What are your biggest concerns? Retirement; education; business planning; etc.

Is there a particular percentage of your investment portfolio that you would like allocated to pursue these interest?

Yes

No

Maybe

Who has been the most instrumental person in your life? (Parent; Mentor; etc.)

Who is the most influential person in your life right now? (who you think of that you don't want to let down) (Parent; Mentor; Sibling; Spouse; Child; Family Member; etc.)

Who is your favorite musician?

What type of books do you generally like to read?

What would you like your next career to be?

How many times a year would you like to meet?

Once a Year

Twice a Year

Quarterly

6 or More Times a Year

Other

What is your preferred meeting type?

In-Office/In-Person

At Home/In-Person

In-Office/Virtual

Other

What are six (6) Short Term Goals you would like to accomplish for your financial future?

What are six (6) Medium Term Goals you would like to accomplish for your financial future?

What are six (6) Long Term Goals you would like to accomplish for your financial future?

What is important to you about money?

Whatdo you feel is your most pressing financial concern right now?

Who are you financially responsible for and who is it important that you are able to assist?

What role will you play in you children's and grandchildren's future?

What plans have you made in the event you become disabled?

Tell us about your philanthropic intentions. Do you have charitable aspirations?

What do you want retirement to look like? (Will you continue to work? Spend weeks or months traveling the world? Golfing 6 days a week?... Elaborate)

What are some financial mistakes that you've seen other people make or have heard of that you want to avoid?

How do you define risk?

What percentage of loss in your overall portfolio would you start to feel considerable discomfort?

5%

10%

15%

20%

Other

If you didn't have to worry about money, what would you worry about?

Any other general information we should be aware of?

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