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					Financial Viewpoint
Assessment


Name                                   Jane Doe             Jane Jones           Bill Brown
Date of Test                           6/8/2007             6/8/2007             6/8/2007

                                                                                 brown@hotmail.co
email                                  jdoe@yahoo.net       jj123@aol.com        m
ID
Address                                1234 5th St.      2222 2nd St,     6666 6th St.
City                                   Sometown          Flat Rock        anywhere
State                                  xx                MI               GG
Zip                                                98765            33232             45654
Home Phone
Bus. Phone                             999-555-1111         999-555-9876         888-555-7777
Cell Phone
Age
Occupation
Marital status
Partners name


Review Status
1 My last financial development        One to three years   One to three years   More than three
review was                             ago                  ago                  years ago
2 My last investment strategy review   More than three      One to three years   One to three years
was                                    years ago            ago                  ago
3 My last estate organization review   Less than one        Less than one        Less than one
was                                    year ago             year ago             year ago
Estate Organization
4 I am well informed about the
organization of my estate.             No                   Unsure               Yes
5 My will is current and consistent
with my estate plans.                  No                   Unsure               Does not apply
6 My spouse/partner has a valid, up-
to-date will or trust.                 Unsure               Unsure               Does not apply
7 A guardian has been appointed for
our minor children.                    Does not apply       Does not apply       Yes
8 My beneficiary designations are
current.                               Yes                  Yes                  No
9 My executor understands my will
and estate plan.                       Yes                  Yes                  Yes
10 My executor knows the location of
my personal papers                     Yes                  Yes                  Does not apply

11 I have made specific plans to
distribute my estate upon my death.    Does not apply       Yes                  Unsure
12 I understand how taxes will be
applied to my estate.                  Unsure               Yes                  Unsure
13 The value of my estate is
protected from the effects of 'tax
erosion'                                  Yes              Yes              Yes
14 I know what income my family will
receive from the after-tax proceeds
of my estate.                             Unsure           Unsure           Unsure
15 My life insurance program is
consistent with the needs of my
estate plan                               Unsure           Unsure           Does not apply
16 I understand how life insurance
can protect my estate from the
effects of taxation.                      Does not apply   Does not apply   Yes
17 I understand how taxes will be
applied to the beneficiaries of my
retirement benefits.                      Unsure           Unsure           Does not apply
18 I would like assistance in
organizing my estate.                     Does not apply   Does not apply   Yes
Lifestyle Protection
19 My current standard of living will
continue if I have a severe accident
or illness                                Unsure           Unsure           Does not apply
20 My disability protection continues
if I leave my employer.                   Unsure           No               Yes

21 My spouse/partner has adequate
income protection coverage.               Yes              Yes              Unsure
22 My disability income program
covers debt repayments.                   Does not apply   Does not apply   No
23 I have adequate long-term care
insurance.                                No               No               No
24 My spouse/partner has adequate
long-term care insurance                  Yes              Yes              Yes
25 I have adequate critical illness
coverage.                                 Unsure           Unsure           Unsure
26 My life insurance will maintain my
family’s lifestyle.                       No               No               Unsure
27 My spouse/partner has sufficient
life insurance to maintain our family’s
lifestyle.                                Does not apply   Does not apply   Yes

28 I have an adequate pension plan.       No               No               Unsure
29 My spouse/partner has an
adequate pension plan.                    Does not apply   Does not apply   Yes
30 Our retirement income will meet
the demands of our desired
lifestyle.                                Does not apply   Does not apply   No
31 I am prepared to alter today’s
lifestyle to guarantee future financial
security.                                 Does not apply   Does not apply   No
32 I would like assistance in
reviewing my lifestyle protection
needs.                                    Does not apply   Does not apply   Unsure
My Views
33 Developing a higher level of
wealth is                                  Does not Apply     Does not Apply     Of Little Value
34 The involvement of my spouse/
partner in our financial affairs is        Fairly Important   Fairly Important   Does not Apply
35 Exchanging some of today’s
lifestyle for future security is           Of Little Value    Of Little Value    Fairly Important
36 Maximizing my tax-deferred
savings and investments is                 Essential          Essential          Fairly Important
37 Having an investment portfolio
that offers high growth potential is       Fairly Important   Fairly Important   Of Little Value
38 In my investments, a low risk
factor is                                  Of Little Value    Of Little Value    Does not Apply
39 Having a worry-free investment
plan for the future is                     Fairly Important   Fairly Important   Does not Apply
40 If I became disabled, a
replacement income would be                Does not Apply     Does not Apply     Fairly Important
41 My family’s ability to maintain their
current standard of living upon my
death is                                   Essential          Essential          Of Little Value
42 Protecting the value of my estate
from tax erosion is                        Of Little Value    Of Little Value    Essential
43 Long term retirement income
planning is                                Does not Apply     Does not Apply     Of Little Value
44 Assistance from a qualified
financial advisor in planning my
financial affairs is                       Fairly Important   Of Little Value    Does not Apply
Financial Development
45 I know what I want to accomplish
financially.                               Yes                No                 Does not Apply
46 My spouse/partner actively
participates in our financial affairs.     Does not Apply     Does not Apply     Unsure
47 My spouse/partner has a clear
understanding of our financial
situation.                                 Unsure             Unsure             No
48 I have fully outlined my financial
objectives.                                Unsure             Unsure             Unsure
49 My financial plans include
education funding for my children          Yes                Unsure             Unsure
50 I accumulate and build wealth
systematically.                            Yes                Yes                Unsure
51 I have prepared a financial plan
with defined short, medium and long-
term goals.                                Yes                Yes                Unsure
52 My spouse/partner and I each
have our own long-term financial
plans.                                     Does not Apply     Does not Apply     No

53 I allocate a specific percentage of
my earnings for wealth development. Unsure                    Unsure             No
54 I am satisfied with the rate of
return on my current wealth
development program.                    Does not Apply   Yes              Unsure
55 I understand how taxation affects
the real return on my wealth
accumulation.                           No               No               Yes
56 I know how life insurance
integrates with my financial plan.      Unsure           No               No
57 I am satisfied with the quality of
financial advice and service I
currently receive.                      Unsure           Unsure           Unsure
58 I would like assistance in
reviewing my financial development      Does not Apply   Does not Apply   Does not Apply
Investment Strategy
59 Stability in the value of my
investments is critical.                Does not Apply   Does not Apply   Does not Apply
60 I have a current asset allocation
formula as part of my investment
strategy.                               Does not Apply   Does not Apply   Yes
61 My investment strategy takes
advantage of dollar-cost averaging.     Does not Apply   Does not Apply   Does not Apply
62 I am currently taking maximum
advantage of tax-deferred retirement
plans.                                  No               No               No
63 I have accurately projected my
retirement income needs and
sources of income.                      Unsure           Unsure           Unsure
64 My portfolio had larger than
expected losses in the Bear Market
from 2000 to 2003.                      Does not Apply   Does not Apply   Unsure
65 My current strategy has been
predominantly Buy and Hold.             Unsure           Unsure           No
66 My Strategy has performed to my
expectations.                           Yes              Yes              Yes
67 I have pre-determined Stop Loss
Points in place that will limit my
losses.                                 Yes              Does not Apply   Yes
68 My advisor monitors the
performance of my holdings
frequently.                             Unsure           Yes              Unsure
69 I am satisfied with the advice and
service I receive from my financial
advisor.                                Yes              Yes              Yes
70 I would like assistance in
reviewing my investment strategy.       Yes              No               No
Mary Smith
6/8/2007

smithmary@comc
ast..net

8888 8th Avenue
hometown
AA
           53573

666-555-3333




More than three
years ago
One to three years
ago
One to three years
ago


Yes

Does not apply

Does not apply

Yes

No

Yes

Does not apply


Unsure

Unsure
Yes


Unsure


Does not apply


Yes


No

No



Does not apply

Yes


Unsure

No

No

Yes

Unsure

Unsure


Yes

Unsure

Yes


No


No


Unsure
Fairly Important

Fairly Important

Fairly Important

Fairly Important

Essential

Essential

Does not Apply

Fairly Important


Of Little Value

Essential

Of Little Value


Does not Apply


Does not Apply

Yes


Yes

Unsure

Unsure

Unsure


Unsure


No


No
Unsure


Yes

No


Unsure

Unsure


Does not Apply


Yes

Does not Apply


No


Unsure


Unsure

No

Yes


Yes


Unsure


No

Unsure

				
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