Lifestyle Questionnaire

Transcription

1 finstyle planning solutions Lifestyle Questionnaire Client Name Partners Name Finstyle Planning Solutions Pty Ltd Corporate Authorised Representative of Total Financial Solutions Australia Ltd ABN: AFSL:

2 personal details Client 1 Client 2 Full Name Full Name Date of Birth Date of Birth Address Address Home Phone Home Phone Work Phone Work Phone Mobile Phone Mobile Phone Address Address Occupation Occupation Health Issues No Yes Health Issues No Yes Please give details Please give details Any Children No Yes Any Children No Yes Names /DOB Names /DOB

3 financial details Principal Home Home Contents Motor Vehicle Motor Vehicle Investment Shares Managed Funds Property Other Asset Amount Liability Notes Bank Account/ Savings Superannuation Superannuation Other Assets/ Investments Total Client 1 Client 2 Gross Salary Gross Salary Combined Cost of Living

4 lifestyle objectives By providing us with a guide to your key lifestyle objectives we will be better equipped to help you achieve them. Below are a series of questions to help us assess your short, medium and long term lifestyle plans. Short Term Objectives (less than 2 years) Do you have any travel planned, which you would like to set funds aside for? If so what is the expected outlay? Are you planning to update any household equipment? If so what is the expected outlay? Do you have any funds set aside in case of an emergency? If so how much? Other short term Issues? If you won Lotto tonight, what would you spend it on?

5 lifestyle objectives Medium Term Objectives (2-5 years) Do you have any education funding requirements for your children? Are you planning on buying a house, or upgrading your existing house? Can you estimate the funds which would be required? Are you planning to upgrade you car? What are the estimated costs involved? When do you plan to have your mortgage paid off? Other medium term spending requirements?

6 lifestyle objectives Long Term Objectives (5 years +) Below are some examples which may be considered in the long term. If not already retired, what is your planned retirement age? What is your planned retirement income stream? (2/3 of your expected final years salary is a general estimate) Do you have any long term capital expenditure planned, eg. A boat, holiday house? Do you plan to assist your children in their financial set up? Do you expect an inheritance or other one-off lump sum amounts at any time in the future?

7 lifestyle objectives You and Financial Planning Briefly outline why you are seeking financial advice? What are your expectations of the services that we provide you? Briefly detail your past experience with Financial Planning? Are there any other Issues that you would like clarity on? Are there any specific issues that are particularly important to you?

8 acknowledgements The information provided in this form is complete and accurate to the best of my/our knowledge (except where we have indicated that I/we have chosen not to provide the information). I/We have read and understood the Financial Services Guide Version services and/or recommendations. prior to obtaining investment advisory I/we understand and acknowledge that the advice given by the adviser will only be appropriate to the extent of the information provided and the needs identified, and that if limited information has been provided and/or limited needs identified, I/we risk making a financial commitment to an investment or product that may not be appropriate to my/our overall investment objectives, financial situation and particular needs. I/we agree that: 1. Subject to the authorisation of the preparation of a Statement of Advice, I am/we are to receive the following advisory services from the adviser named in this fact finder ( adviser ) and understand that my/our personal information (including any sensitive information such as health information, membership of professional organisations and sexual preferences and practices ( sensitive information )) is being collected primarily for these purposes: Life, trauma insurance and income protection insurance; Arranging for the acquisition and disposal of all relevant products of the type described above; and An ongoing review service for my/our investment portfolio or life insurance program. Your adviser will only provide you with advice that your adviser is permitted to offer you. 2. I/We also consent to the disclosure of my/our personal information (including my/our sensitive information): to organisations involved in providing my/our adviser with marketing services and to their service providers (for example posting services), so that my/our adviser may offer me/us products and services that might meet my/our financial needs; and to other organisations in connection with the sale or proposed sale of all or part of the adviser s business and to the use of that personal information by those organisations for those purposes. 3. I/We also consent to the collection of my personal information for the purpose of my adviser providing the services stated above. This consent also relates to my sensitive information. 4. If I/we have provided personal information about an individual (such as a partner, dependant, employer, or accountant) I/we have or will as soon as practicable, provide the individual with a copy of the Privacy Notification Statement (PNS) that was provided to me with the Financial Services Guide and made them aware that the PNS applies to their personal information that has been collected for the purpose of my adviser providing me/us with the financial advice I/we have requested. 5. If I/we have provided sensitive information about someone else, I/we have or will obtain the consent of that person to that information being collected by my adviser and my adviser s service providers. Delete any item or consent in paragraphs 1 to 5 above which you do not agree with. Client Signature Client Signature

9 financial snapshot To ensure that the Wealth Management program that Finstyle Planning Solutions develops for you addresses your existing financial situation, please complete the following personal summary; Item Cash Inflow Weekly Monthly Quarterly Yearly Total Salary Share Dividends/Managed Fund Income Retail Income Other Details Sub-total Variable Expenses (Costs vary over different times and you can t avoid Weekly Monthly Quarterly Yearly Total Food Telephone Electricity Gas Clothing Chemist and toiletries Household maintenance Household cleaning Gardening costs Petrol and oil Motor vehicle maintenance Commuting and travel costs Laundry and dry cleaning Other Details Sub-total

10 Fixed Expenses (Costs vary over different times and you can t avoid) Weekly Monthly Quarterly Yearly Total Mortgage repayments Other loan repayments Leasing or hire purchase costs Health insurance Property and contents Insurance Life insurance Income Protection insurance Motor vehicle insurance Child care or alimony Council rates Professional subscriptions Other - Details Sub-total Discretionary Expenses (Avoidable, discretionary costs) Weekly Monthly Quarterly Yearly Total Alcohol and tobacco Entertainment Newspapers and Magazine Charities and gifts Social club Descriptions Other - Details Sub-total Total per annum Other Financial Information: Value of current investments (Non Superannuation) Value of current Superannuation Value of current debt