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Confidential Financial Review Form



Financial Services And Markets Act 2000

Independent Financial Advisers are required to have proper regard for a client’s best interests in any advice given. They must therefore do their utmost to ensure that they are aware of your personal and financial circumstances so that their advice is the most suitable for your needs. The questions here have been specifically designed to help your adviser provide advice that meets your needs. If, for any reason, you decline to answer any or all of the questions or if you fail to provide true and accurate information to the best of your knowledge, the advice given subsequently may not be best advice, as it can only be based on the information provided.

General Data Protection Regulations – Disclosure of Information

The information given in this document will be retained on computer for reference purposes, and will be held in accordance with the General Data Protection Regulations. The details may be passed to the regulatory authorities and auditors for the purpose of compliance.

Q1

Basic Data

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Tailoring Questions

Q2

Tailoring the questionnaire enables you to leave out sections/areas that are not relevant to your circumstances making it faster and easier to complete. Please take just a few seconds to consider these questions and choose Yes/No accordingly. You can come back to this page and change the setting in due course if required.


You are able to omit some aspects of this questionnaire if you choose to do so below. You can omit sections that are not relevant to your advice or needs by ticking the No buttons below. Note you must answer this question ticking either the yes or no box on each line.
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Investment Experience (mandatory for investments)

Q3

When it comes to investing, how would you describe yourself?

Q4

How important is it to you to know that the products that you invest in are covered by the UK Financial Services Compensation Scheme?

Q5

How important is it to you to know that all of your investments are accessible should you require the funds for emergency purposes?

Q6

Some investments borrow money to increase the total amount invested, by doing this it increases the risk to you as an individual especially if the product is unable to repay the amount borrowed. How important therefore is it to you to avoid such risks?

Q7

How important is it to you to know that your funds you invest in only trade in socially responsible areas of investment?

Q8

How important is it for you to be able to vary the underlying risks associated with your investments in line with changes in your personal circumstances?

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Personal Details

Q9

Personal details
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Children/Dependants

Q10

Dependants

Children
Q11

If born since 1/9/2002 Name of Child Trust Fund Provider and Value
Q12

Identifying Needs for Dependants/Children
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Employment/Self Employment Details

Q13

Employer/Self Employment details
Q14

Do you anticipate any changes to your circumstances or employment?
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Employment/Self Employment Details

Q15

You have indcated you/your partner are self employed - please complete the following:
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Salary/Wages from Employment

Q16

You have indcated you/your partner are employed - please complete the following:
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Regular Outgoings

Q17

Regular outgoings
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Assets and Valuations (Approx)

Q18

Assets and Valuation
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Investments and Cash

Q19

Investments and Cash
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House

Q20

House details -complete if you own a house or are planning house purchase in next 12 months
Q21

Repayment method (Interest only/repayment/both)
Q22

Remaining Term on Mortgage
Q23

Plans in place to cover your mortgage
Policy 1
Q24

Plans in place to cover your mortgage
Policy 2
Q25

Buying a New Home
Please complete this section if you are planning a house purchase in the next 12 months
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Mortgage considerations

Q26

Mortgage Considerations (Only complete if advice is required on Mortgages or Remortgages). We will bear all your preferences in mind as we research the market place.


You have indcated you/your partner are self employed - please complete the following:
Would you prefer to fix your mortgage payments at a set amount for a set number of years or have your payments varying with changes in the mortgage rate?
Q27

Would you prefer to have lower payments initially, even if it means future payments will be higher they otherwise would be and that you will have paid more overall?
Q28

Are you looking for a Cashback mortgage?
Q29

Mortgages often include certain fees. Please indicate your order of preference for the following possibilities, with a number from 1 to 3, with 1 being the most important and 3 the least.
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Pension Schemes

Q30

Retirement considerations
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Employers Schemes - auto-enrolment

Q35

For those in Employment

Auto-enrolment Scheme has to be offered by law to eligible employees.
Q36

Auto-enrolment Scheme
Q37

If yes, when?



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Occupational Pension Schemes

Q38

Details of company pension scheme
Q39

Are you contracted out of the State second pension scheme? (You will pay reduced NI contributions which you can ascertain from your payslip - A is the code applicable to "normal" non-contracted out schemes)
Q40

Contributions - please select the appropriate choices from the dropdowns
For the questions below indicate the frequency where there are figures e.g. annual or monthly
Q41

Is the contribution a fixed amount or a % of salary?
Q42

Is the contribution a fixed amount or a % of salary?
Q43

Is any "Death in Service" benefit provided?
Q44

In the event of your death is there is a provision for ongoing payment of pension to the widow (er)?
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Final Salary Scheme details

Q45

You indicated in the tailoring page that you/your partner is a member of a Final Salary Pension Scheme. Please provide details below.

What is the Pension Basis? (e.g. 60ths, 80ths other)
Q46

Are you entitled to a lump sum in addition or by commutation of part of your pension fund to pay a lump sum with a reduced pension amount?
Q47

Benefit escalation rate in retirement
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Money Purchase Scheme Membership

Q48

Are you a member of a Money Purchase Scheme? (Your pension at retirement depends on the value of the fund at retirement date)
Q49

What is the current fund value? (This will be shown on the annual statement provided by your pension scheme)
Q50

Does the employer contribute to the pension scheme?
Q51

Do you make Additional Contributions to a pension scheme? (AVCs)
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Personal Pension Plans

Q52

Give details of your personal pension plans here
Q53

Does the employer contribute to the pension scheme?
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Life Assurances (1)

Q54

Give details of life policies held here
Q55

Give details of life policies held here (2)
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Permanent Health and Critical Illness Plans (Existing)

Q56

Give details of permanent health and critical illness plans here
Q57

Give details of permanent health and critical illness plans here
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Savings related Plans (Endowments, Friendly Society Plans etc)

Q58

Give details of savings related plans here
Q59

Give details of savings related plans here
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Protection Calculator

Q60

Lump Sum Needs : - How big a lump sum would you or your family need? What income would you or your family need? Existing Arrangements – What other lump sums could you get?

If you were to die, your family may wish to pay off debts such as mortgage or car loans. There will be funeral expenses to pay for or you may wish to leave some rainy day money for your family. Your lifestyle may also need to alter and you may need to consider paying off debts. What might some of this cost?
Q59

Give details of savings related plans here
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Protection Calculator

Q60

Lump Sum Needs : - How big a lump sum would you or your family need? What income would you or your family need? Existing Arrangements – What other lump sums could you get?

If you were to die, your family may wish to pay off debts such as mortgage or car loans. There will be funeral expenses to pay for or you may wish to leave some rainy day money for your family. Your lifestyle may also need to alter and you may need to consider paying off debts. What might some of this cost?
Q61

What income would you or your family need? You may have other commitments, for example school or university fees, child care or maintenance payments. Remember that if you have planned to pay off debts then you will not have to make interest payments.
Q62

What lump sum is needed to generate income?
Q63

If you were to die, your family may wish to pay off debts such as mortgage or car loans. There will be funeral expenses to pay for or you may wish to leave some rainy day money for your family. Your lifestyle may also need to alter and you may need to consider paying off debts. What might some of this cost?
Q64

Total Sum Assured Required
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Health

Q65

Health questions
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Any advice considerations

Q66

Health questions
Q67

Notes
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Attitude to Risk Profiler Questionnaire - 10 Question Version

Q68

I would be willing to risk a percentage of my income in order to get a good return on an investment.

Q69

To achieve high returns, it is necessary to choose high-risk investments.

Q70

When I am faced with a financial decision I am generally more concerned about the possible losses than the probable gains.

Q71

I would rather know that I was getting a guaranteed rate of return than be uncertain about my investments.

Q72

Compared to the average person, I take lower financial risks.

Q73

I would rather put my money in a bank account than invest in shares.

Q74

I do not feel comfortable with financial uncertainty.

Q75

I would accept potential losses in order to pursue long-term investment growth.

Q76

Taking financial risks is important to me.

Q77

I would be happy investing a large proportion of my income in a high-risk investment.

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Investment Criteria

Q78

Investment Timeframe
Q79

Your Capacity for Loss
Q80

Investment Liquidity
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Any Other Notes

Q81

Other notes
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PLEASE REVIEW AND CHECK THIS ENTIRE FORM BEFORE SUBMITTING

Q81

I/We confirm that the information given and recorded on this questionnaire is correct, and understand that it shall form the basis for all advice offered.

WE RECOMMEND YOU PRINT AND RETAIN A COPY FOR YOUR OWN RECORDS


WE RECOMMEND YOU PRINT AND RETAIN A COPY FOR YOUR OWN RECORDS
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Thank You


You have completed this questionnaire!

Thank you for taking the time to answer this.

 

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