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Intake form
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Name
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Email address
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What are your financial goals?
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Saving for retirement
Buying a home
Paying off debt
Investing in stocks
Starting a business
Building an emergency fund
Saving for education
What is your current financial situation?
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Stable
Struggling
Improving
Uncertain
What services are you interested in?
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Financial planning
Investment advice
Debt management
Budgeting assistance
Tax planning
Retirement planning
Estate planning
Do you have any previous experience with financial planning services?
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Yes
No
How did you hear about us?
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Social media
Referral
Search engine
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What is your preferred method of communication?
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Email
Phone
In-person
Video call
Additional questions or comments
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