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Invest Steady Client Assessment Form
Let’s see how we can help you compound your net worth. This form takes 2–3 minutes.
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* Indicates required question
Name
*
First and last name
Your answer
Email
*
Your answer
State
*
Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Phone number
Your answer
Your Work + Money Situation
Are you currently employed?
*
Full-Time
Part-Time
Self-Employed
Not working right now
Required
About how much do you earn per year?
*
Under $30,000
$30,000-$50,000
$50,000-$75,000
$75,000-$100,000
Over $100,000
Retirement Accounts
Do you currently have any retirement accounts?
*
No — I’m starting fresh
Yes — I have a 401(k) from a current or past job
Yes — I already have a Roth or Traditional IRA
Other:
Required
What do you need help with?
Check all that apply.
*
Opening my first Roth IRA
Rolling over an old 401(k)
Understanding how to invest
Saving for retirement consistently
Protecting my family with life insurance
Other:
Required
Timeline
When would you like to get this taken care of?
*
ASAP — I’m ready now
In the next 2–4 weeks
Just learning for now
Anything else you’d like to share before we talk?
*
Your answer
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