Your thoughtful review of the items below will help you determine if you need to initiate an in-depth review of your financial affairs.

Answer "yes" to any of these questions and a review may be needed.

Answer "yes" to several of these questions and you may need to take action immediately.


Changes in Your Family                                           Yes         No

Has a member of the family become 
married, divorced, separated or is seriously
contemplating such action?                                         ____       ____

Is a child or grandchild expected or
has been born, adopted or acquired
by marriage recently?                                                ____        ____

Has a parent, child or grandchild passed
away or become terminally ill recently?                       ____       ____


Health Changes                                                         Yes         No

Has your health or that of your spouse
changed sufficiently enough to affect
your planning, lifestyle or attitudes?                             ____       ____

Have you or your spouse, parent, child
or grandchild become incapacitated,
handicapped or seriously injured and
needs or will need special care?                                  ____       ____


Lifestyle Changes                                                      Yes         No

Would you like to understand what
financial impact retirement will have                            
  ____       ____     
on you?                                                                                                               

Do you expect to change your
residence due to transfer, retirement
or a personal relocation?                                             ____       ____

Do you plan to travel extensively during
the next year?                                                            ____       ____

Do you plan to live elsewhere for part
of the year?                                                                ____       ____

Are you considering changing your plans
for retirement?                                                            ____       ____

Are you considering the acquisition of 
a retirement or vacation home?                                     ____       ____


Investment Portfolio                                                   Yes         No

Do you know if your portfolio is
appropriate?                                                                 ____       ____

Does your investment portfolio need
analysis?                                                                      ____       ____

Are you satisfied with the investment
returns you have been getting?                                       ____       ____

Have you realized significant capital
gains/losses for this year?                                              ____       ____

Do you have more than 20% ownership 
in one investment (mutual fund, stock
options, partnership, business, etc.)?                              ____       ____

Would you like to consider alternatives for 
investment of your liquid assets (i.e,
Money Market, T-bills)?                                                 ____       ____

Are you interested in becoming informed
about 529 College Plans for your children
or grandchildren?                                                           ____       ____

Are you interested in learning about tax
efficient investing?                                                          ____       ____


Changes in Assets                                                     Yes         No

Has the value of some of your assets
changed significantly in the last year?                           ____       ____

Have you or are you considering acquiring
or disposing of real estate holdings?                             ____       ____

Have you received or do you expect to

receive an inheritance in the near future?                       ____       ____

Do you anticipate receipt of a substantial
bonus or other employee benefits?                               ____       ____


Employer Plans                                                           Yes         No

Have you increased or decreased your
percentage of contributions to your
retirement plan or do you wonder if you
should?                                                                        ____       ____

Have you exercised stock options or made
thrift plan withdrawals?                                                 ____        ____

Have you received or do you expect to
receive a lump sum distribution from a
401(k) or pension plan because of a
buy-out, retirement or layoff?                                         ____       ____

Do you know how to select the investment
choices available to you in your employer
provided retirement plan?                                              ____       ____


Life Insurance                                                             Yes         No

Do you have questions about whether or
not you should add or reduce your life
insurance?                                                                   ____       ____

Do you have questions about the type of
life insurance you should have?                                      ____       ____

Are the beneficiary arrangements for your
life insurance correct and tax efficient?                           ____       ____


Other Insurance                                                          Yes         No

Would you like to understand long-term
care insurance for yourselves and/or your
parents including the costs and options
available to you?                                                          ____       ____

Is your disability income insurance coverage
adequate?                                                                   ____       ____


Estate Planning                                                          Yes         No

Do you have questions concerning estate
planning?                                                                    ____       ____

Do you know how estate taxes are calculated?             ____       ____

Do you know whether or not your estate is
arranged such that a minimal amount of
estate tax will be owed?                                              ____       ____

Would you like to consider making gifts of
property or cash to minor or adult children,
grandchildren or other family members?                        ____       ____

Would you like to learn about how you can 
use a charitable gift to provide an income
for life to you and your spouse?                                    ____       ____

Do you need a referral to an attorney to
update your Will, Trust, Power of Attorney
or Living Wills?                                                             ____       ____


Business Interests                                                    Yes         No

Do you own a business?                                             ____       ____

Do you have a succession in place if you
retire, become incapacitate or die?                              ____       ____

Have you or do you expect to sell or acquire
a business?                                                                ____       ____

Do you need to establish a retirement plan
for your business?                                                       ____       ____

Do you need a review of your executive 
benefits?                                                                    ____       ____

Do you need to review your benefit plans 
including your retirement plan?                                     ____       ____