1. Your Name:
2. Daytime Phone Number:
3. E-mail Address:

My commitment to you is to help you make informed choices about your financing options when buying a home. You can help me do that by completing this brief questionnaire. There are many different ways to finance a home, but to find the best option for you we must take into consideration your long and short term financial and investment goals as well as your payment and equity objectives. I will work with you to outline your goals, analyze your current purchasing power and then recommend several different strategies that will enable you to achieve your goals.

1. Have you ever owned a home before? ­­­
   What type of mortgage did you have?
2. What is your best estimate for how long you might live in this home?
   1-3 3-5 5-7 7-10 10-15+
3. How much do you expect your household income to increase or decrease (circle one) in the next:
   2 years? 5 years?
4. Do you foresee incurring other financial obligations within the next five years, such as…
   a new car? yes no
   Change in work time? (switch to part-time) yes no
   Other:
   College expenses? yes no
5. Of the following financial goals, which would you say is currently a top priority? (select all that apply)
   Improve monthly cash flow                     Create a 6-12 month cash reserve account
   Maximize retirement savings                  Maximize investment contributions
   Maximize education savings                  Maximize asset portfolio performance
   Live comfortably on one income              Live comfortably on a fixed income
   Create a comprehensive financial plan     Other:
6. Which of the following is most important regarding your mortgage financing? (select all that apply)
   Reduced monthly payment
   Accelerate equity accumulation (pay loan off sooner)
   Obtain cash to pay off debt, make home improvements, etc.
   Combine existing home improvement, home equity or purchase money loans into primary
   Have ability to sell, pay down, pay off or refinance home in future without penalty
   Maximize tax benefits
   Eliminate mortgage insurance
   Include improvements to home in financing
   Reduce property tax obligation
   Other:
7. Who should my team and I consider the primary contact throughout the loan process?
8. What is the most convenient means of communicating with you?
9. What do you expect from me, your mortgage planner, in order for this experience to be as good as possible?