Step 1 of 10
Welcome, let's make our time together count.
A few questions before we meet, so our conversation can be about you, not paperwork.
At Capital Investment Advisors, we believe a great financial plan is about more than money. It's about the people, experiences, and goals that matter most to you. This questionnaire helps us understand your full picture before we meet, so we can spend our time on what matters. If possible, we appreciate you completing this at least 2-3 days before our meeting, so we have time to review the information.
What to expect
The essentials come first and take about 10 to 15 minutes. Pages 9 and 10 are optional and add about 5 to 10 minutes each. Completing this questionnaire helps CIA prepare for your meeting with an advisor and does not, by itself, create an advisory relationship with Capital Investment Advisors.
A few things to know
There are no right or wrong answers. Skip anything you're unsure about. You can save your progress and come back anytime.
Helpful to have nearby
A recent investment or retirement statement, a rough sense of your account balances and debts, and, only if you'd like us to review them, a recent tax return or estate documents.

Step 2 of 10
First, the essentials.
Just enough to know who we're meeting and how to reach you.

First Name

Last Name

Preferred Name

Date of Birth

MM/DD/YYYY

Email Address

Phone Number

Occupation

Employer

Current Employment Status

Desired Retirement Age

Are you planning together with a spouse or partner?
If yes, check the box below and we'll ask a few of the same questions about them. If it's just you, skip ahead.

Yes, there are two of us

Partner's First Name

Partner's Last Name

Partner's Preferred Name

Partner's Date of Birth

MM/DD/YYYY

Partner's Email Address

Partner's Phone

Partner's Occupation

Partner's Employer

Partner's Desired Retirement Age

Step 3 of 10
A bit about your household.
This rounds out the family picture and helps us tailor what we cover.

Street Address

City

State

Zip/Postal Code

Marital Status

Number of Children

Number of Grandchildren

Number of Dependents

Step 4 of 10
Let's map out your accounts.
Add each account you have; estimates are perfectly fine. Have a lot? Add as many as you need, or just upload a recent statement and we'll take it from there.

Your Accounts

Account Type

Account Holder

Approximate Value

Notes

Uploading your documents helps us prepare for a more productive conversation at our upcoming meeting.

By uploading documents here, you authorize Capital Investment Advisors to receive and store them for the purpose of preparing for your upcoming meeting. Documents are handled in accordance with our Privacy Notice. Your information is not sold or shared with unaffiliated third parties for marketing purposes; it may be processed by service providers who assist us in operating our systems, all of whom are contractually obligated to protect it. Please avoid including full Social Security numbers or account numbers in any uploaded file.

Step 5 of 10
What you owe.
A quick look at any debts completes the picture. Estimates are fine; leave blank what doesn't apply.

Mortgage Balance

Auto Loan(s)

Credit Card Debt

Student Loans

Personal Loans

Other Debt

If you have a mortgage

Skip this if it doesn't apply.

Year Of Loan Origination

Original Loan Amount

Loan Term (Years)

Interest Rate

Monthly Payment

Anything additional you'd like to share?

now this:

Step 6 of 10
Money coming in.
Roughly what comes in each year. A ballpark is all we need; leave blank anything that doesn't apply.

Your Income (Annual)

Employment Income

Pension Income

Social Security Income

Rental Income

Other Income

Anything additional you'd like to share?

Add Spouse / Partner's Income?

Yes

Spouse / Partner's Income (Annual)

Partner's Employment Income

Partner's Pension Income

Partner's Social Security Income

Partner's Rental Income

Partner's Other Income

Step 7 of 10
Spending, today and in retirement.
This helps us see whether your plan is on track.

Total Household Expenses

Is That Amount Monthly Or Annual?

Estimated Monthly Income Your Household Will Need In Retirement

Anything additional you'd like to share?

Step 8 of 10
Your team, and what you're hoping for.
Who else helps you, and what would make this worthwhile for you.

Who Is Your CPA/Accountant?

Attorney / Estate Attorney

Insurance Professional

Other Professional Contacts

What Are Your Retirement Needs, Goals, And Objectives?

What's Most Important to You in a Financial Partner?

What Would Make Our Upcoming Meeting A Success For You?

Anything additional you'd like to share?

Step 2 of 10
First, the essentials.
Just enough to know who we're meeting and how to reach you.

Step 3 of 10
A bit about your household.
This rounds out the family picture and helps us tailor what we cover.

Step 4 of 10
Let's map out your accounts.
Add each account you have; estimates are perfectly fine. Have a lot? Add as many as you need, or just upload a recent statement and we'll take it from there.

Step 5 of 10
What you owe.
A quick look at any debts completes the picture. Estimates are fine; leave blank what doesn't apply.

Step 6 of 10
Money coming in.
Roughly what comes in each year. A ballpark is all we need; leave blank anything that doesn't apply.

Step 7 of 10
Spending, today and in retirement.
This helps us see whether your plan is on track.

Step 8 of 10
Your team, and what you're hoping for.
Who else helps you, and what would make this worthwhile for you.

Step 9 of 10
What's on your mind?
At CIA, our goal is to help coordinate every aspect of your financial life, ensuring all of the pieces work together toward your goals. Check anything you'd like to talk about: it shapes our conversation.

Step 10 of 10
Beyond the numbers.
We plan for a life, not just a portfolio. These help us understand what a good life looks like to you. If you're a couple, answer together or from your own view; whatever feels right. As a reminder, answering these questions is helpful, but completely optional.

Step 2 of 10First, the essentials.Just enough to know who we're meeting and how to reach you.

Step 3 of 10A bit about your household.This rounds out the family picture and helps us tailor what we cover.

Step 4 of 10Let's map out your accounts.Add each account you have; estimates are perfectly fine. Have a lot? Add as many as you need, or just upload a recent statement and we'll take it from there.

Step 5 of 10What you owe.A quick look at any debts completes the picture. Estimates are fine; leave blank what doesn't apply.

Step 6 of 10Money coming in.Roughly what comes in each year. A ballpark is all we need; leave blank anything that doesn't apply.

Step 7 of 10Spending, today and in retirement.This helps us see whether your plan is on track.

Step 8 of 10Your team, and what you're hoping for.Who else helps you, and what would make this worthwhile for you.

Step 9 of 10What's on your mind?At CIA, our goal is to help coordinate every aspect of your financial life, ensuring all of the pieces work together toward your goals. Check anything you'd like to talk about: it shapes our conversation.

Step 10 of 10Beyond the numbers.We plan for a life, not just a portfolio. These help us understand what a good life looks like to you. If you're a couple, answer together or from your own view; whatever feels right. As a reminder, answering these questions is helpful, but completely optional.

Step 2 of 10
First, the essentials.
Just enough to know who we're meeting and how to reach you.

Step 3 of 10
A bit about your household.
This rounds out the family picture and helps us tailor what we cover.

Step 4 of 10
Let's map out your accounts.
Add each account you have; estimates are perfectly fine. Have a lot? Add as many as you need, or just upload a recent statement and we'll take it from there.

Step 5 of 10
What you owe.
A quick look at any debts completes the picture. Estimates are fine; leave blank what doesn't apply.

Step 6 of 10
Money coming in.
Roughly what comes in each year. A ballpark is all we need; leave blank anything that doesn't apply.

Step 7 of 10
Spending, today and in retirement.
This helps us see whether your plan is on track.

Step 8 of 10
Your team, and what you're hoping for.
Who else helps you, and what would make this worthwhile for you.

Step 9 of 10
What's on your mind?
At CIA, our goal is to help coordinate every aspect of your financial life, ensuring all of the pieces work together toward your goals. Check anything you'd like to talk about: it shapes our conversation.

Step 10 of 10
Beyond the numbers.
We plan for a life, not just a portfolio. These help us understand what a good life looks like to you. If you're a couple, answer together or from your own view; whatever feels right. As a reminder, answering these questions is helpful, but completely optional.