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Intake form
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Name
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Email address
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What type of financial service are you interested in?
Please select at least one option.
Investment advice
Tax planning
Debt management
Financial planning
Retirement planning
What is your current financial situation?
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Employed
Self-employed
Unemployed
Student
Retired
What are your primary financial goals?
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Saving for retirement
Buying a home
Paying off debt
Building an emergency fund
Investing for growth
How did you hear about us?
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Social media
Search engine
Referral
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Do you have any previous experience with financial advisors?
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Yes
No
What is your preferred method of communication?
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Email
Phone
In-person meeting
Video call
Are you looking for ongoing support or a one-time consultation?
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Ongoing support
One-time consultation
What is your estimated budget for financial services?
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Under £500
£500-£1000
£1000-£5000
Over £5000
What is your age group?
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Under 18
18-24
25-34
35-44
45-54
55-64
65 and over
Please provide any additional information or specific questions you have.
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