White Aspen Capital · Client Resources
White Aspen Capital
Financial Planning

Financial Planning Questionnaire

A comprehensive, streamlined planning workbook designed to capture the goals, resources, risks and household information needed to build your retirement plan.

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Before you begin

Documents to Gather

Please gather statements for the items below and send them to White Aspen Capital. If you are unable to locate a statement or document, simply complete the corresponding section of this questionnaire using the best information available to you.

Statements

Retirement Income

Risk Management

01 — Get started

Household & important relationships

Client

Co-Client

Important relationships

Include anyone participating in the plan for gifting, goals, beneficiaries, or ownership of insurance policies—for example children, grandchildren, or charities.

NameDate of BirthRelationship
02 — Retirement timing

Retirement age & planning age

Client

Co-Client

03 — Lifestyle goals

Needs before & after retirement

Adjustments to living expense

DescriptionAnnual Amount (current dollars)Year Expense Will EndAmount Inflates?

Car goals

Importance 10→1DescriptionYearAt RetirementForAmount After Trade-InHow OftenHow Many Times

Other needs

Importance 10→1DescriptionFrequencyStart DateCost Per Year/Month
04 — Retirement income

Social Security, work & pension income

Client Social Security

Co-Client Social Security

Part-Time Work & Other Retirement Income

Include part-time work, rental property, annuities, royalties, alimony, etc. Do not include interest or dividend income from investments.

DescriptionOwnerMonthly IncomeYear It Ends or Number of Years

Pension Income

DescriptionOwnerMonthly IncomeStart YearYear It Ends / No. Years% Survivor BenefitInflates?GPO
05 — Investment assets

Accounts, contributions & allocation

Client

Investment TypeCurrent ValueAnnual AdditionsCash %Bond %Stock %
Retirement Plans (e.g., 401k, 403b)
Employer Match
Traditional IRA
Roth IRA
529 Savings Plan
Annuities
HSA
Taxable / Brokerage
Other

Co-Client

Investment TypeCurrent ValueAnnual AdditionsCash %Bond %Stock %
Retirement Plans (e.g., 401k, 403b)
Employer Match
Traditional IRA
Roth IRA
529 Savings Plan
Annuities
HSA
Taxable / Brokerage
Other
06 — Other assets & liabilities

Property, assets & debt

Other Assets

Other homes, real estate, personal property, collectibles, inheritance, etc.

DescriptionOwnerCurrent ValuePlanning to Sell?Year Sell / ReceivedCash Received (After-tax)

Liabilities

DescriptionOwnerBeginning BalanceCurrent BalanceMonthly PaymentTermInterest Rate
07 — Risk

Risk score

1 is the lowest market risk and 100 is the highest.

Client Risk Score

50

Co-Client Risk Score

50
Reference averages from the source workbook — Household: >64 = 47, 50–64 = 50, <50 = 54. Men: >64 = 50, 50–64 = 54, <50 = 59. Women: >64 = 45, 50–64 = 48, <50 = 52. These are for reference only; your score should reflect your own willingness to accept risk.
08 — Additional considerations

Employer awards, insurance & estate

Employer Awards

Award TypeSymbolNumber of GrantsGrant DateGrant PriceWhen VestWhen Exercised?How Often Vest?

Insurance

CoverageClientCo-ClientClient AmountCo-Client AmountNotes
Group/Term Life Insurance — Death Benefit
Cash Life Insurance — Death Benefit
Cash Life Insurance — Cash Value
Disability Insurance
Long-Term Care Insurance
Cash Value Life Insurance

Estate

Document / ProvisionClientCo-ClientClient Last ReviewedCo-Client Last ReviewedNotes
Will
Will — Bypass Trust Provision
Trust
Medical Directive
Power of Attorney
09 — Optional budget

Basic living expense worksheet

Optional, but useful when estimating current and retirement living expenses.

Personal & Family Expenses

ExpenseCurrentRetirement
Alimony
Bank Charges
Business Expense
Cash - Miscellaneous
Cell Phone
Charitable Donations
Child Allowance/Expense
Child Care
Child Support
Clothing
Club Dues
Credit Card Debt Payment
Dining
Entertainment
Gifts
Groceries
Healthcare
Hobbies
Household Items
Laundry/Dry Cleaning
Personal Care
Pet Care
Recreation
Vacation/Travel
Other
TOTAL

Vehicle Expenses

ExpenseCurrentRetirement
Loan / Lease
Insurance
Personal Property Tax
Fuel
Repairs / Maintenance
Parking / Tolls
Other
TOTAL

Home Expenses

ExpenseCurrentRetirement
Mortgage / Rent
Equity Line
Real Estate Tax
Homeowner’s Insurance
Association Fees
Electricity
Gas/Oil
Trash Pickup
Water/Sewer
Cable/Satellite TV
Internet
Telephone (land line)
Lawn Care
Maintenance
Furniture
Other
TOTAL

Personal Insurance Expenses

ExpenseCurrentRetirement
Disability for Client
Disability for Co-client
Life for Client
Life for Co-client
Long-Term Care for Client
Long-Term Care for Co-client
Medical for Client
Medical for Co-client
Umbrella Liability
Other
TOTAL

Total All Expenses

CategoryCurrentRetirement
Personal & Family Expenses
Vehicle Expenses
Home Expenses
Personal Insurance Expenses
TOTAL
Secure Documents

Upload Supporting Documents

Attach statements or planning documents you would like White Aspen Capital to review with your questionnaire.

Documents attached here are submitted through the same secure workflow as the questionnaire. They are not placed directly into the notification email.

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Drag & drop your documents here

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Suggested documents
Investment and retirement statements, Social Security statements, insurance documents, mortgage statements, employer awards, estate-planning documents, and other relevant planning records.
Upload limits
PDF, Word, JPG or PNG. Up to 5 files, with a combined maximum of 4 MB for secure submission.
Secure submission: When deployed with the WAC secure-submission configuration, this questionnaire is transmitted over HTTPS, encrypted before storage, and White Aspen Capital receives a notification without placing the financial details directly in ordinary email.