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Intake form
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Name
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Email address
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What is your primary goal for building wealth?
Please select at least one option.
Saving for retirement
Purchasing a home
Funding education
Building an emergency fund
Investing in stocks or bonds
Starting a business
How familiar are you with compound interest?
Select
Not familiar at all
Somewhat familiar
Familiar
Very familiar
What is your preferred method of learning about financial concepts?
Please select at least one option.
Reading articles
Watching videos
Listening to podcasts
Attending webinars
Taking online courses
What age group do you belong to?
Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 and above
What is your current level of income?
Select
Under $20,000
$20,000-$39,999
$40,000-$59,999
$60,000-$79,999
$80,000-$99,999
$100,000 and above
Additional questions or comments
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