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SOLVE4PEACE Guest Form

INSTRUCTIONS
Please complete this form as fully and honestly as possible. Your answers help us prepare a helpful, respectful conversation. All information is kept confidential except as outlined in the Appearance Release Form you have already signed. Return this form at least 48 hours before your scheduled appearance.

SECTION 1: CONTACT & PERSONAL INFORMATION

Full Legal Name

*

Preferred Name

*

Phone Number

*

Email Address

*

City & State

*

Age Range

*

A

18-29

B

30-44

C

45-59

D

60+

Marital Status

*

A

Single

B

Married

C

Divorced

D

Widowed

E

Other

Occupation / Industry

*

SECTION 2: HOUSEHOLD & FAMILY

Number of people in household

*

Number of children under 18 at home

*

Do you own or rent your home?

*

A

Own

B

Rent

C

Other

Spouse/Partner also appearing?

*

A

Yes

B

No

C

N/A

SECTION 3: CURRENT FINANCIAL SNAPSHOT
This helps us understand where you are on your journey. Ranges are fine — be as specific as you feel comfortable.

Approximate monthly take-home income

*

Total consumer debt (credit cards, loans, etc.)

*

Do you have an emergency fund?

*

A

Yes

B

No

Current retirement savings status

*

A

None

B

Some

C

On track

D

Behind

Biggest financial stressor right now

*

Where do you feel you are on the Peace Ladder?

*

A

Stop the Bleeding

B

Secure Foundation

C

Build Cushion

D

Invest/Grow

E

Solved for Peace

SECTION 4: YOUR QUESTION FOR THE SHOW

What is the main financial question, challenge, or goal you would like to discuss on the show?(Please be as specific as possible — this helps us prepare.)

*