Page 1 of 1

Budget Video Submission

Name

Email Address

Age

Where do you Live? (City, State)

What are your biggest financial goals (Within 5 years)

Do you have any money in savings right now?

Do you have any money invested?

What is your Job Title?

What is your Annual Income?

Are you currently contributing to your 401k?

Does your employer match any 401k contributions?

How frequent are your paychecks?

What is the expected (average) amount of each paycheck? (After taxes, 401k, etc.)

Do you have a partner/spouse's income that you want to include?

Do you rent or own your house/apartment?

How much do you pay in utilities each month?

How much is your Phone Bill each month?

How much is your car insurance each month?

How much do you spend on gas/transportation each month?

How much do you spend in subscriptions each month?

How much do you spend on groceries each month?

How much do you think you spend on dining out each month? (Fast food included)

Do you think you could spend less on dining out?

How much do you spend on yourself each month (Personal spending money, fun money)

Do you think you could spend less on personal spending?

Enter other misc. expenses you have on a monthly basis

Misc. Expenses 1

Misc. Expenses 2

Misc. Expenses 3

Misc. Expenses 4

Do you have a car lease/loan?

Do you have any student loans?

Please enter all other debts here. MUST include BALANCE, INTEREST RATE & MIN. MONTHLY PAYMENT. Without these three things, it will be hard to analyze.

What sinking funds would you like to have organized? (Emergency fund, vacation fund, etc)

How much do you want to save each month?

Are you currently investing outside of your 401k?

Do you grant me permission to make an anonymous video with your numbers for Tik Tok/Instagram and/or Youtube?