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Financial Health Check Questionnaire
Q 1
Q 2
Q 3
Q 4
Q 5
Q 6
Q 7
Q 8
Q 9
Q 10
Q 11
How would I describe my current financial situation?
Concerning
Needs Improvement
Okay
Comfortable
Very secure
How would you rate your overall ability to manage money?
1 - Very Poor
2 - Poor
3 - Average
4 - Good
5 - Excellent
Does your pension income cover your expenses?
Never
Rarely
Sometimes
Often
Always
Do you have debt?
I am struggling to make debt repayments
I have a lot of debt
I have some debt
I will be debt-free soon
I am debt-free
Which statement best describes your feelings around money each month?
It is a constant struggle to get by
I am worried about having enough money
I am okay once an unexpected cost doesn’t pop up
Typically I am fine month to month
Comfortable as I have planned for all of my expenses
Have you taken on any Loans or Credit Cards?
I am behind on my debt payments
Yes, I am making minimum payments on my debt
Yes, I use debt to cover large expenses
Yes, but I have paid off my debts
Never as I save in advance of expenses
Would you be able to cover a sudden expense of €5,000?
No, I wouldn’t even be able to borrow to pay for this
No, I would need to borrow money to pay for this
Yes, but it would be my entire savings
Yes, but it would drain my savings
Yes, I have more than this in savings
Which statement below best describes your plans for retirement?
I believe I’ll run out of money
Each month will be a struggle financially
I wish I had of invested / saved more money in my working life
I can live a modest life in retirement quite easily
I am comfortable that I have enough assets to pay for my retirement
If your wages dropped by 30%, how long could you survive?
I would not be able to survive if my income dropped 30%
I would struggle to get by
I would have to cut-back my lifestyle
I would be okay, just no longer able to save money
I would be fine
How much do you have in your pension?
I do not have any pension savings
Less than €5,000
€5,000 - €50,000
€50,000 - €100,000
More than €100,000
What is your Net Worth? (Total assets minus debts)
I have a negative Net Worth
Less than €100,000
€100,000 - €250,000
€250,000 - €500,000
€500,000+
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