FNA FORMFinancial Needs AnalysisThis form helps us understand your financial situation, protection needs, and goals.Your information will be kept confidential and used solely for financial planning purposes.Personal InformationThis section collects basic details about you to personalize your financial plan.First NameMiddle NameLast NameBirthdateEmailContact NumberAre you in good health? Yes NoIn good health means being physically and mentally well, free from serious illnesses or medical conditions, and having the ability to perform daily activities without difficulty.What is your illness, please specify:Family InformationUnderstanding your family structure helps assess your financial responsibilities and protection needs.What is your current marital status?SingleSingle ParentMarriedCommon-lawWidowedDivorcedHow many children do you have?– Select –01234Write down your parents name:Father’s First NameFather’s Last NameBirth Date Work/BusinessMother’s First NameMother’s Last NameBirth date Work/BusinessSpouse’s name:First NameLast NameBirthdateWork/BusinessList down the names of your children, birthdate, and grade level.Name of your child, birthdate, and grade level.First NameLast NameBirthdate1st Child Grade Level– Select –K12College LevelWorkingFirst NameLast NameBirthdate2nd Child Grade Level– Select –K12College LevelWorkingFirst NameLast NameBirthdate3rd Child Grade Level– Select –K12College LevelWorkingFirst NameLast NameBirthdate4th Child Grade Level– Select –K+12College LevelWorkingInsurance Protection SummaryThis section reviews your current insurance coverage to identify gaps in your protection plan.Are you the breadwinner in the family? Yes NoDo you have existing insurance? Yes NoWhat type of Insurance? Health Insurance VULHow much is your Health Insurance Coverage?How much is your VUL Coverage?How much is your accidental coverage?Key Difference:• Health insurance focuses on paying for medical expenses.• VUL insurance gives you life protection while also growing your money through investments.How many are you in the family?How many are INSURED in the family?Do you have HMO Coverage? Yes NoHow much is your HMO Coverage?Financial Capacity & GoalsAssessing your financial capacity helps create a plan that fits your budget and long-term goals.Do you have properties? Yes NoneKind of Properties Residential Properties Commercial Properties Industrial Properties Agricultural Properties Vacant LandHow much is the Total VALUE?Profession– Select –Accounting/FinanceAdvertising/Public RelationsAerospace/AviationArts/Entertainment/PublishingAutomotiveBanking/MortgageBusiness DevelopmentBusiness OpportunityClerical/AdministrativeConstruction/FacilitiesConsumer GoodsCustomer ServiceEducation/TrainingEnergy/UtilitiesEngineeringGovernment/MilitaryGreenHealthcareHospitality/TravelHuman ResourcesInstallation/MaintenanceInsuranceInternetJob Search AidsLaw Enforcement/SecurityLegalManagement/ExecutiveManufacturing/OperationsMarketingNon-Profit/VolunteerPharmaceutical/BiotechProfessional ServicesQA/Quality ControlReal EstateRestaurant/Food ServiceRetailSalesScience/ResearchSkilled LaborTechnologyTelecommunicationsTransportation/LogisticsOtherHow much is your monthly salary?How much do you save a month?How much is your montly expenses?How much is your Emergency fund?Your PHP Monthly income is too low. Financial GoalTake control of your financial journey by selecting the goals that matter most to you.Financial Goals (Tap all that apply): Medical and Critical Illness Protection Estate Planning Education Fund for Children Income Protection Retirement PlanningOthers:How much can you set aside for financial goal per month? Below P3,000 P3,000-P4,500 P5,000-P7,500 P8,000 – P10,000 P10,000+Do you want to see some initial plans that might interest you? Yes No, not readyHi , based on your initial responses, here are some products that may interest you. We’d love to discuss them further during our appointment. Let us know which ones you’d like to explore! 😊SET FOR HEALTH 3x claim to 42 CRITICAL ILLNESS INSURANCE with Moneyback! No worries, no wasted money because we’ll cover 3x major illnesses, and we’ll return your premiums if you never make a claim. SFH Set for Health Critical Illness InsuranceBIG 3 Critical Illness Insurance Easy on the pocket, easy to buy, easy to claim health insurance covering you from the top three critical illnesses.SFH BIG 3 Critical Illness InsuranceSet for Life Investment-linked PlusThis plan protects you and your investment while growing your wealth. Whether it’s for retirement, education, or wealth-building, invest with confidence and manifest your dreams into reality. With Critical Illness BenefitsSFL++ Set for Life Investment-linked Insurance PlusSmartStart Investment-linked InsuranceAn investment-linked plan for those looking for protection with more investment opportunity starting at PHP 1,800 per month.SFL++ SmartStart Investment-linked InsuranceManifest Investment-linked This plan protects you and your investment while growing your wealth. Whether it’s for retirement, education or wealth-building, invest with confidence and manifest your dreams into reality.Manifest Manifest Investment-linked Manifest Investment-linked PlusThis plan protects you and your investment while growing your wealth. Whether it’s for retirement, education, or wealth-building, invest with confidence and manifest your dreams into reality. With Critical Illness Benefits.Manifest Manifest Investment-linked +Set for Life Investment-linkedThis plan protects you and your investment while growing your wealth. Whether it’s for retirement, education or wealth-building, invest with confidence and manifest your dreams into reality.Manifest Set for Life Investment-linked InsuranceDo you currently have a financial advisor who shared this FNA FORM with you or requested you to complete it? Yes NoneFinanancial Advisor’s Full Name Financial Advisor’s EmailI have read and agree to the Terms and Conditions and Privacy Policy**Please review that all the required fields are answered. The results of this FNA are for reference only and should not be interpreted as financial advice, recommendation, or offer.ALL INFORMATION IS TREATED WITH UTMOST CONFIDENTIALITY.SUBMIT