Take the Assessment - Brenda & Hilda

Gap Diagnostic Assessment

Which province do you live in?

Ontario

Other province or territory

We are currently only licensed to provide individual analysis in Ontario.

Leave your contact details below and we will reach out when we expand to your province.

Your age

Do you have a spouse or partner?

Yes

Your partner's age

Do you have children or dependents?

Yes

How many children do you have?

Age of your youngest child

Does anyone else depend on you financially (parent, sibling, dependent adult)?

Yes

Who is this?

A parent, sibling, or other dependent adult

An ex-spouse or court-ordered support obligation

Do you have a mortgage?

Yes

What life insurance do you have today?

None

Group policy through work

Individual Policy

Through my mortgage or bank

What disability or income protection do you have?

None

Group policy through work

Individual Policy

Do you have critical illness coverage?

Yes

Do you have a will?

Yes

Which best describes you right now?

I own or co-own a business

I'm a salaried professional or high-income earner

I'm raising a family / have kids at home

I'm retired or within 10 years of retiring

I own a home with a mortgage

Is one parent the primary caregiver, staying home?

Yes

Are you a single parent and sole provider?

Yes

Do you intend to fund post-secondary education?

Yes

Do you have group life or disability through an employer you'd lose at death or job change?

Yes

If an earner died, should the family stay in the home?

Yes

Interested in a small policy on a child's life for future insurability (a juvenile/child policy)?

Yes

Years remaining on your mortgage

Is your mortgage covered by lender mortgage insurance?

Yes

Not sure

Who is on the title?

Me only

Joint

Other

Do you own a second property or cottage?

Yes

Business structure

Sole proprietor

Partnership

Incorporated

Your ownership percentage

Are there other owners or partners? How many?

No other owners

1 other owner

2 or more

Is there a key person whose loss would hurt revenue?

Yes

Who?

Number of employees

Do you have a shareholder or succession agreement?

Yes

Do you draw income personally or retain earnings in the company?

Personally

Retain in company

Both

Are you incorporated (professional corporation)?

Yes

Does your income depend on your ability to perform your work?

Yes

If you have disability coverage, what's the definition?

Own-occupation

Any-occupation

Don't know

None

Do you invest or retain earnings inside your corporation?

Yes

Your retirement vehicle

RRSP

Individual Pension Plan (IPP)

None yet

Do you have a wealth-transfer or estate goal?

Yes

How many years until you plan to retire?

Are you still working?

Yes

Largest expected tax hit at death

Registered accounts

Cottage or property

Business

None or unsure

Do you want to leave specific amounts to specific heirs?

Yes

Do you intend a charitable or legacy gift?

Yes

Are final expenses currently covered?

Yes

Concerned about probate delays reaching beneficiaries?

Yes

Recently received a windfall or been widowed, needing safe income rather than more coverage?

Yes

First Name

Last Name

Phone/Mobile

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