Please take a few minutes to complete this questionnaire so that Curtis Turner can better help you.

Income Needs Survey

We will treat you to a free cup of coffee from Starbucks if you complete this form.

Need a little help with the form?

Call today! (770) 998-1477 We'll be happy to help.

Simply click on the send e-mail; button to e-mail the information to Curtis L. Turner, III.

Your sex

Male

Female

Do you use tobacco?

No

Yes

Does your spouse use tobacco?

No

Yes

If you, as a breadwinner didn't come home tonight, how much income would it take for those you left behind, to remain in their own world?

If something happened to one of you, indicate what the expenses would be for the surviving partner.

What additional income would a surviving spouse have access to?

We can calculate how much capital you will need  to meet your expenses:

Cash Needs:

Cash Assets:

If you have any comments or questions, please add them here so we may be of better service to you.

Your comments here

We'll calculate the information you provided,  then we would like to  invite you to meet with Curtis Turner to discuss your needs over a cup of coffee.