Part 2: Needs Analysis Contact Name * First Name Last Name Email * Assets Income Cash Savings Stocks/Bonds/Investments Real Estate Business Assets Life Insurance Benefit (Total Payout Amount) Other: Liabilities Mortgage (Remaining Balance) Loans (Auto/Credit Cards/Personal) Final Expenses (Funeral Cost/Probate/Executer Fees) Child Care Expenses Education Fund Other: **Foster Insures complies with the federal Personal Informations and Electronic Documents Act (PIPEDA) and applicable provincial privacy laws. Foster Insures maintains the highest standards of confidentiality to ensure the protection of your personal information (PI). Foster Insures also adheres to the Canadian Anti-Spam Legislation and Regulations (CASL) and will only communicate electronically with your consent. **By pressing submit, I am consenting to being contacted by Jayevan Foster, a Licensed Life Insurance Advisor, to discuss and review life insurance options. Thank you for taking the time to fill out the Needs Analysis form. I look forward to servicing your insurance needs! Congratulations on completing the final form 🎉! Your advisor will be in touch with you shortly. Book a Virtual Meeting to Review your personalized quote! 😁