www.capitalfinancialusa.com Open in urlscan Pro
67.20.69.66  Public Scan

Submitted URL: https://www.retireonmyterms.com/
Effective URL: https://www.capitalfinancialusa.com/
Submission: On October 07 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 8 forms found in the DOM

POST /#gf_21

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_21" id="gform_21" action="/#gf_21" data-formid="21" novalidate="">
  <div class="gform-body gform_body">
    <div id="gform_fields_21" class="gform_fields top_label form_sublabel_below description_below validation_below">
      <fieldset id="field_21_1" class="gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_21_1">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
        <div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_21_1">
          <span id="input_21_1_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_1.3" id="input_21_1_3" value="" aria-required="true">
            <label for="input_21_1_3" class="gform-field-label gform-field-label--type-sub ">First</label>
          </span>
          <span id="input_21_1_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_1.6" id="input_21_1_6" value="" aria-required="true">
            <label for="input_21_1_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
          </span>
        </div>
      </fieldset>
      <div id="field_21_2" class="gfield gfield--type-phone gfield--input-type-phone gf_left_half gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_21_2"><label class="gfield_label gform-field-label" for="input_21_2">Phone</label>
        <div class="ginput_container ginput_container_phone"><input name="input_2" id="input_21_2" type="tel" value="" class="medium" aria-invalid="false"></div>
      </div>
      <div id="field_21_3"
        class="gfield gfield--type-email gfield--input-type-email gf_right_half gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_21_3"><label class="gfield_label gform-field-label" for="input_21_3">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_3" id="input_21_3" type="email" value="" class="medium" aria-required="true" aria-invalid="false">
        </div>
      </div>
      <div id="field_21_5" class="gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_21_5"><label
          class="gfield_label gform-field-label" for="input_21_5">Question</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_5" id="input_21_5" class="textarea medium" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </div>
      <fieldset id="field_21_8"
        class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
        data-js-reload="field_21_8">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Consent</legend>
        <div class="ginput_container ginput_container_consent"><input name="input_8.1" id="input_21_8_1" type="checkbox" value="1" aria-invalid="false"> <label class="gform-field-label gform-field-label--type-inline gfield_consent_label"
            for="input_21_8_1">I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may apply.
            <a href="https://www.capitalfinancialusa.com/privacy-policy" target="_blank">Privacy Policy</a></label><input type="hidden" name="input_8.2"
            value="I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may apply. <a href=&quot;https://www.capitalfinancialusa.com/privacy-policy&quot; target=&quot;_blank&quot;>Privacy Policy</a>"
            class="gform_hidden"><input type="hidden" name="input_8.3" value="97" class="gform_hidden"></div>
      </fieldset>
      <div id="field_21_7" class="gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_21_7">
        <label class="gfield_label gform-field-label" for="input_21_7">CAPTCHA</label>
        <div id="input_21_7" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6Lc9U1AdAAAAAA_8EgB9epZWugG1_sCtIjVvxJ3R" data-theme="light" data-tabindex="0" data-badge="">
          <div style="width: 304px; height: 78px;">
            <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-2s03x73kcawl" frameborder="0" scrolling="no"
                sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
                src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Lc9U1AdAAAAAA_8EgB9epZWugG1_sCtIjVvxJ3R&amp;co=aHR0cHM6Ly93d3cuY2FwaXRhbGZpbmFuY2lhbHVzYS5jb206NDQz&amp;hl=en&amp;v=xds0rzGrktR88uEZ2JUvdgOY&amp;theme=light&amp;size=normal&amp;cb=73waun7m8e2y"></iframe>
            </div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
              style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_21" class="gform_button button" value="Submit"
      onclick="if(window[&quot;gf_submitting_21&quot;]){return false;}  if( !jQuery(&quot;#gform_21&quot;)[0].checkValidity || jQuery(&quot;#gform_21&quot;)[0].checkValidity()){window[&quot;gf_submitting_21&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_21&quot;]){return false;} if( !jQuery(&quot;#gform_21&quot;)[0].checkValidity || jQuery(&quot;#gform_21&quot;)[0].checkValidity()){window[&quot;gf_submitting_21&quot;]=true;}  jQuery(&quot;#gform_21&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" name="gform_ajax" value="form_id=21&amp;title=1&amp;description=1&amp;tabindex=0&amp;theme=orbital">
    <input type="hidden" class="gform_hidden" name="is_submit_21" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="21">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_21"
      value="WyJ7XCI4LjFcIjpcIjExODA5YjE5YWUyNTcwMDhiOWVjN2VlMWRjNTdkZGY5XCIsXCI4LjJcIjpcImM4MWQ2MjYzMDkxMDIxZTU2ZGY1MWI3NzNmMjg5ZGU0XCIsXCI4LjNcIjpcIjYwNmExZWVmMTdiZGRlMjNmYThjN2RiNzZkNmU4YTZmXCJ9IiwiMjIyMmM3ZDk1MmVkYzI5YTZkNDNiZGUxY2E2Y2Y4ZDkiXQ==">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_21" id="gform_target_page_number_21" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_21" id="gform_source_page_number_21" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
</form>

POST /#gf_108

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_108" id="gform_108" action="/#gf_108" data-formid="108" novalidate="">
  <div id="gf_progressbar_wrapper_108" class="gf_progressbar_wrapper" data-start-at-zero="">
    <p class="gf_progressbar_title">Step <span class="gf_step_current_page">1</span> of <span class="gf_step_page_count">6</span>
    </p>
    <div class="gf_progressbar gf_progressbar_blue" aria-hidden="true">
      <div class="gf_progressbar_percentage percentbar_blue percentbar_16" style="width:16%;"><span>16%</span></div>
    </div>
  </div>
  <div class="gform-body gform_body">
    <div id="gform_page_108_1" class="gform_page " data-js="page-field-id-1">
      <div class="gform_page_fields">
        <div id="gform_fields_108" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_108_14" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_108_14">
            <legend class="gfield_label gform-field-label">Are you currently working with a financial planner?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_108_14">
                <div class="gchoice gchoice_108_14_0">
                  <input class="gfield-choice-input" name="input_14" type="radio" value="Yes" id="choice_108_14_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_108_14_0" id="label_108_14_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
                </div>
                <div class="gchoice gchoice_108_14_1">
                  <input class="gfield-choice-input" name="input_14" type="radio" value="No" id="choice_108_14_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_108_14_1" id="label_108_14_1" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_next_button_108_20" class="gform_next_button gform-theme-button button" value="Next"
          onclick="jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_108_2" class="gform_page" data-js="page-field-id-20" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_108_2" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_108_15"
            class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_108_15">
            <legend class="gfield_label gform-field-label">Are you retired?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_108_15">
                <div class="gchoice gchoice_108_15_0">
                  <input class="gfield-choice-input" name="input_15" type="radio" value="Yes" id="choice_108_15_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_108_15_0" id="label_108_15_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
                </div>
                <div class="gchoice gchoice_108_15_1">
                  <input class="gfield-choice-input" name="input_15" type="radio" value="No" id="choice_108_15_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_108_15_1" id="label_108_15_1" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_108_21" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;1&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;1&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_108_21"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_108_3" class="gform_page" data-js="page-field-id-21" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_108_3" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_108_8"
            class="gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_108_8">
            <legend class="gfield_label gform-field-label gfield_label_before_complex">What is your name?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
            <div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_108_8">
              <span id="input_108_8_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
                <input type="text" name="input_8.3" id="input_108_8_3" value="" aria-required="true" autocomplete="given-name">
                <label for="input_108_8_3" class="gform-field-label gform-field-label--type-sub ">First</label>
              </span>
              <span id="input_108_8_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
                <input type="text" name="input_8.6" id="input_108_8_6" value="" aria-required="true" autocomplete="family-name">
                <label for="input_108_8_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
              </span>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_108_22" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_108_22"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_108_4" class="gform_page" data-js="page-field-id-22" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_108_4" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_108_16"
            class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_108_16">
            <legend class="gfield_label gform-field-label">What are you total estimated investable assets?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_108_16">
                <div class="gchoice gchoice_108_16_0">
                  <input class="gfield-choice-input" name="input_16" type="radio" value="Less than $100,000" id="choice_108_16_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_108_16_0" id="label_108_16_0" class="gform-field-label gform-field-label--type-inline">Less than $100,000</label>
                </div>
                <div class="gchoice gchoice_108_16_1">
                  <input class="gfield-choice-input" name="input_16" type="radio" value="$100,000 - $250,000" id="choice_108_16_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_108_16_1" id="label_108_16_1" class="gform-field-label gform-field-label--type-inline">$100,000 - $250,000</label>
                </div>
                <div class="gchoice gchoice_108_16_2">
                  <input class="gfield-choice-input" name="input_16" type="radio" value="$250,000 - $500,000" id="choice_108_16_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_108_16_2" id="label_108_16_2" class="gform-field-label gform-field-label--type-inline">$250,000 - $500,000</label>
                </div>
                <div class="gchoice gchoice_108_16_3">
                  <input class="gfield-choice-input" name="input_16" type="radio" value="$500,000 - $1,000,000" id="choice_108_16_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_108_16_3" id="label_108_16_3" class="gform-field-label gform-field-label--type-inline">$500,000 - $1,000,000</label>
                </div>
                <div class="gchoice gchoice_108_16_4">
                  <input class="gfield-choice-input" name="input_16" type="radio" value="More than $1,000,000" id="choice_108_16_4" onchange="gformToggleRadioOther( this )">
                  <label for="choice_108_16_4" id="label_108_16_4" class="gform-field-label gform-field-label--type-inline">More than $1,000,000</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_108_23" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_108_23"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;5&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;5&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_108_5" class="gform_page" data-js="page-field-id-23" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_108_5" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_108_19" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_108_19">
            <legend class="gfield_label gform-field-label gfield_label_before_complex">Is there anything specific you would like to discuss?</legend>
            <div class="ginput_container ginput_container_checkbox">
              <div class="gfield_checkbox" id="input_108_19">
                <div class="gchoice gchoice_108_19_1">
                  <input class="gfield-choice-input" name="input_19.1" type="checkbox" value="Retirement Planning" id="choice_108_19_1">
                  <label for="choice_108_19_1" id="label_108_19_1" class="gform-field-label gform-field-label--type-inline">Retirement Planning</label>
                </div>
                <div class="gchoice gchoice_108_19_2">
                  <input class="gfield-choice-input" name="input_19.2" type="checkbox" value="Improving Investment Strategy" id="choice_108_19_2">
                  <label for="choice_108_19_2" id="label_108_19_2" class="gform-field-label gform-field-label--type-inline">Improving Investment Strategy</label>
                </div>
                <div class="gchoice gchoice_108_19_3">
                  <input class="gfield-choice-input" name="input_19.3" type="checkbox" value="Estate Planning" id="choice_108_19_3">
                  <label for="choice_108_19_3" id="label_108_19_3" class="gform-field-label gform-field-label--type-inline">Estate Planning</label>
                </div>
                <div class="gchoice gchoice_108_19_4">
                  <input class="gfield-choice-input" name="input_19.4" type="checkbox" value="Reviewing Insurance Coverage" id="choice_108_19_4">
                  <label for="choice_108_19_4" id="label_108_19_4" class="gform-field-label gform-field-label--type-inline">Reviewing Insurance Coverage</label>
                </div>
                <div class="gchoice gchoice_108_19_5">
                  <input class="gfield-choice-input" name="input_19.5" type="checkbox" value="High-Net-Worth Investing" id="choice_108_19_5">
                  <label for="choice_108_19_5" id="label_108_19_5" class="gform-field-label gform-field-label--type-inline">High-Net-Worth Investing</label>
                </div>
                <div class="gchoice gchoice_108_19_6">
                  <input class="gfield-choice-input" name="input_19.6" type="checkbox" value="Tax Planning" id="choice_108_19_6">
                  <label for="choice_108_19_6" id="label_108_19_6" class="gform-field-label gform-field-label--type-inline">Tax Planning</label>
                </div>
                <div class="gchoice gchoice_108_19_7">
                  <input class="gfield-choice-input" name="input_19.7" type="checkbox" value="Second Opinion Review" id="choice_108_19_7">
                  <label for="choice_108_19_7" id="label_108_19_7" class="gform-field-label gform-field-label--type-inline">Second Opinion Review</label>
                </div>
                <div class="gchoice gchoice_108_19_8">
                  <input class="gfield-choice-input" name="input_19.8" type="checkbox" value="Fee Analysis" id="choice_108_19_8">
                  <label for="choice_108_19_8" id="label_108_19_8" class="gform-field-label gform-field-label--type-inline">Fee Analysis</label>
                </div>
                <div class="gchoice gchoice_108_19_9">
                  <input class="gfield-choice-input" name="input_19.9" type="checkbox" value="Lifetime Income Plan" id="choice_108_19_9">
                  <label for="choice_108_19_9" id="label_108_19_9" class="gform-field-label gform-field-label--type-inline">Lifetime Income Plan</label>
                </div>
                <div class="gchoice gchoice_108_19_11">
                  <input class="gfield-choice-input" name="input_19.11" type="checkbox" value="Spend &amp; Leave Plan" id="choice_108_19_11">
                  <label for="choice_108_19_11" id="label_108_19_11" class="gform-field-label gform-field-label--type-inline">Spend &amp; Leave Plan</label>
                </div>
                <div class="gchoice gchoice_108_19_12">
                  <input class="gfield-choice-input" name="input_19.12" type="checkbox" value="Roth Conversion Strategy" id="choice_108_19_12">
                  <label for="choice_108_19_12" id="label_108_19_12" class="gform-field-label gform-field-label--type-inline">Roth Conversion Strategy</label>
                </div>
                <div class="gchoice gchoice_108_19_13">
                  <input class="gfield-choice-input" name="input_19.13" type="checkbox" value="IUL Strategy" id="choice_108_19_13">
                  <label for="choice_108_19_13" id="label_108_19_13" class="gform-field-label gform-field-label--type-inline">IUL Strategy</label>
                </div>
                <div class="gchoice gchoice_108_19_14">
                  <input class="gfield-choice-input" name="input_19.14" type="checkbox" value="Tactical Management" id="choice_108_19_14">
                  <label for="choice_108_19_14" id="label_108_19_14" class="gform-field-label gform-field-label--type-inline">Tactical Management</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_108_24" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_108_24"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;6&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_108&quot;).val(&quot;6&quot;);  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_108_6" class="gform_page" data-js="page-field-id-24" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_108_6" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <div id="field_108_28"
            class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_108_28">
            <p>Great! What is the best way for us to reach out to you to set up a meeting?</p>
          </div>
          <div id="field_108_11"
            class="gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_108_11"><label class="gfield_label gform-field-label" for="input_108_11">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_email">
              <input name="input_11" id="input_108_11" type="email" value="" class="large" aria-required="true" aria-invalid="false" autocomplete="email">
            </div>
          </div>
          <div id="field_108_10"
            class="gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_108_10"><label class="gfield_label gform-field-label" for="input_108_10">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_phone"><input name="input_10" id="input_108_10" type="tel" value="" class="large" aria-required="true" aria-invalid="false" autocomplete="tel"></div>
          </div>
          <div id="field_108_12" class="gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_108_12"><label class="gfield_label gform-field-label" for="input_108_12">Questions/Comments</label>
            <div class="ginput_container ginput_container_textarea"><textarea name="input_12" id="input_108_12" class="textarea small" aria-invalid="false" rows="10" cols="50"></textarea></div>
          </div>
          <fieldset id="field_108_29"
            class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
            data-js-reload="field_108_29">
            <legend class="gfield_label gform-field-label gfield_label_before_complex">Consent</legend>
            <div class="ginput_container ginput_container_consent"><input name="input_29.1" id="input_108_29_1" type="checkbox" value="1" aria-invalid="false"> <label class="gform-field-label gform-field-label--type-inline gfield_consent_label"
                for="input_108_29_1">I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may
                apply. <a href="https://www.capitalfinancialusa.com/privacy-policy" target="_blank">Privacy Policy</a></label><input type="hidden" name="input_29.2"
                value="I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may apply. <a href=&quot;https://www.capitalfinancialusa.com/privacy-policy&quot; target=&quot;_blank&quot;>Privacy Policy</a>"
                class="gform_hidden"><input type="hidden" name="input_29.3" value="32" class="gform_hidden"></div>
          </fieldset>
          <div id="field_108_30" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_108_30">
            <label class="gfield_label gform-field-label" for="input_108_30">Phone</label>
            <div class="ginput_container"><input name="input_30" id="input_108_30" type="text" value="" autocomplete="new-password"></div>
            <div class="gfield_description" id="gfield_description_108_30">This field is for validation purposes and should be left unchanged.</div>
          </div>
        </div>
      </div>
      <div class="gform_page_footer top_label"><input type="submit" id="gform_previous_button_108" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="if(window[&quot;gf_submitting_108&quot;]){return false;}  if( !jQuery(&quot;#gform_108&quot;)[0].checkValidity || jQuery(&quot;#gform_108&quot;)[0].checkValidity()){window[&quot;gf_submitting_108&quot;]=true;}  "
          onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_108&quot;]){return false;} if( !jQuery(&quot;#gform_108&quot;)[0].checkValidity || jQuery(&quot;#gform_108&quot;)[0].checkValidity()){window[&quot;gf_submitting_108&quot;]=true;}  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); }">
        <input type="submit" id="gform_submit_button_108" class="gform_button button" value="Submit Form"
          onclick="if(window[&quot;gf_submitting_108&quot;]){return false;}  if( !jQuery(&quot;#gform_108&quot;)[0].checkValidity || jQuery(&quot;#gform_108&quot;)[0].checkValidity()){window[&quot;gf_submitting_108&quot;]=true;}  "
          onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_108&quot;]){return false;} if( !jQuery(&quot;#gform_108&quot;)[0].checkValidity || jQuery(&quot;#gform_108&quot;)[0].checkValidity()){window[&quot;gf_submitting_108&quot;]=true;}  jQuery(&quot;#gform_108&quot;).trigger(&quot;submit&quot;,[true]); }">
        <input type="hidden" name="gform_ajax" value="form_id=108&amp;title=&amp;description=&amp;tabindex=0&amp;theme=orbital">
        <input type="hidden" class="gform_hidden" name="is_submit_108" value="1">
        <input type="hidden" class="gform_hidden" name="gform_submit" value="108">
        <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
        <input type="hidden" class="gform_hidden" name="state_108"
          value="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">
        <input type="hidden" class="gform_hidden" name="gform_target_page_number_108" id="gform_target_page_number_108" value="2">
        <input type="hidden" class="gform_hidden" name="gform_source_page_number_108" id="gform_source_page_number_108" value="1">
        <input type="hidden" name="gform_field_values" value="">
      </div>
    </div>
  </div>
</form>

POST /

<form method="post" enctype="multipart/form-data" id="gform_111" action="/" data-formid="111" novalidate="">
  <div class="gform-body gform_body">
    <ul id="gform_fields_111" class="gform_fields top_label form_sublabel_below description_below validation_below">
      <li id="field_111_1" class="gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_111_1"><label class="gfield_label gform-field-label gfield_label_before_complex">First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row" id="input_111_1">
          <span id="input_111_1_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_1.3" id="input_111_1_3" value="" aria-required="true" autocomplete="given-name">
            <label for="input_111_1_3" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">First</label>
          </span>
        </div>
      </li>
      <li id="field_111_8"
        class="gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_111_8"><label class="gfield_label gform-field-label gfield_label_before_complex">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row" id="input_111_8">
          <span id="input_111_8_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_8.6" id="input_111_8_6" value="" aria-required="true" autocomplete="family-name">
            <label for="input_111_8_6" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">Last</label>
          </span>
        </div>
      </li>
      <li id="field_111_3" class="gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_111_3"><label class="gfield_label gform-field-label" for="input_111_3">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_3" id="input_111_3" type="email" value="" class="large" aria-required="true" aria-invalid="false" autocomplete="email">
        </div>
      </li>
      <li id="field_111_2" class="gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_111_2"><label
          class="gfield_label gform-field-label" for="input_111_2">Phone</label>
        <div class="ginput_container ginput_container_phone"><input name="input_2" id="input_111_2" type="tel" value="" class="large" aria-invalid="false" autocomplete="tel"></div>
      </li>
      <li id="field_111_10" class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_111_10"><label class="gfield_label gform-field-label" for="input_111_10">Webinar Date/Time<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_10" id="input_111_10" class="large gfield_select" aria-required="true" aria-invalid="false">
            <option value="September 12 3:00PM">September 12 3:00PM</option>
            <option value="September 24 9:00AM">September 24 9:00AM</option>
          </select></div>
      </li>
      <li id="field_111_9"
        class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
        data-js-reload="field_111_9"><label class="gfield_label gform-field-label gfield_label_before_complex">Consent</label>
        <div class="ginput_container ginput_container_consent"><input name="input_9.1" id="input_111_9_1" type="checkbox" value="1" aria-invalid="false"> <label class="gform-field-label gform-field-label--type-inline gfield_consent_label"
            for="input_111_9_1">I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may apply.
            <a href="https://www.capitalfinancialusa.com/privacy-policy" target="_blank">Privacy Policy</a></label><input type="hidden" name="input_9.2"
            value="I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may apply. <a href=&quot;https://www.capitalfinancialusa.com/privacy-policy&quot; target=&quot;_blank&quot;>Privacy Policy</a>"
            class="gform_hidden"><input type="hidden" name="input_9.3" value="106" class="gform_hidden"></div>
      </li>
      <li id="field_111_11" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_111_11"><label
          class="gfield_label gform-field-label" for="input_111_11">Comments</label>
        <div class="ginput_container"><input name="input_11" id="input_111_11" type="text" value="" autocomplete="new-password"></div>
        <div class="gfield_description" id="gfield_description_111_11">This field is for validation purposes and should be left unchanged.</div>
      </li>
    </ul>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_111" class="gform_button button" value="Register"
      onclick="if(window[&quot;gf_submitting_111&quot;]){return false;}  if( !jQuery(&quot;#gform_111&quot;)[0].checkValidity || jQuery(&quot;#gform_111&quot;)[0].checkValidity()){window[&quot;gf_submitting_111&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_111&quot;]){return false;} if( !jQuery(&quot;#gform_111&quot;)[0].checkValidity || jQuery(&quot;#gform_111&quot;)[0].checkValidity()){window[&quot;gf_submitting_111&quot;]=true;}  jQuery(&quot;#gform_111&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" class="gform_hidden" name="is_submit_111" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="111">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_111"
      value="WyJ7XCIxMFwiOltcIjg0ZmI3NDdmOTJmNWYxNjYwNTEzODI0ZjE1MTAzZDNlXCIsXCI2OWU1MzM4NTE5ZjI0NzE1N2M2OTYwZWU2NjA3NmNkNlwiXSxcIjkuMVwiOlwiMTE4MDliMTlhZTI1NzAwOGI5ZWM3ZWUxZGM1N2RkZjlcIixcIjkuMlwiOlwiYzgxZDYyNjMwOTEwMjFlNTZkZjUxYjc3M2YyODlkZTRcIixcIjkuM1wiOlwiMzZmZDNlMjczNGI5MTgzYjkzMTk2ZmU3OGU4Yzc0ZjdcIn0iLCIyZGYwNDA0MmY2ODIyNzEyZDU0N2IzN2MzZGJhNTE3MyJd">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_111" id="gform_target_page_number_111" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_111" id="gform_source_page_number_111" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
</form>

POST /

<form method="post" enctype="multipart/form-data" id="gform_111" action="/" data-formid="111" novalidate="">
  <div class="gform-body gform_body">
    <ul id="gform_fields_111" class="gform_fields top_label form_sublabel_below description_below validation_below">
      <li id="field_111_1" class="gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_111_1"><label class="gfield_label gform-field-label gfield_label_before_complex">First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row" id="input_111_1">
          <span id="input_111_1_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_1.3" id="input_111_1_3" value="" aria-required="true" autocomplete="given-name">
            <label for="input_111_1_3" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">First</label>
          </span>
        </div>
      </li>
      <li id="field_111_8"
        class="gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_111_8"><label class="gfield_label gform-field-label gfield_label_before_complex">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row" id="input_111_8">
          <span id="input_111_8_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_8.6" id="input_111_8_6" value="" aria-required="true" autocomplete="family-name">
            <label for="input_111_8_6" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">Last</label>
          </span>
        </div>
      </li>
      <li id="field_111_3" class="gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_111_3"><label class="gfield_label gform-field-label" for="input_111_3">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_3" id="input_111_3" type="email" value="" class="large" aria-required="true" aria-invalid="false" autocomplete="email">
        </div>
      </li>
      <li id="field_111_2" class="gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_111_2"><label
          class="gfield_label gform-field-label" for="input_111_2">Phone</label>
        <div class="ginput_container ginput_container_phone"><input name="input_2" id="input_111_2" type="tel" value="" class="large" aria-invalid="false" autocomplete="tel"></div>
      </li>
      <li id="field_111_10" class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_111_10"><label class="gfield_label gform-field-label" for="input_111_10">Webinar Date/Time<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_10" id="input_111_10" class="large gfield_select" aria-required="true" aria-invalid="false">
            <option value="September 12 3:00PM">September 12 3:00PM</option>
            <option value="September 24 9:00AM">September 24 9:00AM</option>
          </select></div>
      </li>
      <li id="field_111_9"
        class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
        data-js-reload="field_111_9"><label class="gfield_label gform-field-label gfield_label_before_complex">Consent</label>
        <div class="ginput_container ginput_container_consent"><input name="input_9.1" id="input_111_9_1" type="checkbox" value="1" aria-invalid="false"> <label class="gform-field-label gform-field-label--type-inline gfield_consent_label"
            for="input_111_9_1">I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may apply.
            <a href="https://www.capitalfinancialusa.com/privacy-policy" target="_blank">Privacy Policy</a></label><input type="hidden" name="input_9.2"
            value="I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may apply. <a href=&quot;https://www.capitalfinancialusa.com/privacy-policy&quot; target=&quot;_blank&quot;>Privacy Policy</a>"
            class="gform_hidden"><input type="hidden" name="input_9.3" value="106" class="gform_hidden"></div>
      </li>
      <li id="field_111_11" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_111_11"><label
          class="gfield_label gform-field-label" for="input_111_11">Phone</label>
        <div class="ginput_container"><input name="input_11" id="input_111_11" type="text" value="" autocomplete="new-password"></div>
        <div class="gfield_description" id="gfield_description_111_11">This field is for validation purposes and should be left unchanged.</div>
      </li>
    </ul>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_111" class="gform_button button" value="Register"
      onclick="if(window[&quot;gf_submitting_111&quot;]){return false;}  if( !jQuery(&quot;#gform_111&quot;)[0].checkValidity || jQuery(&quot;#gform_111&quot;)[0].checkValidity()){window[&quot;gf_submitting_111&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_111&quot;]){return false;} if( !jQuery(&quot;#gform_111&quot;)[0].checkValidity || jQuery(&quot;#gform_111&quot;)[0].checkValidity()){window[&quot;gf_submitting_111&quot;]=true;}  jQuery(&quot;#gform_111&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" class="gform_hidden" name="is_submit_111" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="111">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_111"
      value="WyJ7XCIxMFwiOltcIjg0ZmI3NDdmOTJmNWYxNjYwNTEzODI0ZjE1MTAzZDNlXCIsXCI2OWU1MzM4NTE5ZjI0NzE1N2M2OTYwZWU2NjA3NmNkNlwiXSxcIjkuMVwiOlwiMTE4MDliMTlhZTI1NzAwOGI5ZWM3ZWUxZGM1N2RkZjlcIixcIjkuMlwiOlwiYzgxZDYyNjMwOTEwMjFlNTZkZjUxYjc3M2YyODlkZTRcIixcIjkuM1wiOlwiMzZmZDNlMjczNGI5MTgzYjkzMTk2ZmU3OGU4Yzc0ZjdcIn0iLCIyZGYwNDA0MmY2ODIyNzEyZDU0N2IzN2MzZGJhNTE3MyJd">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_111" id="gform_target_page_number_111" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_111" id="gform_source_page_number_111" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
</form>

POST /

<form method="post" enctype="multipart/form-data" id="gform_104" action="/" data-formid="104" novalidate="">
  <div class="gform-body gform_body">
    <ul id="gform_fields_104" class="gform_fields top_label form_sublabel_below description_below validation_below">
      <li id="field_104_1" class="gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_104_1"><label class="gfield_label gform-field-label gfield_label_before_complex">First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row" id="input_104_1">
          <span id="input_104_1_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_1.3" id="input_104_1_3" value="" aria-required="true" autocomplete="given-name">
            <label for="input_104_1_3" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">First</label>
          </span>
        </div>
      </li>
      <li id="field_104_8"
        class="gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_104_8"><label class="gfield_label gform-field-label gfield_label_before_complex">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row" id="input_104_8">
          <span id="input_104_8_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_8.6" id="input_104_8_6" value="" aria-required="true" autocomplete="family-name">
            <label for="input_104_8_6" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">Last</label>
          </span>
        </div>
      </li>
      <li id="field_104_3" class="gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_104_3"><label class="gfield_label gform-field-label" for="input_104_3">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_3" id="input_104_3" type="email" value="" class="large" aria-required="true" aria-invalid="false" autocomplete="email">
        </div>
      </li>
      <li id="field_104_2" class="gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_104_2"><label
          class="gfield_label gform-field-label" for="input_104_2">Phone</label>
        <div class="ginput_container ginput_container_phone"><input name="input_2" id="input_104_2" type="tel" value="" class="large" aria-invalid="false" autocomplete="tel"></div>
      </li>
      <li id="field_104_10" class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_104_10"><label class="gfield_label gform-field-label" for="input_104_10">Webinar Date/Time<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_10" id="input_104_10" class="large gfield_select" aria-required="true" aria-invalid="false">
            <option value="September 17 6:00PM">September 17 6:00PM</option>
            <option value="September 26 3:00PM">September 26 3:00PM</option>
          </select></div>
      </li>
      <li id="field_104_9"
        class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
        data-js-reload="field_104_9"><label class="gfield_label gform-field-label gfield_label_before_complex">Consent</label>
        <div class="ginput_container ginput_container_consent"><input name="input_9.1" id="input_104_9_1" type="checkbox" value="1" aria-invalid="false"> <label class="gform-field-label gform-field-label--type-inline gfield_consent_label"
            for="input_104_9_1">I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may apply.
            <a href="https://www.capitalfinancialusa.com/privacy-policy" target="_blank">Privacy Policy</a></label><input type="hidden" name="input_9.2"
            value="I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may apply. <a href=&quot;https://www.capitalfinancialusa.com/privacy-policy&quot; target=&quot;_blank&quot;>Privacy Policy</a>"
            class="gform_hidden"><input type="hidden" name="input_9.3" value="102" class="gform_hidden"></div>
      </li>
      <li id="field_104_11" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_104_11"><label
          class="gfield_label gform-field-label" for="input_104_11">Comments</label>
        <div class="ginput_container"><input name="input_11" id="input_104_11" type="text" value="" autocomplete="new-password"></div>
        <div class="gfield_description" id="gfield_description_104_11">This field is for validation purposes and should be left unchanged.</div>
      </li>
    </ul>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_104" class="gform_button button" value="Register"
      onclick="if(window[&quot;gf_submitting_104&quot;]){return false;}  if( !jQuery(&quot;#gform_104&quot;)[0].checkValidity || jQuery(&quot;#gform_104&quot;)[0].checkValidity()){window[&quot;gf_submitting_104&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_104&quot;]){return false;} if( !jQuery(&quot;#gform_104&quot;)[0].checkValidity || jQuery(&quot;#gform_104&quot;)[0].checkValidity()){window[&quot;gf_submitting_104&quot;]=true;}  jQuery(&quot;#gform_104&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" class="gform_hidden" name="is_submit_104" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="104">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_104"
      value="WyJ7XCIxMFwiOltcIjYyNTM2YTMxZTU2OGIwMGI1ZThkYTJmYjRlN2FiNzk4XCIsXCIxNzFlNDJlMzIzMWMyMzdkYjUyMTY3ODMxOGVhNDNlNlwiXSxcIjkuMVwiOlwiMTE4MDliMTlhZTI1NzAwOGI5ZWM3ZWUxZGM1N2RkZjlcIixcIjkuMlwiOlwiYzgxZDYyNjMwOTEwMjFlNTZkZjUxYjc3M2YyODlkZTRcIixcIjkuM1wiOlwiMTMzNTY5ODc4NjA0YTQyNGRiM2FmZDYxMjA3ZjkwZTNcIn0iLCI1MGZlYTIyOGM0MjZkMjFhZmIwZTcwODIzNmEwOWIwZCJd">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_104" id="gform_target_page_number_104" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_104" id="gform_source_page_number_104" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
</form>

POST /

<form method="post" enctype="multipart/form-data" id="gform_102" action="/" data-formid="102" novalidate="">
  <div class="gform-body gform_body">
    <ul id="gform_fields_102" class="gform_fields top_label form_sublabel_below description_below validation_below">
      <li id="field_102_1" class="gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_102_1"><label class="gfield_label gform-field-label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_102_1">
          <span id="input_102_1_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_1.3" id="input_102_1_3" value="" aria-required="true">
            <label for="input_102_1_3" class="gform-field-label gform-field-label--type-sub ">First</label>
          </span>
          <span id="input_102_1_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_1.6" id="input_102_1_6" value="" aria-required="true">
            <label for="input_102_1_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
          </span>
        </div>
      </li>
      <li id="field_102_2"
        class="gfield gfield--type-email gfield--input-type-email gfield--width-full gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_102_2"><label class="gfield_label gform-field-label" for="input_102_2">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_2" id="input_102_2" type="email" value="" class="medium" aria-required="true" aria-invalid="false">
        </div>
      </li>
      <li id="field_102_3" class="gfield gfield--type-phone gfield--input-type-phone gfield--width-full gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
        data-js-reload="field_102_3"><label class="gfield_label gform-field-label" for="input_102_3">Phone</label>
        <div class="ginput_container ginput_container_phone"><input name="input_3" id="input_102_3" type="tel" value="" class="medium" aria-invalid="false"></div>
      </li>
      <li id="field_102_7"
        class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
        data-js-reload="field_102_7"><label class="gfield_label gform-field-label gfield_label_before_complex">Consent</label>
        <div class="ginput_container ginput_container_consent"><input name="input_7.1" id="input_102_7_1" type="checkbox" value="1" aria-invalid="false"> <label class="gform-field-label gform-field-label--type-inline gfield_consent_label"
            for="input_102_7_1">I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may apply.
            <a href="https://www.capitalfinancialusa.com/privacy-policy" target="_blank">Privacy Policy</a></label><input type="hidden" name="input_7.2"
            value="I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may apply. <a href=&quot;https://www.capitalfinancialusa.com/privacy-policy&quot; target=&quot;_blank&quot;>Privacy Policy</a>"
            class="gform_hidden"><input type="hidden" name="input_7.3" value="25" class="gform_hidden"></div>
      </li>
      <li id="field_102_6" class="gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_102_6">
        <label class="gfield_label gform-field-label" for="input_102_6">CAPTCHA</label>
        <div id="input_102_6" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6Lc9U1AdAAAAAA_8EgB9epZWugG1_sCtIjVvxJ3R" data-theme="light" data-tabindex="0" data-badge="">
          <div style="width: 304px; height: 78px;">
            <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-m3u8z9pzcsnu" frameborder="0" scrolling="no"
                sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
                src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Lc9U1AdAAAAAA_8EgB9epZWugG1_sCtIjVvxJ3R&amp;co=aHR0cHM6Ly93d3cuY2FwaXRhbGZpbmFuY2lhbHVzYS5jb206NDQz&amp;hl=en&amp;v=xds0rzGrktR88uEZ2JUvdgOY&amp;theme=light&amp;size=normal&amp;cb=g43ibld75e4r"></iframe>
            </div><textarea id="g-recaptcha-response-1" name="g-recaptcha-response" class="g-recaptcha-response"
              style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
          </div>
        </div>
      </li>
    </ul>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_102" class="gform_button button" value="Download Now"
      onclick="if(window[&quot;gf_submitting_102&quot;]){return false;}  if( !jQuery(&quot;#gform_102&quot;)[0].checkValidity || jQuery(&quot;#gform_102&quot;)[0].checkValidity()){window[&quot;gf_submitting_102&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_102&quot;]){return false;} if( !jQuery(&quot;#gform_102&quot;)[0].checkValidity || jQuery(&quot;#gform_102&quot;)[0].checkValidity()){window[&quot;gf_submitting_102&quot;]=true;}  jQuery(&quot;#gform_102&quot;).trigger(&quot;submit&quot;,[true]); }">
    <input type="hidden" class="gform_hidden" name="is_submit_102" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="102">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_102"
      value="WyJ7XCI3LjFcIjpcIjExODA5YjE5YWUyNTcwMDhiOWVjN2VlMWRjNTdkZGY5XCIsXCI3LjJcIjpcImM4MWQ2MjYzMDkxMDIxZTU2ZGY1MWI3NzNmMjg5ZGU0XCIsXCI3LjNcIjpcIjkxNTQwZjEyNjA1OGNhNmM3NjlkZDY4NTc5OGM3N2YwXCJ9IiwiNTY3ZDk2ODg4YzhjYWUzYjAzM2IyMTAzNWU3MGViNjMiXQ==">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_102" id="gform_target_page_number_102" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_102" id="gform_source_page_number_102" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
</form>

POST /#gf_109

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_109" id="gform_109" action="/#gf_109" data-formid="109" novalidate="">
  <div id="gf_progressbar_wrapper_109" class="gf_progressbar_wrapper" data-start-at-zero="">
    <p class="gf_progressbar_title">Step <span class="gf_step_current_page">1</span> of <span class="gf_step_page_count">6</span>
    </p>
    <div class="gf_progressbar gf_progressbar_blue" aria-hidden="true">
      <div class="gf_progressbar_percentage percentbar_blue percentbar_16" style="width:16%;"><span>16%</span></div>
    </div>
  </div>
  <div class="gform-body gform_body">
    <div id="gform_page_109_1" class="gform_page " data-js="page-field-id-1">
      <div class="gform_page_fields">
        <div id="gform_fields_109" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_109_14" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_109_14">
            <legend class="gfield_label gform-field-label">Are you currently working with a financial planner?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_109_14">
                <div class="gchoice gchoice_109_14_0">
                  <input class="gfield-choice-input" name="input_14" type="radio" value="Yes" id="choice_109_14_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_109_14_0" id="label_109_14_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
                </div>
                <div class="gchoice gchoice_109_14_1">
                  <input class="gfield-choice-input" name="input_14" type="radio" value="No" id="choice_109_14_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_109_14_1" id="label_109_14_1" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_next_button_109_20" class="gform_next_button gform-theme-button button" value="Next"
          onclick="jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_109_2" class="gform_page" data-js="page-field-id-20" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_109_2" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_109_15"
            class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_109_15">
            <legend class="gfield_label gform-field-label">Are you retired?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_109_15">
                <div class="gchoice gchoice_109_15_0">
                  <input class="gfield-choice-input" name="input_15" type="radio" value="Yes" id="choice_109_15_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_109_15_0" id="label_109_15_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
                </div>
                <div class="gchoice gchoice_109_15_1">
                  <input class="gfield-choice-input" name="input_15" type="radio" value="No" id="choice_109_15_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_109_15_1" id="label_109_15_1" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_109_21" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;1&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;1&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_109_21"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_109_3" class="gform_page" data-js="page-field-id-21" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_109_3" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_109_8"
            class="gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_109_8">
            <legend class="gfield_label gform-field-label gfield_label_before_complex">What is your name?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
            <div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_109_8">
              <span id="input_109_8_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
                <input type="text" name="input_8.3" id="input_109_8_3" value="" aria-required="true" autocomplete="given-name">
                <label for="input_109_8_3" class="gform-field-label gform-field-label--type-sub ">First</label>
              </span>
              <span id="input_109_8_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
                <input type="text" name="input_8.6" id="input_109_8_6" value="" aria-required="true" autocomplete="family-name">
                <label for="input_109_8_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
              </span>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_109_22" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_109_22"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_109_4" class="gform_page" data-js="page-field-id-22" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_109_4" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_109_16"
            class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_109_16">
            <legend class="gfield_label gform-field-label">What are you total estimated investable assets?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_109_16">
                <div class="gchoice gchoice_109_16_0">
                  <input class="gfield-choice-input" name="input_16" type="radio" value="Less than $100,000" id="choice_109_16_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_109_16_0" id="label_109_16_0" class="gform-field-label gform-field-label--type-inline">Less than $100,000</label>
                </div>
                <div class="gchoice gchoice_109_16_1">
                  <input class="gfield-choice-input" name="input_16" type="radio" value="$100,000 - $250,000" id="choice_109_16_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_109_16_1" id="label_109_16_1" class="gform-field-label gform-field-label--type-inline">$100,000 - $250,000</label>
                </div>
                <div class="gchoice gchoice_109_16_2">
                  <input class="gfield-choice-input" name="input_16" type="radio" value="$250,000 - $500,000" id="choice_109_16_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_109_16_2" id="label_109_16_2" class="gform-field-label gform-field-label--type-inline">$250,000 - $500,000</label>
                </div>
                <div class="gchoice gchoice_109_16_3">
                  <input class="gfield-choice-input" name="input_16" type="radio" value="$500,000 - $1,000,000" id="choice_109_16_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_109_16_3" id="label_109_16_3" class="gform-field-label gform-field-label--type-inline">$500,000 - $1,000,000</label>
                </div>
                <div class="gchoice gchoice_109_16_4">
                  <input class="gfield-choice-input" name="input_16" type="radio" value="More than $1,000,000" id="choice_109_16_4" onchange="gformToggleRadioOther( this )">
                  <label for="choice_109_16_4" id="label_109_16_4" class="gform-field-label gform-field-label--type-inline">More than $1,000,000</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_109_23" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_109_23"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;5&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;5&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_109_5" class="gform_page" data-js="page-field-id-23" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_109_5" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_109_19" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_109_19">
            <legend class="gfield_label gform-field-label gfield_label_before_complex">Is there anything specific you would like to discuss?</legend>
            <div class="ginput_container ginput_container_checkbox">
              <div class="gfield_checkbox" id="input_109_19">
                <div class="gchoice gchoice_109_19_1">
                  <input class="gfield-choice-input" name="input_19.1" type="checkbox" value="Retirement Planning" id="choice_109_19_1">
                  <label for="choice_109_19_1" id="label_109_19_1" class="gform-field-label gform-field-label--type-inline">Retirement Planning</label>
                </div>
                <div class="gchoice gchoice_109_19_2">
                  <input class="gfield-choice-input" name="input_19.2" type="checkbox" value="Improving Investment Strategy" id="choice_109_19_2">
                  <label for="choice_109_19_2" id="label_109_19_2" class="gform-field-label gform-field-label--type-inline">Improving Investment Strategy</label>
                </div>
                <div class="gchoice gchoice_109_19_3">
                  <input class="gfield-choice-input" name="input_19.3" type="checkbox" value="Estate Planning" id="choice_109_19_3">
                  <label for="choice_109_19_3" id="label_109_19_3" class="gform-field-label gform-field-label--type-inline">Estate Planning</label>
                </div>
                <div class="gchoice gchoice_109_19_4">
                  <input class="gfield-choice-input" name="input_19.4" type="checkbox" value="Reviewing Insurance Coverage" id="choice_109_19_4">
                  <label for="choice_109_19_4" id="label_109_19_4" class="gform-field-label gform-field-label--type-inline">Reviewing Insurance Coverage</label>
                </div>
                <div class="gchoice gchoice_109_19_5">
                  <input class="gfield-choice-input" name="input_19.5" type="checkbox" value="High-Net-Worth Investing" id="choice_109_19_5">
                  <label for="choice_109_19_5" id="label_109_19_5" class="gform-field-label gform-field-label--type-inline">High-Net-Worth Investing</label>
                </div>
                <div class="gchoice gchoice_109_19_6">
                  <input class="gfield-choice-input" name="input_19.6" type="checkbox" value="Tax Planning" id="choice_109_19_6">
                  <label for="choice_109_19_6" id="label_109_19_6" class="gform-field-label gform-field-label--type-inline">Tax Planning</label>
                </div>
                <div class="gchoice gchoice_109_19_7">
                  <input class="gfield-choice-input" name="input_19.7" type="checkbox" value="Second Opinion Review" id="choice_109_19_7">
                  <label for="choice_109_19_7" id="label_109_19_7" class="gform-field-label gform-field-label--type-inline">Second Opinion Review</label>
                </div>
                <div class="gchoice gchoice_109_19_8">
                  <input class="gfield-choice-input" name="input_19.8" type="checkbox" value="Fee Analysis" id="choice_109_19_8">
                  <label for="choice_109_19_8" id="label_109_19_8" class="gform-field-label gform-field-label--type-inline">Fee Analysis</label>
                </div>
                <div class="gchoice gchoice_109_19_9">
                  <input class="gfield-choice-input" name="input_19.9" type="checkbox" value="Lifetime Income Plan" id="choice_109_19_9">
                  <label for="choice_109_19_9" id="label_109_19_9" class="gform-field-label gform-field-label--type-inline">Lifetime Income Plan</label>
                </div>
                <div class="gchoice gchoice_109_19_11">
                  <input class="gfield-choice-input" name="input_19.11" type="checkbox" value="Spend &amp; Leave Plan" id="choice_109_19_11">
                  <label for="choice_109_19_11" id="label_109_19_11" class="gform-field-label gform-field-label--type-inline">Spend &amp; Leave Plan</label>
                </div>
                <div class="gchoice gchoice_109_19_12">
                  <input class="gfield-choice-input" name="input_19.12" type="checkbox" value="Roth Conversion Strategy" id="choice_109_19_12">
                  <label for="choice_109_19_12" id="label_109_19_12" class="gform-field-label gform-field-label--type-inline">Roth Conversion Strategy</label>
                </div>
                <div class="gchoice gchoice_109_19_13">
                  <input class="gfield-choice-input" name="input_19.13" type="checkbox" value="IUL Strategy" id="choice_109_19_13">
                  <label for="choice_109_19_13" id="label_109_19_13" class="gform-field-label gform-field-label--type-inline">IUL Strategy</label>
                </div>
                <div class="gchoice gchoice_109_19_14">
                  <input class="gfield-choice-input" name="input_19.14" type="checkbox" value="Tactical Management" id="choice_109_19_14">
                  <label for="choice_109_19_14" id="label_109_19_14" class="gform-field-label gform-field-label--type-inline">Tactical Management</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_109_24" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_109_24"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;6&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_109&quot;).val(&quot;6&quot;);  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_109_6" class="gform_page" data-js="page-field-id-24" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_109_6" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <div id="field_109_28"
            class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_109_28">
            <p>Great! What is the best way for us to reach out to you to set up a meeting?</p>
          </div>
          <div id="field_109_11"
            class="gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_109_11"><label class="gfield_label gform-field-label" for="input_109_11">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_email">
              <input name="input_11" id="input_109_11" type="email" value="" class="large" aria-required="true" aria-invalid="false" autocomplete="email">
            </div>
          </div>
          <div id="field_109_10"
            class="gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_109_10"><label class="gfield_label gform-field-label" for="input_109_10">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
            <div class="ginput_container ginput_container_phone"><input name="input_10" id="input_109_10" type="tel" value="" class="large" aria-required="true" aria-invalid="false" autocomplete="tel"></div>
          </div>
          <div id="field_109_12" class="gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_109_12"><label class="gfield_label gform-field-label" for="input_109_12">Questions/Comments</label>
            <div class="ginput_container ginput_container_textarea"><textarea name="input_12" id="input_109_12" class="textarea small" aria-invalid="false" rows="10" cols="50"></textarea></div>
          </div>
          <fieldset id="field_109_29"
            class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
            data-js-reload="field_109_29">
            <legend class="gfield_label gform-field-label gfield_label_before_complex">Consent</legend>
            <div class="ginput_container ginput_container_consent"><input name="input_29.1" id="input_109_29_1" type="checkbox" value="1" aria-invalid="false"> <label class="gform-field-label gform-field-label--type-inline gfield_consent_label"
                for="input_109_29_1">I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may
                apply. <a href="https://www.capitalfinancialusa.com/privacy-policy" target="_blank">Privacy Policy</a></label><input type="hidden" name="input_29.2"
                value="I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may apply. <a href=&quot;https://www.capitalfinancialusa.com/privacy-policy&quot; target=&quot;_blank&quot;>Privacy Policy</a>"
                class="gform_hidden"><input type="hidden" name="input_29.3" value="30" class="gform_hidden"></div>
          </fieldset>
          <div id="field_109_30" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_109_30">
            <label class="gfield_label gform-field-label" for="input_109_30">Comments</label>
            <div class="ginput_container"><input name="input_30" id="input_109_30" type="text" value="" autocomplete="new-password"></div>
            <div class="gfield_description" id="gfield_description_109_30">This field is for validation purposes and should be left unchanged.</div>
          </div>
        </div>
      </div>
      <div class="gform_page_footer top_label"><input type="submit" id="gform_previous_button_109" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="if(window[&quot;gf_submitting_109&quot;]){return false;}  if( !jQuery(&quot;#gform_109&quot;)[0].checkValidity || jQuery(&quot;#gform_109&quot;)[0].checkValidity()){window[&quot;gf_submitting_109&quot;]=true;}  "
          onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_109&quot;]){return false;} if( !jQuery(&quot;#gform_109&quot;)[0].checkValidity || jQuery(&quot;#gform_109&quot;)[0].checkValidity()){window[&quot;gf_submitting_109&quot;]=true;}  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); }">
        <input type="submit" id="gform_submit_button_109" class="gform_button button" value="Submit Form"
          onclick="if(window[&quot;gf_submitting_109&quot;]){return false;}  if( !jQuery(&quot;#gform_109&quot;)[0].checkValidity || jQuery(&quot;#gform_109&quot;)[0].checkValidity()){window[&quot;gf_submitting_109&quot;]=true;}  "
          onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_109&quot;]){return false;} if( !jQuery(&quot;#gform_109&quot;)[0].checkValidity || jQuery(&quot;#gform_109&quot;)[0].checkValidity()){window[&quot;gf_submitting_109&quot;]=true;}  jQuery(&quot;#gform_109&quot;).trigger(&quot;submit&quot;,[true]); }">
        <input type="hidden" name="gform_ajax" value="form_id=109&amp;title=&amp;description=&amp;tabindex=0&amp;theme=orbital">
        <input type="hidden" class="gform_hidden" name="is_submit_109" value="1">
        <input type="hidden" class="gform_hidden" name="gform_submit" value="109">
        <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
        <input type="hidden" class="gform_hidden" name="state_109"
          value="WyJ7XCIxNFwiOltcIjI2MGU1NDFmNDk2YWM4NzIzNjQ0ZTg2ZmRmNDdjZTE3XCIsXCJmZmQwZDkwNjU4NzZkNjVkNTZjZTg1OGY0ZmUyMTU2MVwiXSxcIjE1XCI6W1wiMjYwZTU0MWY0OTZhYzg3MjM2NDRlODZmZGY0N2NlMTdcIixcImZmZDBkOTA2NTg3NmQ2NWQ1NmNlODU4ZjRmZTIxNTYxXCJdLFwiMTZcIjpbXCJlOTU1YTY2Y2IyMGIyOTRhNDhiMGU0NDlmNGFkMTc4NlwiLFwiOGU3MmVmZjllZGIwNDFhOWNiZjAyY2YyYmViMDk3ZmNcIixcImU3ZTkxOWU0ODBmOTQwMzhkODRlMWZiNDU1ZDYzZWYwXCIsXCJkNmEwMTZjZGI2NjQ5ZWFlMzY3NGM4Mjc4ZjgyZjJkZlwiLFwiZmMxMjZkMDM1OWMxYzEzODZjNDA1NDIzYjNkNTU4ZmRcIl0sXCIxOS4xXCI6XCJlM2ZkMjM2Y2UyOTdhNGNiZTgyYjM3ODZlMTY0YjM4OVwiLFwiMTkuMlwiOlwiNDZlNzQ4YzVmMDFhYjlkN2EyZDBkNThjZGZjNTczMzlcIixcIjE5LjNcIjpcIjUyMjQ1ODE2YjUxNjliYWEyNjE4NDlkNzA4MmFlODg0XCIsXCIxOS40XCI6XCJkNjgwZDI0NjA4ZWQ3OWUyYTFiM2JlNWFlMzE4YThkZFwiLFwiMTkuNVwiOlwiOTY0YzFmMzI2OTViNzQwZTBlMGQyNjI0YTM4MGY0NjJcIixcIjE5LjZcIjpcIjdiNjU2NDgyNjcyMjRiN2MwNjdmY2JlYzExNjEyOWEzXCIsXCIxOS43XCI6XCJiNDQxNGRlNWY4N2JjMzcyOTA2YjdiNTRhOTBlMWY1NVwiLFwiMTkuOFwiOlwiMTM3ZGE4NjQzYWNhZWIwNGYyNTA2ZWVkM2UyYmJjMGFcIixcIjE5LjlcIjpcIjEwMTZlNWFjMzE4OGI3YjM3MWIzNjg4ZmM0Njc2Njc1XCIsXCIxOS4xMVwiOlwiZjZlZmJjNDA4ODEwMWM4ZWQ1YTE3NjEwNjE3N2ZiNjVcIixcIjE5LjEyXCI6XCI2NzhmZDgyYjI2MzcwYzAyMTgyMjNiNDdmZmU2MWE4NFwiLFwiMTkuMTNcIjpcIjk1MTM3ODAxMDYyZTU4YzJjYmRhMTcyYzJkOWJiZDQ2XCIsXCIxOS4xNFwiOlwiNGRmNDQxMzM1NjY4ZTIzNjVlNWRiNjBlNjY0ZWJmYzZcIixcIjI5LjFcIjpcIjExODA5YjE5YWUyNTcwMDhiOWVjN2VlMWRjNTdkZGY5XCIsXCIyOS4yXCI6XCJjODFkNjI2MzA5MTAyMWU1NmRmNTFiNzczZjI4OWRlNFwiLFwiMjkuM1wiOlwiZTNmOWJiYjljZDc0ZmRiZjA4MDdiZWZjOGNiYTMyYjNcIn0iLCI1MDU0MWVjMWMwNTk2ZTVlYjM1NGE1NGU5Mzk1YTMzOCJd">
        <input type="hidden" class="gform_hidden" name="gform_target_page_number_109" id="gform_target_page_number_109" value="2">
        <input type="hidden" class="gform_hidden" name="gform_source_page_number_109" id="gform_source_page_number_109" value="1">
        <input type="hidden" name="gform_field_values" value="">
      </div>
    </div>
  </div>
</form>

POST /#gf_43

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_43" id="gform_43" action="/#gf_43" data-formid="43" novalidate="">
  <div id="gf_progressbar_wrapper_43" class="gf_progressbar_wrapper" data-start-at-zero="1">
    <p class="gf_progressbar_title">Step <span class="gf_step_current_page">1</span> of <span class="gf_step_page_count">29</span>
    </p>
    <div class="gf_progressbar gf_progressbar_blues" aria-hidden="true">
      <div class="gf_progressbar_percentage percentbar_blues percentbar_0" style="width:0%;"><span>0%</span></div>
    </div>
  </div>
  <div class="gform-body gform_body">
    <div id="gform_page_43_1" class="gform_page " data-js="page-field-id-1">
      <div class="gform_page_fields">
        <div id="gform_fields_43" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_1" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_1">
            <legend class="gfield_label gform-field-label">What is your current age?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_1">
                <div class="gchoice gchoice_43_1_0">
                  <input class="gfield-choice-input" name="input_1" type="radio" value="Over 65" id="choice_43_1_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_1_0" id="label_43_1_0" class="gform-field-label gform-field-label--type-inline">Over 65</label>
                </div>
                <div class="gchoice gchoice_43_1_1">
                  <input class="gfield-choice-input" name="input_1" type="radio" value="61 - 65" id="choice_43_1_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_1_1" id="label_43_1_1" class="gform-field-label gform-field-label--type-inline">61 - 65</label>
                </div>
                <div class="gchoice gchoice_43_1_2">
                  <input class="gfield-choice-input" name="input_1" type="radio" value="56 - 60" id="choice_43_1_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_1_2" id="label_43_1_2" class="gform-field-label gform-field-label--type-inline">56 - 60</label>
                </div>
                <div class="gchoice gchoice_43_1_3">
                  <input class="gfield-choice-input" name="input_1" type="radio" value="46 - 55" id="choice_43_1_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_1_3" id="label_43_1_3" class="gform-field-label gform-field-label--type-inline">46 - 55</label>
                </div>
                <div class="gchoice gchoice_43_1_4">
                  <input class="gfield-choice-input" name="input_1" type="radio" value="36 - 45" id="choice_43_1_4" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_1_4" id="label_43_1_4" class="gform-field-label gform-field-label--type-inline">36 - 45</label>
                </div>
                <div class="gchoice gchoice_43_1_5">
                  <input class="gfield-choice-input" name="input_1" type="radio" value="Under 35" id="choice_43_1_5" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_1_5" id="label_43_1_5" class="gform-field-label gform-field-label--type-inline">Under 35</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_next_button_43_5" class="gform_next_button gform-theme-button button" value="Next"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_2" class="gform_page" data-js="page-field-id-5" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_2" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_3" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_3">
            <legend class="gfield_label gform-field-label">What is your current financial priority?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_3">
                <div class="gchoice gchoice_43_3_0">
                  <input class="gfield-choice-input" name="input_3" type="radio" value="Just getting started" id="choice_43_3_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_3_0" id="label_43_3_0" class="gform-field-label gform-field-label--type-inline">Just getting started</label>
                </div>
                <div class="gchoice gchoice_43_3_1">
                  <input class="gfield-choice-input" name="input_3" type="radio" value="Building up my savings" id="choice_43_3_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_3_1" id="label_43_3_1" class="gform-field-label gform-field-label--type-inline">Building up my savings</label>
                </div>
                <div class="gchoice gchoice_43_3_2">
                  <input class="gfield-choice-input" name="input_3" type="radio" value="Growing my wealth" id="choice_43_3_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_3_2" id="label_43_3_2" class="gform-field-label gform-field-label--type-inline">Growing my wealth</label>
                </div>
                <div class="gchoice gchoice_43_3_3">
                  <input class="gfield-choice-input" name="input_3" type="radio" value="Retaining my wealth" id="choice_43_3_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_3_3" id="label_43_3_3" class="gform-field-label gform-field-label--type-inline">Retaining my wealth</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_6" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;1&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;1&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_6"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_3" class="gform_page" data-js="page-field-id-6" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_3" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_4" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_4">
            <legend class="gfield_label gform-field-label">Are you retired?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_4">
                <div class="gchoice gchoice_43_4_0">
                  <input class="gfield-choice-input" name="input_4" type="radio" value="No" id="choice_43_4_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_4_0" id="label_43_4_0" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
                <div class="gchoice gchoice_43_4_1">
                  <input class="gfield-choice-input" name="input_4" type="radio" value="Yes" id="choice_43_4_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_4_1" id="label_43_4_1" class="gform-field-label gform-field-label--type-inline">Yes</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_41" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;2&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_41"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_4" class="gform_page" data-js="page-field-id-41" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_4" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_7" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_7">
            <legend class="gfield_label gform-field-label">How confident are you in your long-term financial plan?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_7">
                <div class="gchoice gchoice_43_7_0">
                  <input class="gfield-choice-input" name="input_7" type="radio" value="Extremely Confident" id="choice_43_7_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_7_0" id="label_43_7_0" class="gform-field-label gform-field-label--type-inline">Extremely Confident</label>
                </div>
                <div class="gchoice gchoice_43_7_1">
                  <input class="gfield-choice-input" name="input_7" type="radio" value="Very Confident" id="choice_43_7_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_7_1" id="label_43_7_1" class="gform-field-label gform-field-label--type-inline">Very Confident</label>
                </div>
                <div class="gchoice gchoice_43_7_2">
                  <input class="gfield-choice-input" name="input_7" type="radio" value="Confident" id="choice_43_7_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_7_2" id="label_43_7_2" class="gform-field-label gform-field-label--type-inline">Confident</label>
                </div>
                <div class="gchoice gchoice_43_7_3">
                  <input class="gfield-choice-input" name="input_7" type="radio" value="Fairly Confident" id="choice_43_7_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_7_3" id="label_43_7_3" class="gform-field-label gform-field-label--type-inline">Fairly Confident</label>
                </div>
                <div class="gchoice gchoice_43_7_4">
                  <input class="gfield-choice-input" name="input_7" type="radio" value="Not Confident" id="choice_43_7_4" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_7_4" id="label_43_7_4" class="gform-field-label gform-field-label--type-inline">Not Confident</label>
                </div>
                <div class="gchoice gchoice_43_7_5">
                  <input class="gfield-choice-input" name="input_7" type="radio" value="Unsure" id="choice_43_7_5" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_7_5" id="label_43_7_5" class="gform-field-label gform-field-label--type-inline">Unsure</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_42" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;3&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_42"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;5&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;5&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_5" class="gform_page" data-js="page-field-id-42" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_5" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_8" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_8">
            <legend class="gfield_label gform-field-label">What activity is most important to you in retirement?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_8">
                <div class="gchoice gchoice_43_8_0">
                  <input class="gfield-choice-input" name="input_8" type="radio" value="Travelling" checked="checked" id="choice_43_8_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_8_0" id="label_43_8_0" class="gform-field-label gform-field-label--type-inline">Travelling</label>
                </div>
                <div class="gchoice gchoice_43_8_1">
                  <input class="gfield-choice-input" name="input_8" type="radio" value="Spending time with family and friends" id="choice_43_8_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_8_1" id="label_43_8_1" class="gform-field-label gform-field-label--type-inline">Spending time with family and friends</label>
                </div>
                <div class="gchoice gchoice_43_8_2">
                  <input class="gfield-choice-input" name="input_8" type="radio" value="Pursuing hobbies" id="choice_43_8_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_8_2" id="label_43_8_2" class="gform-field-label gform-field-label--type-inline">Pursuing hobbies</label>
                </div>
                <div class="gchoice gchoice_43_8_3">
                  <input class="gfield-choice-input" name="input_8" type="radio" value="Working part-time" id="choice_43_8_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_8_3" id="label_43_8_3" class="gform-field-label gform-field-label--type-inline">Working part-time</label>
                </div>
                <div class="gchoice gchoice_43_8_4">
                  <input class="gfield-choice-input" name="input_8" type="radio" value="Other" id="choice_43_8_4" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_8_4" id="label_43_8_4" class="gform-field-label gform-field-label--type-inline">Other</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_43" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;4&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_43"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;6&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;6&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_6" class="gform_page" data-js="page-field-id-43" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_6" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_9" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_9">
            <legend class="gfield_label gform-field-label">Which word most accurately describes your vision of retirement?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_9">
                <div class="gchoice gchoice_43_9_0">
                  <input class="gfield-choice-input" name="input_9" type="radio" value="Enjoyment" id="choice_43_9_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_9_0" id="label_43_9_0" class="gform-field-label gform-field-label--type-inline">Enjoyment</label>
                </div>
                <div class="gchoice gchoice_43_9_1">
                  <input class="gfield-choice-input" name="input_9" type="radio" value="Freedom" id="choice_43_9_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_9_1" id="label_43_9_1" class="gform-field-label gform-field-label--type-inline">Freedom</label>
                </div>
                <div class="gchoice gchoice_43_9_2">
                  <input class="gfield-choice-input" name="input_9" type="radio" value="Leisure" id="choice_43_9_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_9_2" id="label_43_9_2" class="gform-field-label gform-field-label--type-inline">Leisure</label>
                </div>
                <div class="gchoice gchoice_43_9_3">
                  <input class="gfield-choice-input" name="input_9" type="radio" value="Other" id="choice_43_9_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_9_3" id="label_43_9_3" class="gform-field-label gform-field-label--type-inline">Other</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_44" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;5&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;5&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_44"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;7&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;7&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_7" class="gform_page" data-js="page-field-id-44" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_7" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_10" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_10">
            <legend class="gfield_label gform-field-label">Where do you expect the majority of your retirement income to come from?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_10">
                <div class="gchoice gchoice_43_10_0">
                  <input class="gfield-choice-input" name="input_10" type="radio" value="Savings &amp; Investments" id="choice_43_10_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_10_0" id="label_43_10_0" class="gform-field-label gform-field-label--type-inline">Savings &amp; Investments</label>
                </div>
                <div class="gchoice gchoice_43_10_1">
                  <input class="gfield-choice-input" name="input_10" type="radio" value="Employer Pension" id="choice_43_10_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_10_1" id="label_43_10_1" class="gform-field-label gform-field-label--type-inline">Employer Pension</label>
                </div>
                <div class="gchoice gchoice_43_10_2">
                  <input class="gfield-choice-input" name="input_10" type="radio" value="Government" id="choice_43_10_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_10_2" id="label_43_10_2" class="gform-field-label gform-field-label--type-inline">Government</label>
                </div>
                <div class="gchoice gchoice_43_10_3">
                  <input class="gfield-choice-input" name="input_10" type="radio" value="Other" id="choice_43_10_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_10_3" id="label_43_10_3" class="gform-field-label gform-field-label--type-inline">Other</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_57" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;6&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;6&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_57"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;8&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;8&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_8" class="gform_page" data-js="page-field-id-57" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_8" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_11" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_11">
            <legend class="gfield_label gform-field-label">Are you planning on relocating for retirement?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_11">
                <div class="gchoice gchoice_43_11_0">
                  <input class="gfield-choice-input" name="input_11" type="radio" value="Yes" id="choice_43_11_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_11_0" id="label_43_11_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
                </div>
                <div class="gchoice gchoice_43_11_1">
                  <input class="gfield-choice-input" name="input_11" type="radio" value="No" id="choice_43_11_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_11_1" id="label_43_11_1" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
                <div class="gchoice gchoice_43_11_2">
                  <input class="gfield-choice-input" name="input_11" type="radio" value="Not Sure" id="choice_43_11_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_11_2" id="label_43_11_2" class="gform-field-label gform-field-label--type-inline">Not Sure</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_45" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;7&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;7&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_45"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;9&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;9&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_9" class="gform_page" data-js="page-field-id-45" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_9" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_12" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_12">
            <legend class="gfield_label gform-field-label">How would you characterize your overall health?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_12">
                <div class="gchoice gchoice_43_12_0">
                  <input class="gfield-choice-input" name="input_12" type="radio" value="Excellent" id="choice_43_12_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_12_0" id="label_43_12_0" class="gform-field-label gform-field-label--type-inline">Excellent</label>
                </div>
                <div class="gchoice gchoice_43_12_1">
                  <input class="gfield-choice-input" name="input_12" type="radio" value="Above Average" id="choice_43_12_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_12_1" id="label_43_12_1" class="gform-field-label gform-field-label--type-inline">Above Average</label>
                </div>
                <div class="gchoice gchoice_43_12_2">
                  <input class="gfield-choice-input" name="input_12" type="radio" value="Average" id="choice_43_12_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_12_2" id="label_43_12_2" class="gform-field-label gform-field-label--type-inline">Average</label>
                </div>
                <div class="gchoice gchoice_43_12_3">
                  <input class="gfield-choice-input" name="input_12" type="radio" value="Below Average" id="choice_43_12_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_12_3" id="label_43_12_3" class="gform-field-label gform-field-label--type-inline">Below Average</label>
                </div>
                <div class="gchoice gchoice_43_12_4">
                  <input class="gfield-choice-input" name="input_12" type="radio" value="Poor" id="choice_43_12_4" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_12_4" id="label_43_12_4" class="gform-field-label gform-field-label--type-inline">Poor</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_46" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;8&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;8&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_46"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;10&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;10&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_10" class="gform_page" data-js="page-field-id-46" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_10" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_13" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_13">
            <legend class="gfield_label gform-field-label">Has your health caused you financial difficulty or stress?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_13">
                <div class="gchoice gchoice_43_13_0">
                  <input class="gfield-choice-input" name="input_13" type="radio" value="Yes" id="choice_43_13_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_13_0" id="label_43_13_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
                </div>
                <div class="gchoice gchoice_43_13_1">
                  <input class="gfield-choice-input" name="input_13" type="radio" value="No" id="choice_43_13_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_13_1" id="label_43_13_1" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
                <div class="gchoice gchoice_43_13_2">
                  <input class="gfield-choice-input" name="input_13" type="radio" value="Not Sure" id="choice_43_13_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_13_2" id="label_43_13_2" class="gform-field-label gform-field-label--type-inline">Not Sure</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_58" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;9&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;9&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_58"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;11&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;11&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_11" class="gform_page" data-js="page-field-id-58" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_11" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_14" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_14">
            <legend class="gfield_label gform-field-label">How comfortable are you with investing?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_14">
                <div class="gchoice gchoice_43_14_0">
                  <input class="gfield-choice-input" name="input_14" type="radio" value="Extremely Comfortable" id="choice_43_14_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_14_0" id="label_43_14_0" class="gform-field-label gform-field-label--type-inline">Extremely Comfortable</label>
                </div>
                <div class="gchoice gchoice_43_14_1">
                  <input class="gfield-choice-input" name="input_14" type="radio" value="Very Comfortable" id="choice_43_14_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_14_1" id="label_43_14_1" class="gform-field-label gform-field-label--type-inline">Very Comfortable</label>
                </div>
                <div class="gchoice gchoice_43_14_2">
                  <input class="gfield-choice-input" name="input_14" type="radio" value="Comfortable" id="choice_43_14_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_14_2" id="label_43_14_2" class="gform-field-label gform-field-label--type-inline">Comfortable</label>
                </div>
                <div class="gchoice gchoice_43_14_3">
                  <input class="gfield-choice-input" name="input_14" type="radio" value="Somewhat Comfortable" id="choice_43_14_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_14_3" id="label_43_14_3" class="gform-field-label gform-field-label--type-inline">Somewhat Comfortable</label>
                </div>
                <div class="gchoice gchoice_43_14_4">
                  <input class="gfield-choice-input" name="input_14" type="radio" value="Not Comfortable" id="choice_43_14_4" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_14_4" id="label_43_14_4" class="gform-field-label gform-field-label--type-inline">Not Comfortable</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_47" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;10&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;10&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_47"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;12&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;12&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_12" class="gform_page" data-js="page-field-id-47" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_12" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_15" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_15">
            <legend class="gfield_label gform-field-label">How quickly would you like to improve your long-term financial strategy?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_15">
                <div class="gchoice gchoice_43_15_0">
                  <input class="gfield-choice-input" name="input_15" type="radio" value="As soon as possible" id="choice_43_15_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_15_0" id="label_43_15_0" class="gform-field-label gform-field-label--type-inline">As soon as possible</label>
                </div>
                <div class="gchoice gchoice_43_15_1">
                  <input class="gfield-choice-input" name="input_15" type="radio" value="Within the next 3 months" id="choice_43_15_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_15_1" id="label_43_15_1" class="gform-field-label gform-field-label--type-inline">Within the next 3 months</label>
                </div>
                <div class="gchoice gchoice_43_15_2">
                  <input class="gfield-choice-input" name="input_15" type="radio" value="Within the next year" id="choice_43_15_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_15_2" id="label_43_15_2" class="gform-field-label gform-field-label--type-inline">Within the next year</label>
                </div>
                <div class="gchoice gchoice_43_15_3">
                  <input class="gfield-choice-input" name="input_15" type="radio" value="No specific timeframe / I don't want to make any changes" id="choice_43_15_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_15_3" id="label_43_15_3" class="gform-field-label gform-field-label--type-inline">No specific timeframe / I don't want to make any changes</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_59" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;11&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;11&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_59"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;13&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;13&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_13" class="gform_page" data-js="page-field-id-59" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_13" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_16" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_16">
            <legend class="gfield_label gform-field-label">Are you married?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_16">
                <div class="gchoice gchoice_43_16_0">
                  <input class="gfield-choice-input" name="input_16" type="radio" value="Yes" id="choice_43_16_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_16_0" id="label_43_16_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
                </div>
                <div class="gchoice gchoice_43_16_1">
                  <input class="gfield-choice-input" name="input_16" type="radio" value="No" id="choice_43_16_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_16_1" id="label_43_16_1" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_64" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;12&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;12&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_64"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;14&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;14&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_14" class="gform_page" data-js="page-field-id-64" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_14" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_17" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_17">
            <legend class="gfield_label gform-field-label">Do you own your home?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_17">
                <div class="gchoice gchoice_43_17_0">
                  <input class="gfield-choice-input" name="input_17" type="radio" value="Yes" id="choice_43_17_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_17_0" id="label_43_17_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
                </div>
                <div class="gchoice gchoice_43_17_1">
                  <input class="gfield-choice-input" name="input_17" type="radio" value="No" id="choice_43_17_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_17_1" id="label_43_17_1" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_65" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;13&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;13&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_65"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;15&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;15&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_15" class="gform_page" data-js="page-field-id-65" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_15" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_18" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_18">
            <legend class="gfield_label gform-field-label">Do you currently have children under 18?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_18">
                <div class="gchoice gchoice_43_18_0">
                  <input class="gfield-choice-input" name="input_18" type="radio" value="No" id="choice_43_18_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_18_0" id="label_43_18_0" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
                <div class="gchoice gchoice_43_18_1">
                  <input class="gfield-choice-input" name="input_18" type="radio" value="Yes, 1" id="choice_43_18_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_18_1" id="label_43_18_1" class="gform-field-label gform-field-label--type-inline">Yes, 1</label>
                </div>
                <div class="gchoice gchoice_43_18_2">
                  <input class="gfield-choice-input" name="input_18" type="radio" value="Yes, 2" id="choice_43_18_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_18_2" id="label_43_18_2" class="gform-field-label gform-field-label--type-inline">Yes, 2</label>
                </div>
                <div class="gchoice gchoice_43_18_3">
                  <input class="gfield-choice-input" name="input_18" type="radio" value="Yes, 3+" id="choice_43_18_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_18_3" id="label_43_18_3" class="gform-field-label gform-field-label--type-inline">Yes, 3+</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_48" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;14&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;14&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_48"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;16&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;16&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_16" class="gform_page" data-js="page-field-id-48" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_16" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_19" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_19">
            <legend class="gfield_label gform-field-label">Do you own a business?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_19">
                <div class="gchoice gchoice_43_19_0">
                  <input class="gfield-choice-input" name="input_19" type="radio" value="Yes" id="choice_43_19_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_19_0" id="label_43_19_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
                </div>
                <div class="gchoice gchoice_43_19_1">
                  <input class="gfield-choice-input" name="input_19" type="radio" value="No" id="choice_43_19_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_19_1" id="label_43_19_1" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_60" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;15&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;15&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_60"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;17&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;17&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_17" class="gform_page" data-js="page-field-id-60" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_17" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_20" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_20">
            <legend class="gfield_label gform-field-label">Are you currently invested in inflation protected assets?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_20">
                <div class="gchoice gchoice_43_20_0">
                  <input class="gfield-choice-input" name="input_20" type="radio" value="Yes" id="choice_43_20_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_20_0" id="label_43_20_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
                </div>
                <div class="gchoice gchoice_43_20_1">
                  <input class="gfield-choice-input" name="input_20" type="radio" value="No" id="choice_43_20_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_20_1" id="label_43_20_1" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
                <div class="gchoice gchoice_43_20_2">
                  <input class="gfield-choice-input" name="input_20" type="radio" value="Not Sure" id="choice_43_20_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_20_2" id="label_43_20_2" class="gform-field-label gform-field-label--type-inline">Not Sure</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_63" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;16&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;16&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_63"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;18&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;18&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_18" class="gform_page" data-js="page-field-id-63" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_18" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_21" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_21">
            <legend class="gfield_label gform-field-label">Do you have an emergency fund?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_21">
                <div class="gchoice gchoice_43_21_0">
                  <input class="gfield-choice-input" name="input_21" type="radio" value="Yes, Fully Funded" id="choice_43_21_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_21_0" id="label_43_21_0" class="gform-field-label gform-field-label--type-inline">Yes, Fully Funded</label>
                </div>
                <div class="gchoice gchoice_43_21_1">
                  <input class="gfield-choice-input" name="input_21" type="radio" value="Yes, Partially Funded" id="choice_43_21_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_21_1" id="label_43_21_1" class="gform-field-label gform-field-label--type-inline">Yes, Partially Funded</label>
                </div>
                <div class="gchoice gchoice_43_21_2">
                  <input class="gfield-choice-input" name="input_21" type="radio" value="No" id="choice_43_21_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_21_2" id="label_43_21_2" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_61" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;17&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;17&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_61"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;19&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;19&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_19" class="gform_page" data-js="page-field-id-61" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_19" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_22" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_22">
            <legend class="gfield_label gform-field-label">Do you have a 401(k)?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_22">
                <div class="gchoice gchoice_43_22_0">
                  <input class="gfield-choice-input" name="input_22" type="radio" value="Yes" id="choice_43_22_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_22_0" id="label_43_22_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
                </div>
                <div class="gchoice gchoice_43_22_1">
                  <input class="gfield-choice-input" name="input_22" type="radio" value="No" id="choice_43_22_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_22_1" id="label_43_22_1" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_49" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;18&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;18&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_49"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;20&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;20&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_20" class="gform_page" data-js="page-field-id-49" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_20" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_23" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_23">
            <legend class="gfield_label gform-field-label">Do you have an IRA?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_23">
                <div class="gchoice gchoice_43_23_0">
                  <input class="gfield-choice-input" name="input_23" type="radio" value="Yes" id="choice_43_23_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_23_0" id="label_43_23_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
                </div>
                <div class="gchoice gchoice_43_23_1">
                  <input class="gfield-choice-input" name="input_23" type="radio" value="No" id="choice_43_23_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_23_1" id="label_43_23_1" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_62" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;19&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;19&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_62"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;21&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;21&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_21" class="gform_page" data-js="page-field-id-62" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_21" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_24" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_24">
            <legend class="gfield_label gform-field-label">Which of these is most important for your financial advisor to have?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_24">
                <div class="gchoice gchoice_43_24_0">
                  <input class="gfield-choice-input" name="input_24" type="radio" value="Tax expertise" id="choice_43_24_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_24_0" id="label_43_24_0" class="gform-field-label gform-field-label--type-inline">Tax expertise</label>
                </div>
                <div class="gchoice gchoice_43_24_1">
                  <input class="gfield-choice-input" name="input_24" type="radio" value="Investment management expertise" id="choice_43_24_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_24_1" id="label_43_24_1" class="gform-field-label gform-field-label--type-inline">Investment management expertise</label>
                </div>
                <div class="gchoice gchoice_43_24_2">
                  <input class="gfield-choice-input" name="input_24" type="radio" value="Estate planning expertise" id="choice_43_24_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_24_2" id="label_43_24_2" class="gform-field-label gform-field-label--type-inline">Estate planning expertise</label>
                </div>
                <div class="gchoice gchoice_43_24_3">
                  <input class="gfield-choice-input" name="input_24" type="radio" value="None of the above" id="choice_43_24_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_24_3" id="label_43_24_3" class="gform-field-label gform-field-label--type-inline">None of the above</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_50" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;20&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;20&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_50"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;22&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;22&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_22" class="gform_page" data-js="page-field-id-50" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_22" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_25" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_25">
            <legend class="gfield_label gform-field-label">Do you currently have a financial advisor?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_25">
                <div class="gchoice gchoice_43_25_0">
                  <input class="gfield-choice-input" name="input_25" type="radio" value="Yes" id="choice_43_25_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_25_0" id="label_43_25_0" class="gform-field-label gform-field-label--type-inline">Yes</label>
                </div>
                <div class="gchoice gchoice_43_25_1">
                  <input class="gfield-choice-input" name="input_25" type="radio" value="No" id="choice_43_25_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_25_1" id="label_43_25_1" class="gform-field-label gform-field-label--type-inline">No</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_56" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;21&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;21&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_56"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;23&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;23&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_23" class="gform_page" data-js="page-field-id-56" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_23" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <div id="field_43_28" class="gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_43_28"><label
              class="gfield_label gform-field-label" for="input_43_28">Where do you live (Zip Code)?</label>
            <div class="ginput_container ginput_container_text"><input name="input_28" id="input_43_28" type="text" value="" class="large" placeholder="12345" aria-invalid="false"> </div>
          </div>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_55" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;22&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;22&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_55"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;24&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;24&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_24" class="gform_page" data-js="page-field-id-55" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_24" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_29" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_29">
            <legend class="gfield_label gform-field-label">Please estimate your household income.</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_29">
                <div class="gchoice gchoice_43_29_0">
                  <input class="gfield-choice-input" name="input_29" type="radio" value="Less than $40,000" id="choice_43_29_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_29_0" id="label_43_29_0" class="gform-field-label gform-field-label--type-inline">Less than $40,000</label>
                </div>
                <div class="gchoice gchoice_43_29_1">
                  <input class="gfield-choice-input" name="input_29" type="radio" value="$40,000 - $74,999" id="choice_43_29_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_29_1" id="label_43_29_1" class="gform-field-label gform-field-label--type-inline">$40,000 - $74,999</label>
                </div>
                <div class="gchoice gchoice_43_29_2">
                  <input class="gfield-choice-input" name="input_29" type="radio" value="$75,000 - $99,999" id="choice_43_29_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_29_2" id="label_43_29_2" class="gform-field-label gform-field-label--type-inline">$75,000 - $99,999</label>
                </div>
                <div class="gchoice gchoice_43_29_3">
                  <input class="gfield-choice-input" name="input_29" type="radio" value="$100,000 - $149,999" id="choice_43_29_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_29_3" id="label_43_29_3" class="gform-field-label gform-field-label--type-inline">$100,000 - $149,999</label>
                </div>
                <div class="gchoice gchoice_43_29_4">
                  <input class="gfield-choice-input" name="input_29" type="radio" value="$150,000 - $249,999" id="choice_43_29_4" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_29_4" id="label_43_29_4" class="gform-field-label gform-field-label--type-inline">$150,000 - $249,999</label>
                </div>
                <div class="gchoice gchoice_43_29_5">
                  <input class="gfield-choice-input" name="input_29" type="radio" value="Over $250,000" id="choice_43_29_5" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_29_5" id="label_43_29_5" class="gform-field-label gform-field-label--type-inline">Over $250,000</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_54" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;23&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;23&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_54"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;25&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;25&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_25" class="gform_page" data-js="page-field-id-54" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_25" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_30" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_30">
            <legend class="gfield_label gform-field-label">Please estimate your total investable assets.</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_30">
                <div class="gchoice gchoice_43_30_0">
                  <input class="gfield-choice-input" name="input_30" type="radio" value="Less than $25,000" id="choice_43_30_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_30_0" id="label_43_30_0" class="gform-field-label gform-field-label--type-inline">Less than $25,000</label>
                </div>
                <div class="gchoice gchoice_43_30_1">
                  <input class="gfield-choice-input" name="input_30" type="radio" value="$25,000 - $99,999" id="choice_43_30_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_30_1" id="label_43_30_1" class="gform-field-label gform-field-label--type-inline">$25,000 - $99,999</label>
                </div>
                <div class="gchoice gchoice_43_30_2">
                  <input class="gfield-choice-input" name="input_30" type="radio" value="$100,000 - $249,999" id="choice_43_30_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_30_2" id="label_43_30_2" class="gform-field-label gform-field-label--type-inline">$100,000 - $249,999</label>
                </div>
                <div class="gchoice gchoice_43_30_3">
                  <input class="gfield-choice-input" name="input_30" type="radio" value="$250,000 - $999,999" id="choice_43_30_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_30_3" id="label_43_30_3" class="gform-field-label gform-field-label--type-inline">$250,000 - $999,999</label>
                </div>
                <div class="gchoice gchoice_43_30_4">
                  <input class="gfield-choice-input" name="input_30" type="radio" value="$1,000,000 - $4,999,999" id="choice_43_30_4" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_30_4" id="label_43_30_4" class="gform-field-label gform-field-label--type-inline">$1,000,000 - $4,999,999</label>
                </div>
                <div class="gchoice gchoice_43_30_5">
                  <input class="gfield-choice-input" name="input_30" type="radio" value="Over $5,000,000" id="choice_43_30_5" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_30_5" id="label_43_30_5" class="gform-field-label gform-field-label--type-inline">Over $5,000,000</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_51" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;24&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;24&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_51"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;26&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;26&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_26" class="gform_page" data-js="page-field-id-51" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_26" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_31" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_31">
            <legend class="gfield_label gform-field-label">Please estimate your current monthly savings.</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_31">
                <div class="gchoice gchoice_43_31_0">
                  <input class="gfield-choice-input" name="input_31" type="radio" value="Less than $100" id="choice_43_31_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_31_0" id="label_43_31_0" class="gform-field-label gform-field-label--type-inline">Less than $100</label>
                </div>
                <div class="gchoice gchoice_43_31_1">
                  <input class="gfield-choice-input" name="input_31" type="radio" value="$100 - $249" id="choice_43_31_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_31_1" id="label_43_31_1" class="gform-field-label gform-field-label--type-inline">$100 - $249</label>
                </div>
                <div class="gchoice gchoice_43_31_2">
                  <input class="gfield-choice-input" name="input_31" type="radio" value="$250 - $499" id="choice_43_31_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_31_2" id="label_43_31_2" class="gform-field-label gform-field-label--type-inline">$250 - $499</label>
                </div>
                <div class="gchoice gchoice_43_31_3">
                  <input class="gfield-choice-input" name="input_31" type="radio" value="$500 - $999" id="choice_43_31_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_31_3" id="label_43_31_3" class="gform-field-label gform-field-label--type-inline">$500 - $999</label>
                </div>
                <div class="gchoice gchoice_43_31_4">
                  <input class="gfield-choice-input" name="input_31" type="radio" value="$1,000 - $1,999" id="choice_43_31_4" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_31_4" id="label_43_31_4" class="gform-field-label gform-field-label--type-inline">$1,000 - $1,999</label>
                </div>
                <div class="gchoice gchoice_43_31_5">
                  <input class="gfield-choice-input" name="input_31" type="radio" value="Over $2,000" id="choice_43_31_5" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_31_5" id="label_43_31_5" class="gform-field-label gform-field-label--type-inline">Over $2,000</label>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_53" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;25&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;25&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_53"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;27&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;27&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_27" class="gform_page" data-js="page-field-id-53" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_27" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <fieldset id="field_43_32" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_32">
            <legend class="gfield_label gform-field-label">How did you hear about us?</legend>
            <div class="ginput_container ginput_container_radio">
              <div class="gfield_radio" id="input_43_32">
                <div class="gchoice gchoice_43_32_0">
                  <input class="gfield-choice-input" name="input_32" type="radio" value="Social Media" id="choice_43_32_0" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_32_0" id="label_43_32_0" class="gform-field-label gform-field-label--type-inline">Social Media</label>
                </div>
                <div class="gchoice gchoice_43_32_1">
                  <input class="gfield-choice-input" name="input_32" type="radio" value="Radio/Podcast" id="choice_43_32_1" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_32_1" id="label_43_32_1" class="gform-field-label gform-field-label--type-inline">Radio/Podcast</label>
                </div>
                <div class="gchoice gchoice_43_32_2">
                  <input class="gfield-choice-input" name="input_32" type="radio" value="TV" id="choice_43_32_2" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_32_2" id="label_43_32_2" class="gform-field-label gform-field-label--type-inline">TV</label>
                </div>
                <div class="gchoice gchoice_43_32_3">
                  <input class="gfield-choice-input" name="input_32" type="radio" value="Referral" id="choice_43_32_3" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_32_3" id="label_43_32_3" class="gform-field-label gform-field-label--type-inline">Referral</label>
                </div>
                <div class="gchoice gchoice_43_32_4">
                  <input class="gfield-choice-input" name="input_32" type="radio" value="Internet Search" id="choice_43_32_4" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_32_4" id="label_43_32_4" class="gform-field-label gform-field-label--type-inline">Internet Search</label>
                </div>
                <div class="gchoice gchoice_43_32_5">
                  <input class="gfield-choice-input" name="input_32" type="radio" value="Online Advertisement" id="choice_43_32_5" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_32_5" id="label_43_32_5" class="gform-field-label gform-field-label--type-inline">Online Advertisement</label>
                </div>
                <div class="gchoice gchoice_43_32_6">
                  <input class="gfield-choice-input" name="input_32" type="radio" value="Airport Advertisement" id="choice_43_32_6" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_32_6" id="label_43_32_6" class="gform-field-label gform-field-label--type-inline">Airport Advertisement</label>
                </div>
                <div class="gchoice gchoice_43_32_7">
                  <input class="gfield-choice-input" name="input_32" type="radio" value="WRAL Money Desk" id="choice_43_32_7" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_32_7" id="label_43_32_7" class="gform-field-label gform-field-label--type-inline">WRAL Money Desk</label>
                </div>
                <div class="gchoice gchoice_43_32_8">
                  <input class="gfield-choice-input" name="input_32" type="radio" value="gf_other_choice" id="choice_43_32_8" onchange="gformToggleRadioOther( this )">
                  <label for="choice_43_32_8" id="label_43_32_8" class="gform-field-label gform-field-label--type-inline">Other</label><br><input id="input_43_32_other" class="gchoice_other_control" name="input_32_other" type="text" value="Other"
                    aria-label="Other Choice, please specify" disabled="disabled">
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_52" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;26&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;26&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_52"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;28&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;28&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_28" class="gform_page" data-js="page-field-id-52" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_28" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <div id="field_43_33" class="gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_43_33"><label
              class="gfield_label gform-field-label" for="input_43_33">Is there anything else you'd like our advisors to know?</label>
            <div class="ginput_container ginput_container_text"><input name="input_33" id="input_43_33" type="text" value="" class="large" maxlength="1000" aria-invalid="false">
              <div class="charleft ginput_counter gfield_description" aria-live="polite">0 of 1000 max characters</div>
            </div>
          </div>
        </div>
      </div>
      <div class="gform_page_footer top_label">
        <input type="button" id="gform_previous_button_43_37" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;27&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;27&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } "> <input type="button" id="gform_next_button_43_37"
          class="gform_next_button gform-theme-button button" value="Next" onclick="jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;29&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); "
          onkeypress="if( event.keyCode == 13 ){ jQuery(&quot;#gform_target_page_number_43&quot;).val(&quot;29&quot;);  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); } ">
      </div>
    </div>
    <div id="gform_page_43_29" class="gform_page" data-js="page-field-id-37" style="display:none;">
      <div class="gform_page_fields">
        <div id="gform_fields_43_29" class="gform_fields top_label form_sublabel_below description_below validation_below">
          <div id="field_43_40"
            class="gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_40">
            <h2>What is the best way to get in touch?</h2>
          </div>
          <fieldset id="field_43_34" class="gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_34">
            <legend class="gfield_label gform-field-label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
            <div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_43_34">
              <span id="input_43_34_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
                <input type="text" name="input_34.3" id="input_43_34_3" value="" aria-required="true" autocomplete="given-name">
                <label for="input_43_34_3" class="gform-field-label gform-field-label--type-sub ">First</label>
              </span>
              <span id="input_43_34_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
                <input type="text" name="input_34.6" id="input_43_34_6" value="" aria-required="true" autocomplete="family-name">
                <label for="input_43_34_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
              </span>
            </div>
          </fieldset>
          <div id="field_43_35"
            class="gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_35"><label class="gfield_label gform-field-label" for="input_43_35">Phone<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
            <div class="ginput_container ginput_container_phone"><input name="input_35" id="input_43_35" type="tel" value="" class="large" aria-required="true" aria-invalid="false"></div>
          </div>
          <div id="field_43_36"
            class="gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_36"><label class="gfield_label gform-field-label" for="input_43_36">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
            <div class="ginput_container ginput_container_email">
              <input name="input_36" id="input_43_36" type="email" value="" class="large" aria-required="true" aria-invalid="false">
            </div>
          </div>
          <fieldset id="field_43_67"
            class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_67">
            <legend class="gfield_label gform-field-label gfield_label_before_complex">Consent</legend>
            <div class="ginput_container ginput_container_consent"><input name="input_67.1" id="input_43_67_1" type="checkbox" value="1" aria-invalid="false"> <label class="gform-field-label gform-field-label--type-inline gfield_consent_label"
                for="input_43_67_1">I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may
                apply. <a href="https://www.capitalfinancialusa.com/privacy-policy" target="_blank">Privacy Policy</a></label><input type="hidden" name="input_67.2"
                value="I agree to be contacted by Capital Financial &amp; Insurance, LLC via call, email, and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe link in the emails. Message and data rates may apply. <a href=&quot;https://www.capitalfinancialusa.com/privacy-policy&quot; target=&quot;_blank&quot;>Privacy Policy</a>"
                class="gform_hidden"><input type="hidden" name="input_67.3" value="103" class="gform_hidden"></div>
          </fieldset>
          <div id="field_43_66" class="gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
            data-js-reload="field_43_66"><label class="gfield_label gform-field-label" for="input_43_66">CAPTCHA</label>
            <div id="input_43_66" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6Lc9U1AdAAAAAA_8EgB9epZWugG1_sCtIjVvxJ3R" data-theme="light" data-tabindex="0" data-badge="">
              <div style="width: 304px; height: 78px;">
                <div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-hakttqeocm3i" frameborder="0" scrolling="no"
                    sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
                    src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6Lc9U1AdAAAAAA_8EgB9epZWugG1_sCtIjVvxJ3R&amp;co=aHR0cHM6Ly93d3cuY2FwaXRhbGZpbmFuY2lhbHVzYS5jb206NDQz&amp;hl=en&amp;v=xds0rzGrktR88uEZ2JUvdgOY&amp;theme=light&amp;size=normal&amp;cb=vl5ag7vt901"></iframe>
                </div><textarea id="g-recaptcha-response-2" name="g-recaptcha-response" class="g-recaptcha-response"
                  style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
              </div><iframe style="display: none;"></iframe>
            </div>
          </div>
          <div id="field_43_68" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_43_68"><label
              class="gfield_label gform-field-label" for="input_43_68">Name</label>
            <div class="ginput_container"><input name="input_68" id="input_43_68" type="text" value="" autocomplete="new-password"></div>
            <div class="gfield_description" id="gfield_description_43_68">This field is for validation purposes and should be left unchanged.</div>
          </div>
        </div>
      </div>
      <div class="gform_page_footer top_label"><input type="submit" id="gform_previous_button_43" class="gform_previous_button gform-theme-button gform-theme-button--secondary button" value="Previous"
          onclick="if(window[&quot;gf_submitting_43&quot;]){return false;}  if( !jQuery(&quot;#gform_43&quot;)[0].checkValidity || jQuery(&quot;#gform_43&quot;)[0].checkValidity()){window[&quot;gf_submitting_43&quot;]=true;}  "
          onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_43&quot;]){return false;} if( !jQuery(&quot;#gform_43&quot;)[0].checkValidity || jQuery(&quot;#gform_43&quot;)[0].checkValidity()){window[&quot;gf_submitting_43&quot;]=true;}  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); }">
        <input type="submit" id="gform_submit_button_43" class="gform_button button" value="Submit"
          onclick="if(window[&quot;gf_submitting_43&quot;]){return false;}  if( !jQuery(&quot;#gform_43&quot;)[0].checkValidity || jQuery(&quot;#gform_43&quot;)[0].checkValidity()){window[&quot;gf_submitting_43&quot;]=true;}  "
          onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_43&quot;]){return false;} if( !jQuery(&quot;#gform_43&quot;)[0].checkValidity || jQuery(&quot;#gform_43&quot;)[0].checkValidity()){window[&quot;gf_submitting_43&quot;]=true;}  jQuery(&quot;#gform_43&quot;).trigger(&quot;submit&quot;,[true]); }">
        <input type="hidden" name="gform_ajax" value="form_id=43&amp;title=1&amp;description=1&amp;tabindex=0&amp;theme=orbital">
        <input type="hidden" class="gform_hidden" name="is_submit_43" value="1">
        <input type="hidden" class="gform_hidden" name="gform_submit" value="43">
        <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
        <input type="hidden" class="gform_hidden" name="state_43"
          value="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">
        <input type="hidden" class="gform_hidden" name="gform_target_page_number_43" id="gform_target_page_number_43" value="2">
        <input type="hidden" class="gform_hidden" name="gform_source_page_number_43" id="gform_source_page_number_43" value="1">
        <input type="hidden" name="gform_field_values" value="">
      </div>
    </div>
  </div>
</form>

Text Content

 * About Us
   * Coach Pete
   * Who We Are
   * Community
 * Services
   * Financial Fill-Up
   * Financial Planning Services
   * Financial Termites
   * Investment Services
   * Life Insurance
   * Retirement Autopilot
   * Tax Planning Services
 * Resources & Media
   * The Big Book On Retirement
   * Financial Safari
   * Retirement Help Center
   * Rock On Retirement
   * The Marty Hensley Show
   * The Parker Holland Show
   * Info Series: 5 Keys to a Successful Retirement
   * Info Series: 7 Financial Blind Spots
   * Info Series: Solving the Retirement Puzzle
 * Connect
   * Connect with Us
   * Get a Plan


Client Portal

Video Player



--------------------------------------------------------------------------------


YOUR PARTNER IN DEVELOPING A SECURE RETIREMENT.

Request a Strategic Retirement ReviewWith a local retirement Professional



AS SEEN ON




--------------------------------------------------------------------------------

Comprehensive financial planning with a focus on strategies to help you generate
adequate retirement income that lasts throughout your lifetime.

Our clients have typically saved $100,000 or more for retirement.

--------------------------------------------------------------------------------

Learn More About Financial Advice

--------------------------------------------------------------------------------

Structured wealth management through investment, financial, retirement, estate
and tax planning customized to meet their individual financial needs.

Most investment clients have $500,000 or more in investable assets.

--------------------------------------------------------------------------------

Learn More About Investment Services


ABOUT OUR FOUNDER

--------------------------------------------------------------------------------


PETER J. D'ARRUDA
MRFC®, RICP®



--------------------------------------------------------------------------------

Peter J. D’Arruda has been in the financial arena for almost three decades. He
is a best-selling author, radio and television host, former 2-time President of
the International Association of Registered Financial Consultants, an investment
advisor and fiduciary.

He founded Capital Financial to help his clients “cross the street of life.“ He
and his team strive to help their clients take the worry out of living in
retirement.

Known as Coach Pete to most of his clients and radio show listeners, his
lifetime goal is to assist his clients in achieving the levels of success they
desire.

--------------------------------------------------------------------------------

Learn More about Coach Pete


Featured Webinar


7 FINANCIAL BLIND SPOTS

Monday, Sept. 16
6:00 PM ET

Sign Up Today!Free Webinar


As you approach retirement, it becomes even more important to have a clear
vision of your financial goals. You will come across financial challenges that
can have a significant impact on your long-term financial well-being.

By exploring the 7 Financial Blind Spots, we aim to empower you with knowledge
and tools to make informed decisions, or at least begin the journey, which will
ultimately enable you to create a retirement plan that aligns with your dreams
and aspirations.

Whether you're just entering the Financial Red Zone or already a good way in, we
hope this webinar will serve as a valuable resource to help you navigate the
complexities of retirement planning with confidence.

--------------------------------------------------------------------------------

In this free webinar, you'll discover:

Developing Written Goals

Taxes in Retirement

Government Programs

Handling Your Mortgage

Inflation

When You Can Retire

Pension Systems

...and much more!

Sign Up Today!Free Webinar

ON DEMAND INFO SERIES

Capital Financial's info series are designed to offer valuable insights into key
financial topics such as retirement planning, tax strategies, and investment
management. Whether you're approaching retirement or already retired, these
webinars provide actionable guidance to help you secure your financial future.
Hosted by seasoned experts like Coach Pete, who has over three decades of
experience, these webinars cover critical areas like avoiding common financial
pitfalls and making informed decisions on annuities, taxes, and estate planning
.

Participating in these webinars will give you a deeper understanding of how to
protect your assets, ensure long-term income, and reduce financial risks during
retirement. Each session is tailored to address the evolving financial
landscape, ensuring that you stay updated with the latest strategies . One of
the standout features of these webinars is their accessibility, offering you the
chance to learn from top financial advisors from the comfort of your home.

Don't miss this opportunity to take control of your financial future. Sign up
today for one of Capital Financial’s info series and get the expert guidance you
need to build a secure retirement .

Watch Now
Watch Now
Watch Now
In our free info series, you'll discover:

Developing Written Goals

Taxes in Retirement

Government Programs

Handling Your Mortgage

Inflation

When You Can Retire

Pension Systems

...and much more!

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

Sign Up Today!Free Webinar

Featured Webinar


SOLVING THE RETIREMENT PUZZLE

Thursday, Sept. 12 | 3:00 PM ET

Learn how to make sense of retirement, plan for your needs and desires, and
secure lifetime income for you and your spouse. Sign up today!

--------------------------------------------------------------------------------

In this free webinar, you'll discover:

Retiring today looks different

How to plan for taxes

Why Social Security isn't enough

Inflation protection strategies

The current state of pensions

How to have lifetime income

Why planning is so important

...and much more!



--------------------------------------------------------------------------------

--------------------------------------------------------------------------------


OUR TEAM

Coach Pete D'Arruda has built a team of invaluable professionals at Capital
Financial.

--------------------------------------------------------------------------------

Learn More About Our Team


Featured Resource

Provided by the Capital Financial Team

Download NowFree eBook

Featured Resource


THE BIG BOOK ON RETIREMENT

Coach Pete's newest book is now available - absolutely free on this site
only!The Big Book On Retirement is the eighth book from best-selling and
award-winning author Coach Pete D'Arruda.

More than 20 years after publishing his first book, Financial Safari, Coach Pete
is bringing yet another highly-useful tool to the masses with his latest
publication.

This comprehensive and concise book helps readers navigate all the ins and outs
of retirement planning.

--------------------------------------------------------------------------------

With this free resource, you'll discover:
Learning the importance of working with a licensed fiduciary and how to choose
the right one to advise you and your family.
Understanding the investment options you have available to you in retirement and
how to take advantage of a plan that best suits your needs.
Learning how to secure Guaranteed Lifetime Income for you and your spouse.
Learning how to organize records and documentation critical to retirement
planning and beyond.
Understanding how to defend yourself against financial and healthcare risks.

How to ensure you have a proper legacy plan in place for your loved ones.

Knowing how to maximize the opportunities available to you and your loved ones.




...and much more!


EXPERIENCED

--------------------------------------------------------------------------------

We provide affluent retirees and pre-retirees with strategies to reduce taxes
and market risk on their life savings while developing and maintaining a close,
trusting relationship.


CUSTOM

--------------------------------------------------------------------------------

Our strategic development process begins with an analysis to determine a custom
designed course of action that is aligned with your goals and maximizes results.


INDEPENDENT

--------------------------------------------------------------------------------

Being independent, we offer an experience that is personal and responsive while
also maintaining our values of simplicity and transparency.


FIDUCIARY

--------------------------------------------------------------------------------

By partnering with us as a fiduciary, we will strive to communicate with you
clearly and with integrity what is in your best interest throughout the planning
process.


RADIO & PODCASTS

Each week Coach Pete and the team reveal the latest developments in the
financial world and share common sense strategies that will help you make the
most out of your retirement savings.

Tune in to our family of shows each weekend on Mix 101.5 WRAL, FM 106.1 WTKK and
AM680 WPTF as well as Apple Podcasts, Amazon Alexa, Spotify and more!



--------------------------------------------------------------------------------

--------------------------------------------------------------------------------


DAVE RAMSEY SMARTVESTOR PRO

--------------------------------------------------------------------------------

Peter D’Arruda, MRFC is a SmartVestor Pro, selected by Dave Ramsey and the
Ramsey Solutions organization to help with your retirement, college savings and
other investments.

Our retirement advisors provide solid, professional investing guidance and are
committed to educating and empowering every individual while providing top-notch
customer service.

--------------------------------------------------------------------------------


DAVE RAMSEY SMARTVESTOR PRO

--------------------------------------------------------------------------------


LATEST POSTS

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------


BONDS FOR BEGINNERS

Everybody gives the same financial advice: “Diversify your portfolio!” The
problem is, most folks saying that only diversify their stocks,…


WHEN IS THE BEST TIME TO RETIRE?

Nine times out of ten, folks say the best time to retire is “Yesterday!” The
average retirement age in America…


THE 3 PILLARS OF A RETIREMENT PLAN

We are bombarded with financial advice from everywhere: news outlets, social
media, even your bartender with a Bitcoin wallet. Everyone…


GET TO KNOW US

Watch this immersive video to discover the vision and values of Capital
Financial and what makes us different.



CONTACT US



Interested in getting started with our Financial Planning Services? Contact our
team at one of our offices in Raleigh, Greenville, Wilmington, or Myrtle Beach
today for a no-obligation financial review.

Let Capital Financial USA be your partner in financial planning.

Request a Retirement Review


CONTACT US

Interested in getting started with our Financial Planning Services? Contact our
team at one of our offices in Raleigh, Greenville, Wilmington, or Myrtle Beach
today for a no-obligation financial review.

Let Capital Financial USA be your partner in financial planning.

Schedule Your Review Session

Raleigh, NC
1500 Town Side Drive
Suite 201
Apex, NC 27502
(919) 657-4201
Greenville, NC
102B Regency Blvd
Suite 3
Greenville, NC 27834
(919) 585-5876
Wilmington, NC
1213 Culbreth Drive
Suite 117
Wilmington, NC 28405
(919) 260-6007
Myrtle Beach, SC

1039 44th Ave North
Suite 204
Myrtle Beach, SC 29577

(854) 444-8083
Scottsdale, AZ

18700 North Hayden Rd, Suite 310
Scottsdale, AZ, 85255

(480) 999-4996
Las Vegas, NV

410 S. Rampart Blvd
Suite 390
Las Vegas, NV 89145

(800) 656-8326
Privacy Policy
ADV2
Disclosure
Developed by Broadcasting Experts


SCHEDULE YOUR REVIEW SESSION

Sit down with a fiduciary financial advisor who can guide you and have a
conversation that will indicate if you are in need of a comprehensive financial
plan.

Fill out the form below to schedule a consultation with us.

"*" indicates required fields

Name*
First Last
Phone

Email*

Question

Consent
I agree to be contacted by Capital Financial & Insurance, LLC via call, email,
and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe
link in the emails. Message and data rates may apply. Privacy Policy
CAPTCHA


 * About Us
   * Coach Pete
   * Who We Are
   * Community
 * Services
   * Financial Fill-Up
   * Financial Planning Services
   * Financial Termites
   * Investment Services
   * Life Insurance
   * Retirement Autopilot
   * Tax Planning Services
 * Resources & Media
   * The Big Book On Retirement
   * Financial Safari
   * Retirement Help Center
   * Rock On Retirement
   * The Marty Hensley Show
   * The Parker Holland Show
   * Info Series: 5 Keys to a Successful Retirement
   * Info Series: 7 Financial Blind Spots
   * Info Series: Solving the Retirement Puzzle
 * Connect
   * Connect with Us
   * Get a Plan

Client Portal

--------------------------------------------------------------------------------



--------------------------------------------------------------------------------

Schedule Your Review Session


CONNECT WITH A FINANCIAL PLANNER

Meet with a fiduciary advisor


"*" indicates required fields

Step 1 of 6

16%
Are you currently working with a financial planner?
Yes
No

Are you retired?
Yes
No

What is your name?*
First Last

What are you total estimated investable assets?
Less than $100,000
$100,000 - $250,000
$250,000 - $500,000
$500,000 - $1,000,000
More than $1,000,000

Is there anything specific you would like to discuss?
Retirement Planning
Improving Investment Strategy
Estate Planning
Reviewing Insurance Coverage
High-Net-Worth Investing
Tax Planning
Second Opinion Review
Fee Analysis
Lifetime Income Plan
Spend & Leave Plan
Roth Conversion Strategy
IUL Strategy
Tactical Management


Great! What is the best way for us to reach out to you to set up a meeting?

Email*

Phone*

Questions/Comments

Consent
I agree to be contacted by Capital Financial & Insurance, LLC via call, email,
and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe
link in the emails. Message and data rates may apply. Privacy Policy
Phone

This field is for validation purposes and should be left unchanged.


Featured Webinar


7 FINANCIAL BLIND SPOTS

Free Webinar • REGISTER NOW
 * First Name*
   First
 * Last Name*
   Last
 * Email*
   
 * Phone
   
 * Webinar Date/Time*
   September 12 3:00PMSeptember 24 9:00AM
 * Consent
   I agree to be contacted by Capital Financial & Insurance, LLC via call,
   email, and text. To opt-out, you can reply 'stop' at any time or click the
   unsubscribe link in the emails. Message and data rates may apply. Privacy
   Policy
 * Comments
   
   This field is for validation purposes and should be left unchanged.



Featured Webinar


7 FINANCIAL BLIND SPOTS

Free Webinar • REGISTER NOW
 * First Name*
   First
 * Last Name*
   Last
 * Email*
   
 * Phone
   
 * Webinar Date/Time*
   September 12 3:00PMSeptember 24 9:00AM
 * Consent
   I agree to be contacted by Capital Financial & Insurance, LLC via call,
   email, and text. To opt-out, you can reply 'stop' at any time or click the
   unsubscribe link in the emails. Message and data rates may apply. Privacy
   Policy
 * Phone
   
   This field is for validation purposes and should be left unchanged.



Featured Webinar


SOLVING THE RETIREMENT PUZZLE

Free Webinar • REGISTER NOW
 * First Name*
   First
 * Last Name*
   Last
 * Email*
   
 * Phone
   
 * Webinar Date/Time*
   September 17 6:00PMSeptember 26 3:00PM
 * Consent
   I agree to be contacted by Capital Financial & Insurance, LLC via call,
   email, and text. To opt-out, you can reply 'stop' at any time or click the
   unsubscribe link in the emails. Message and data rates may apply. Privacy
   Policy
 * Comments
   
   This field is for validation purposes and should be left unchanged.




COACH PETE'S
BIG BOOK ON RETIREMENT

Free ebook Download
 * Name*
   First Last
 * Email*
   
 * Phone
   
 * Consent
   I agree to be contacted by Capital Financial & Insurance, LLC via call,
   email, and text. To opt-out, you can reply 'stop' at any time or click the
   unsubscribe link in the emails. Message and data rates may apply. Privacy
   Policy
 * CAPTCHA
   




CONNECT WITH A FINANCIAL PLANNER

Meet with a fiduciary advisor


"*" indicates required fields

Step 1 of 6

16%
Are you currently working with a financial planner?
Yes
No

Are you retired?
Yes
No

What is your name?*
First Last

What are you total estimated investable assets?
Less than $100,000
$100,000 - $250,000
$250,000 - $500,000
$500,000 - $1,000,000
More than $1,000,000

Is there anything specific you would like to discuss?
Retirement Planning
Improving Investment Strategy
Estate Planning
Reviewing Insurance Coverage
High-Net-Worth Investing
Tax Planning
Second Opinion Review
Fee Analysis
Lifetime Income Plan
Spend & Leave Plan
Roth Conversion Strategy
IUL Strategy
Tactical Management


Great! What is the best way for us to reach out to you to set up a meeting?

Email*

Phone*

Questions/Comments

Consent
I agree to be contacted by Capital Financial & Insurance, LLC via call, email,
and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe
link in the emails. Message and data rates may apply. Privacy Policy
Comments

This field is for validation purposes and should be left unchanged.



REQUEST A STRATEGIC RETIREMENT REVIEW

Fill out the details below and a team member will be in touch shortly to
schedule a review with an advisor.

Step 1 of 29

0%
What is your current age?
Over 65
61 - 65
56 - 60
46 - 55
36 - 45
Under 35

What is your current financial priority?
Just getting started
Building up my savings
Growing my wealth
Retaining my wealth

Are you retired?
No
Yes

How confident are you in your long-term financial plan?
Extremely Confident
Very Confident
Confident
Fairly Confident
Not Confident
Unsure

What activity is most important to you in retirement?
Travelling
Spending time with family and friends
Pursuing hobbies
Working part-time
Other

Which word most accurately describes your vision of retirement?
Enjoyment
Freedom
Leisure
Other

Where do you expect the majority of your retirement income to come from?
Savings & Investments
Employer Pension
Government
Other

Are you planning on relocating for retirement?
Yes
No
Not Sure

How would you characterize your overall health?
Excellent
Above Average
Average
Below Average
Poor

Has your health caused you financial difficulty or stress?
Yes
No
Not Sure

How comfortable are you with investing?
Extremely Comfortable
Very Comfortable
Comfortable
Somewhat Comfortable
Not Comfortable

How quickly would you like to improve your long-term financial strategy?
As soon as possible
Within the next 3 months
Within the next year
No specific timeframe / I don't want to make any changes

Are you married?
Yes
No

Do you own your home?
Yes
No

Do you currently have children under 18?
No
Yes, 1
Yes, 2
Yes, 3+

Do you own a business?
Yes
No

Are you currently invested in inflation protected assets?
Yes
No
Not Sure

Do you have an emergency fund?
Yes, Fully Funded
Yes, Partially Funded
No

Do you have a 401(k)?
Yes
No

Do you have an IRA?
Yes
No

Which of these is most important for your financial advisor to have?
Tax expertise
Investment management expertise
Estate planning expertise
None of the above

Do you currently have a financial advisor?
Yes
No

Where do you live (Zip Code)?


Please estimate your household income.
Less than $40,000
$40,000 - $74,999
$75,000 - $99,999
$100,000 - $149,999
$150,000 - $249,999
Over $250,000

Please estimate your total investable assets.
Less than $25,000
$25,000 - $99,999
$100,000 - $249,999
$250,000 - $999,999
$1,000,000 - $4,999,999
Over $5,000,000

Please estimate your current monthly savings.
Less than $100
$100 - $249
$250 - $499
$500 - $999
$1,000 - $1,999
Over $2,000

How did you hear about us?
Social Media
Radio/Podcast
TV
Referral
Internet Search
Online Advertisement
Airport Advertisement
WRAL Money Desk
Other


Is there anything else you'd like our advisors to know?
0 of 1000 max characters



WHAT IS THE BEST WAY TO GET IN TOUCH?

Name(Required)
First Last
Phone(Required)

Email(Required)

Consent
I agree to be contacted by Capital Financial & Insurance, LLC via call, email,
and text. To opt-out, you can reply 'stop' at any time or click the unsubscribe
link in the emails. Message and data rates may apply. Privacy Policy
CAPTCHA

Name

This field is for validation purposes and should be left unchanged.


Investment Advisory services offered through Capital Financial Advisory Group,
LLC. Capital Financial Advisory Group and Capital Financial & Insurance are
affiliated. Important information: Capital Financial Advisory Group, LLC
provides general information on this website, not individually targeted
personalized advice. Advice from Capital Financial Advisory Group, LLC found on
this site does not take into account any investor’s particular investment
objectives, financial situation and personal needs. Investors should assess for
themselves whether the advice is appropriate to their individual investment
objectives, financial situation and particular needs before making any
investment decision on the basis of such general advice. Investors can make
their own assessment of the advice or seek the assistance of a professional
adviser with Capital Financial Advisory Group LLC. Investing entails some degree
of risk. Investors should inform themselves of the risks involved before
engaging in any investment. Capital Financial Advisory Group, LLC endeavors to
ensure accuracy and reliability of the information provided but does not accept
any liability whatsoever, whether in tort or contract or otherwise, for any loss
or damage arising from the use of Capital Financial Advisory Group, LLC data and
systems. Past performance is not necessarily indicative of future results.
Information and advice provided here is not an offer to buy or sell securities.
Before commencing an investment program we recommend you seek independent
professional legal, tax and investment advice as to whether it is suitable for
your particular needs and circumstances. Failure to seek detailed professional,
personally tailored advice prior to acting could lead to you acting contrary to
your own best interests and could lead to losses of capital. The information
received by subscribers is for their personal use. Investing involves a great
deal of risk, including the loss of all or a portion of your investment, as well
as emotional distress. Nothing contained herein should be construed as a
warranty of investment results. All risks, losses and costs associated with
investing, including total loss of principal, are your responsibility. All
information provided or contained in this Web site is the property of Capital
Financial Advisory Group, LLC, and should not be reproduced, copied,
redistributed, transferred, or sold without the prior written consent of Capital
Financial Advisory Group, LLC. All rights reserved. Before deciding on an
annuity, you should consider your income needs, risk tolerance and investment
objectives. Capital Financial & Insurance, LLC can help you decide if annuities
are a suitable investment and can help you pick the correct annuity. Guarantees
are subject to the claims paying ability of the annuity provider. They do not
apply to the investment performance or safety of the underlying investment
options. Please note any annuity is not a deposit, not FDIC or NCUSIF insured,
not guaranteed by Capital Financial & Insurance, not insured by any federal
government agency and could lose value. Annuity guarantees rely on the financial
strength and claims-paying ability of the issuing insurer. Any comments
regarding safe and secure investments, and guaranteed income streams refer only
to fixed insurance products. They do not refer, in any way to securities or
investment advisory products. Fixed Insurance and Annuity product guarantees are
subject to the claims‐paying ability of the issuing company.

SmartVestor™ is an advertising service for investing professionals operated by
The Lampo Group, LLC d/b/a Ramsey Solutions (RS). When you provide your contact
information through the SmartVestor site, RS will introduce you to up to five
investing professionals (“Pros”) that are in your geographic area. It is up to
you to interview the Pros and decide whether you want to hire them. If you
decide to hire a Pro, you will enter in an agreement directly with that Pro to
provide you with investment advisory services. The Pros sign a Code of Conduct
under which they agree to certain general investment principles, such as
eliminating debt and investing for the longer-term, that are consistent with the
Dave’s philosophy, but RS does not monitor or control the investment advisory
services the Pros provide. The Pros have entered into an arrangement with RS
under which they pay RS a flat monthly fee to advertise their services in the
SmartVestor Program and receive contact information for prospective investment
advisory clients. The fees paid by the SmartVestor Pros to RS are paid
irrespective of whether you become a client of a Pro that advertises through
SmartVestor, and are not passed along to you. However, the presence of these
arrangements may affect a Pro’s willingness to negotiate below its standard
investment advisory fees, and therefore may affect the overall fees paid by
clients introduced by RS through SmartVestor. Please ask your Pro for more
information about their fees. RS is not affiliated with any Pros and neither RS
nor any of its representatives are authorized to provide investment advice on
behalf of a Pro or to act for or bind Pro. No investment advisory agreement with
Pro will become effective until accepted by such Pro. Neither Ramsey Solutions
nor its affiliates are engaged in providing investment advice. Ramsey Solutions
does not receive, control, access or monitor client funds, accounts, or
portfolios. Ramsey Solutions does not warrant any services of any SmartVestor
Pro and makes no claim or promise of any result or success of retaining a
SmartVestor Pro. Your use of SmartVestor, including the decision to retain the
services of any SmartVestor Pro, is at your sole discretion and risk. Any
services rendered by SmartVestor Pros you contact are solely that of the
SmartVestor Pro. The contact links provided connect to third-party sites. Ramsey
Solutions and its affiliates are not responsible for the accuracy or reliability
of any information contained on third-party websites.

SMS Terms and Conditions

1. By texting a keyword to short code 600700, you consent to receive one or more
automated texts at the phone number from which you texted.

2. We will not be liable for any delays in the receipt of any SMS messages as
delivery is subject to effective transmission from your mobile service operator.
SMS MESSAGE SERVICES ARE PROVIDED ON AN “AS IS” BASIS, AND WE MAKE NO WARRANTY,
EXPRESS OR IMPLIED, AND ALL WARRANTIES, INCLUDING IMPLIED WARRANTIES OF
MERCHANTABILITY AND FITNESS FOR PARTICULAR PURPOSE, ARE HEREBY EXPRESSLY
DISCLAIMED.

3. Data obtained from you in connection with this SMS service may include your
cell phone number, your carrier’s name, and the date, time and content of your
messages, as well as other information that you provide. We may use this
information to contact you and to provide the services you request from us.

4. By subscribing, you consent to receive text messages including alerts and
updates. Up to 3 messages / month.

5. By subscribing or otherwise using the service, you acknowledge and agree that
we will have the right to change and/or terminate the service at any time, with
or without cause and/or advance notice.

6. To cancel your SMS subscriptions, text STOP to 600700 in reply to a text
message you receive. You may receive a subsequent message confirming your
opt-out request.

7. For additional help, text HELP to 600700 in reply to a text message you
receive.

8. Message and Data Rates May Apply.

9. T-Mobile® is not liable for delayed or undelivered messages.

10. United States Participating Carriers Include AT&T, T-Mobile®, Verizon
Wireless, Sprint, Boost, U.S. Cellular®, MetroPCS®, InterOp, Cellcom, C Spire
Wireless, Cricket, Virgin Mobile and others.

11. Program Availability: Currently, the Program is only available to residents
of the United States. You understand and acknowledge that you may not sign up
for, access, or attempt to access or use the Program from countries outside of
the U.S. You agree to abide by U.S. and other applicable export control laws and
not to transfer, by electronic transmission or otherwise, any content or
software subject to restrictions under such laws to a national destination or
person prohibited under such laws. Questions / Support: You can contact us at
accounts@broadcastingexperts.com at any time, from your mobile phone, send a
text message with the word “HELP” to 600700. You may also call our toll free
support line: (800) 991-7060.



Notifications