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Quantum wants to get to know you a little better. Please fill out this quick questionnaire to help us learn some of the important things about you.
Step
1
of
5
20%
Name
(Required)
First
Last
Birthday
(Required)
MM slash DD slash YYYY
Do you have a Spouse?
Yes
No
Spouse Name
(Required)
First
Last
Anniversary
(Required)
MM slash DD slash YYYY
Children's Names & Birthdays
First Name
Last Name
Birthday's
Add
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Pet's
Favorite Drink (Alcoholic or Non-alcoholic)
Shirt Size
(Required)
XS
S
M
L
XL
XXL
What hobbies interest you?
Tech
Cooking
Movie Watching
Poker
Reading
Astronomy
Chess/Board Games
Music Listening
Photography
Fishing
Music Playing
Biking
Running/Hiking
Camping
Painting/Arts
Traveling
Carpentry
Diving
Puzzles
Other
What other hobbies interest you?
What are your favorite sports/activities?
American Football
Baseball
Basketball
Ice Hockey
Soccer/Football
Tennis
Golf
Boxing/MMA
Car Racing
Volleyball
Swimming
Skiing/Snowboarding
Pool/Billiards
Bowling
Weightlifting
Other
What other hobbies interest you?
Why do you do what you do?
Comments
This field is for validation purposes and should be left unchanged.
If you have any questions regarding these questions, please call
Mina Wrasman
:
800.440.1088
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Home
Our Story
Ron Shurts
Meet the Team
Our Services
Integrated Business Development
Insurance Solutions
Strategic Marketing & Client Aquisition
Streamlined Operations & Technology
Advanced Planning & Portfolio Solutions
Additional Resources
Blog
FAQs
Careers
Contact
Advisor Login
Kyle Pesch
View Profile
James Jacobson
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Kayden Meyersick
View Profile
Stephanie Smith
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Windy Nash
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Chase Koester
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Lauren Edwards
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Kari Osep
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Brandon Olson
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Dalton Sneed
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Kyle Pesch
VP of Advisor Development
James Jacobson
Director of Strategic Accounts
Kayden Meyersick
Director of Business Development
Stephanie Smith
Senior Account Manager
Windy Nash
Senior Account Manager
Chase Koester
VP of Life & LTC Insurance
Lauren Edwards
Senior Account Manager
Kari Osep
Director of Advisor Relations
Brandon Olson
Director of Business Development
Dalton Sneed
Director of Business Development
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