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💰 Finance & Insurance

Free Household Budget Questionnaire Template

Free budget questionnaire template — capture income, fixed and variable expenses, debt and savings rate, then identify surplus and leakage in a client's household cash flow. Planners use it as the opening exercise of any financial planning engagement.

~10 min
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Quick answer

A cash-flow worksheet that logs household income, fixed and variable costs, debt and savings rate, so a planner can pinpoint surplus and leakage before building any budgeting advice.

Disclaimer: this page and its AI report are for self-reflection and process reference only. They do not constitute medical, psychological, financial, legal or safety advice. Consult a qualified professional when needed.

Methodology: items are a structural adaptation of widely used frameworks, not an official version; scoring is indicative, not diagnostic.

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About this template

The Budget Questionnaire gives advisors a complete income-and-expense picture before recommending a plan. Clients record household income, fixed costs, variable spending, debt repayments and current savings, then mark each category as under control, tight, or out of control. The structured answers reveal surplus capacity and spending leakage at a glance, so the first planning conversation starts from real numbers rather than estimates — and the same form can be rerun quarterly to track progress.

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Template at a Glance

TemplateBudget Questionnaire
CategoryFinance & Insurance
FormatStructured cash-flow questionnaire
Time to completeAbout 10 minutes per response
What you getA documented income, spending and surplus picture you can review and rerun
Best forPlanners · Insurance agents · Coaches
CostFree to copy and customize on FormLM
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Live Preview

Preview the sample cash-flow questionnaire and the fields it collects.

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Fill it in to see how responses flow.
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What's Included

Everything you need to run this template.

1

Structured, ready-to-use fields

2

Customizable fields

3

1-click copy to workspace

4

Surplus & leakage view

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How It Works

From copy to deliverable in four steps.

1

Use This Template

Copy the form and its scoring, report and branding settings into your FormLM workspace — free.

2

Customize

Adjust fields, options and dimensions to match advisers and insurance professionals.

3

Share and collect

Send the link or QR; every response is captured automatically.

4

Review and act

Export or review the collected responses at any time.

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Who Is This For

Pick your role — see how it fits your workflow.

1

Individual practitioners

Planners open every engagement with hard cash-flow numbers instead of vague estimates.

2

Teams & agencies

Insurance agents size affordability of premiums from the client's real monthly surplus.

3

Founders & freelancers

Coaches rerun the same questionnaire quarterly to show clients measurable progress.

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Key Features

What makes this template work as a professional deliverable.

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Sample Questions Inside

A preview of real questions — the full version adds scoring and a personalized report per respondent.

  1. Monthly household income after tax (ranges are fine)
  2. Fixed monthly costs: housing, utilities, insurance, loan repayments
  3. Variable monthly spending: food, transport, lifestyle, entertainment
  4. Total debt repayments and approximate balance outstanding
  5. How much do you save or invest each month?
  6. Which budget area feels most out of control right now? (open)
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Frequently Asked Questions

What is the Budget Questionnaire template?
It is a free, ready-to-use budget worksheet. It captures a household's income, expenses, debt and savings rate so planners can spot surplus and leakage at the start of an engagement.
Who should use the budget questionnaire?
Financial advisors, insurance agents and planners running a first cash-flow review, and individuals wanting a structured look at their own spending.
Does it calculate a savings rate automatically?
The form captures the inputs — income, expenses and savings — in consistent categories so the surplus and savings-rate view can be derived from the responses after customising scoring bands.
Can clients answer on a phone?
Yes. It is a mobile-friendly web form; share one link or QR code and responses are captured automatically.
How is this different from a full financial plan?
It records the raw monthly numbers — income, fixed costs, variable spend and surplus — before any strategy, so later recommendations rest on real cash flow rather than estimates.
Can it be compared over time?
Yes — rerun the same questionnaire each quarter and the responses line up so you can show measurable change in the client's budget position.

Use the Budget Questionnaire today

Copy it into your workspace, customize, and share — free to start.