Name
Phone
Company
Email
Today’s Date
Age
Annual Income
Financial Net Worth

Select one:

Current EmployeeEx Employee

 

Are you already enrolled in this plan?

YesNo

 

Are you married?

YesNo

 

Dependent children at home?

YesNo

 

Your current investment experience

Please indicate your level of experience with each of the following investment types:

Equities

Unfamiliar with this termNoneLimitedModerateExtensive

 

Bonds

Unfamiliar with this termNoneLimitedModerateExtensive

 

Options/Futures

Unfamiliar with this termNoneLimitedModerateExtensive

 

Mutual Funds

Unfamiliar with this termNoneLimitedModerateExtensive

 

Annuities

Unfamiliar with this termNoneLimitedModerateExtensive

 

Margin Trading

Unfamiliar with this termNoneLimitedModerateExtensive

How much risk are you willing to take?

Understanding your tolerance for investment risk relative to your investment return expectations is an important step in designing a portfolio. The questions that follow will help to develop a more accurate financial picture of your life and to get a good idea of your possible investment future. The answers you choose will indicate your comfort level with investment risk – and your ability to withstand it. They will help us to analyze your day‐to‐day financial needs, your general investment style and your personal time horizon.

1. Approximately how many years until you expect to retire?

5 or Fewer10152025 or More

2. How far in the future would you anticipate the need to withdraw more than 20% of your portfolio to meet a short‐term financial need?

More than 7 yearsBetween 3 to 7 yearsLess than 3 years

3. From September 2008 through November 2008, stocks lost more than 31%. If you owned a stock investment that lost about 31% in 3 months, you would:

(If you owned stocks or stock funds during this period, select the
answer that corresponds to your actual behavior)

Sell all of the remaining investmentSell a portion of the remaining investmentHold onto the investment and sell nothingBuy more of the investment

4. Regarding the statement: “Generally, I prefer investments with little or no fluctuation in value, and I am
willing to accept the lower return associated with these investments,” you:

Strongly disagreeDisagreeSomewhat agreeAgreeStrongly Agree

5. Regarding the statement, “During market declines, I tend to sell portions of my riskier assets and invest the
money in safer assets,” you:

Strongly disagreeDisagreeSomewhat agreeAgreeStrongly Agree

6. Regarding the statement, “I would invest in a mutual fund or ETF (exchange‐traded fund) based solely on a brief conversation with a friend, co‐worker, or relative,” you:

Strongly disagreeDisagreeSomewhat agreeAgreeStrongly Agree

7. After observing the yearly volatility in each of the following hypothetical portfolios, with which would you feel most comfortable?

	Year 1	Year 2	Year 3	Year 4	Year 5	Arithmetic Average
A:	5%	5%	5%	5%	5%	5%
B:	4%	7%	8%	2%	9%	6%
C:	‐5%	21%	8%	2%	9%	7%
D:	9%	‐11%	26%	3%	18%	9%
E:	14%	‐21%	40%	‐4%	31%	12%

8. Your current and future income sources (for example, salary, Social Security, pension) are:

Very unstableUnstableSomewhat stableStableVery stable

9. Your current asset allocation is:

(Enter the current asset allocation in whole numbers. Your percentages must total 100%. Enter "unknown" if unknown. )

Short-Term Reserves
Bonds
Stocks

10. In general, your feelings about the U.S. economy over the next ten years are:

PessimisticUnsureOptimistic

11. In general, your feelings about world economies over the next ten years are:

PessimisticUnsureOptimistic

Notes/Comments