Investment Risk Profile Questionnaire Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Client's Contact Information - Step 1 of 12This profile provides us with preliminary information regarding your background, financial situation, and communication preferences, which can help tailor our services for you. We will obtain additional information from you about your finances, investment objectives, and investment time horizon so we can make an appropriate portfolio recommendation for your review and approval. Full Name *FirstLastPrimary Mailing AddressAddress Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCountry of CitizenshipEmailHome PhoneCell PhoneDate of BirthMarital StatusSingleMarriedDivorcedWidowedOccupation/Title(former if retired)EmployerWould you like to add a Spouse or Additional Account Holder Information *YesNoSpouse or Additional Account Holder InformationName of secondary account holderFirstLastAuto-fill these fields with the Same Address listed above.YesNoAddress of secondary account holderAddress Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCountry of Citizenship of secondary account holderEmail of secondary account holder *Home Phone of secondary account holderCell Phone of secondary account holderDate of Birth of secondary account holderMarital Status of secondary account holderSingleMarriedDivorcedWidowedNextRisk Portfolio Questionnaire & Model Portfolio Section This questionnaire is designed to gather information to help identify your investment objectives, time horizon and investment risk profile, in order to assist you in selecting an appropriate model portfolio. Instructions: Select the answer that is most applicable to you. Once completed, a Risk Profile Score will be calculated for you. If you are completing the form manually, add the points in parentheses assigned to each response. The total is your Risk Profile Score. PreviousStart Questionnaire1. What is your age?Over56-6545-55Under 45PreviousNext2. How many months of cash reserves do you have outside of your investment plan?3 months6 months9 monthsOver 12 monthsPreviousNext3. Indicate approximately how many years from today until you need to reach your primary investment goal.Within 1 to 4 yearsWithin 5 to 10 yearsWithin 11 to 20 yearsMore than 20 yearsPreviousNext4. Which of the following statements best describes your reaction if the value of your portfolio suddenly declined by 15%?I would be very concerned because I cannot accept fluctuations in the value of my portfolioI invest for long-term growth, and some income, but would be concerned about even a temporary declineI invest for long-term growth but would be very concerned if the downturn were more than 15%I invest for long-term growth and can accept some market fluctuationI invest for long-term growth and accept market fluctuations as normal market risk for an aggressive portfolioPreviousNext5. Which of the following statements most accurately reflects your feelings about the stock market?I am uncomfortable investing in the stock market and would prefer money markets for investmentsWhile I would like the ability to participate in the stock market, I prefer more conservative positions and want a sizable portion of my holdings to be in fixed incomesI want to participate in the stock market but prefer a mix of fixed incomes and growth-oriented equitiesI invest for long-term growth but would be very concerned if the downturn were more than 15%I am committed to the stock market and am comfortable that, over time, I could be rewarded for the extra risks involved in growth-oriented investingPreviousNext to fields these 6. When do you plan to begin withdrawing money from your investments?Less than 3 years3 to 5 years6 to 10 years11 years or morePreviousNext7. How optimistic are you about the long-term prospects for the economy?PessimisticUnsureSomewhat optimisticVery optimisticPreviousNext8. How long are you prepared to wait for your account to return to its original value after a down market?Less than 18 monthsBetween 18 months and two yearsBetween two and three yearsMore than three yearsPreviousNext9. Which of the following best describes your investment objectives?Preserving principal and earning a moderate amount of current incomeGenerating a high amount of current incomeGenerating some current income and growing my assetsModerately growing my assetsGrowing my assets substantiallyPreviousNext10. What is your current annual income requirement from this portfolio?More than 4%2% to 4%0% to 2%I don’t need current incomePreviousCalculate Risk Score Let's TalkSchedule Your Complimentary Consultation Today!Get StartedSchedule a free no-obligation consultationor call 970-460-9895OUR LOCATIONS
