Client 1 (required)
Client 2
Phone Number (required)
Email (required)
Question 1:
Which investment objective is most important to you?
Q1 Client 1 (required)
—Please choose an option— A. Preservation of wealth. B. Current income with relative stability of principal. C. Dividend income with some potential for growth of principal. D. Moderate growth in principal. E. Maximum potential growth in principal for future needs. <
Q1 Client 2
—Please choose an option— A. Preservation of wealth. B. Current income with relative stability of principal. C. Dividend income with some potential for growth of principal. D. Moderate growth in principal. E. Maximum potential growth in principal for future needs.
Question 2:
The graph shows the potential fluctuation in value of five hypothetical portfolios in a given year. The original amount invested was $10,000. The amounts shown represent the potential range in values of this $10,000 investment after one year.
In which of the five given portfolios would you prefer to invest?
Q2 Client 1 (required)—Please choose an option— A. Portfolio A (+4% / -4%) B. Portfolio B (+6% / -6%) C. Portfolio C (+10% / -10%) D. Portfolio D (+20% / -20%) E. Portfolio E (+40% / -40%)
Q2 Client 2—Please choose an option— A. Portfolio A (+4% / -4%) B. Portfolio B (+6% / -6%) C. Portfolio C (+10% / -10%) D. Portfolio D (+20% / -20%) E. Portfolio E (+40% / -40%)
Question 3:
From September 2008 through November 2008, the stock market lost 30%. If you owned an investment that lost more than 30% in 3 months, you would:
Q3 Client 1 (required)
—Please choose an option— A. Sell all of the remaining investment. B. Sell a large portion of the remaining investment. C. Sell a small portion of the remaining investment. D. Hold on to the investment and sell nothing. E. Buy more of the investment
Q3 Client 2
—Please choose an option— A. Sell all of the remaining investment. B. Sell a large portion of the remaining investment. C. Sell a small portion of the remaining investment. D. Hold on to the investment and sell nothing. E. Buy more of the investment
Question 4:
Generally, investments with higher potential returns also carry higher risk.
How would you describe your tolerance for investment fluctuation?
Q4 Client 1 (required)
—Please choose an option— A. No tolerance. To minimize the chance for loss, I am willing to accept the lower
long-term returns provided by conservative investments. B. Low tolerance. I am able to accept only infrequent and very modest losses
during difficult phases in a market cycle. C. Moderate tolerance. I am able to accept only two or three quarters of negative returns during difficult phases in a market cycle. D. High tolerance. I am able to accept negative annual returns during difficult phases in a market cycle. E. Extreme tolerance. I am able to accept prolonged negative returns during difficult phases in a market cycle.
Q4 Client 2
—Please choose an option— A. No tolerance. To minimize the chance for loss, I am willing to accept the lower
long-term returns provided by conservative investments. B. Low tolerance. I am able to accept only infrequent and very modest losses
during difficult phases in a market cycle. C. Moderate tolerance. I am able to accept only two or three quarters of negative returns during difficult phases in a market cycle. D. High tolerance. I am able to accept negative annual returns during difficult phases in a market cycle. E. Extreme tolerance. I am able to accept prolonged negative returns during difficult phases in a market cycle.
Question 5:
When do you plan to begin taking withdrawals from your account?
Q5 Client 1 (required)
—Please choose an option— A. Less than 2 years. B. 2 to 5 years C. 6 to 10 years. D. 11 to 20 years. E. More than 20 years.
Q5 Client 2
—Please choose an option— A. Less than 2 years. B. 2 to 5 years C. 6 to 10 years. D. 11 to 20 years. E. More than 20 years.
Question 6:
Once you begin withdrawing money from your investment account, how long do you expect the withdrawals to last?
Q6 Client 1 (required)
—Please choose an option— A. I plan to take a lump-sum distribution of the entire amount. B. 0 to 4 years. C. 5 to 7 years. D. 8 to 10 years. E. 11 years or more
Q6 Client 2
—Please choose an option— A. Less than 2 years. B. 0 to 4 years. C. 5 to 7 years. D. 8 to 10 years. E. 11 years or more
Question 7:
Will you want to withdraw 20% or more of your original investment at any time?
Q7 Client 1 (required)
—Please choose an option— A. Yes, within the next 3 years. B. Yes, within 3 to 5 years. C. Yes, within 6 to 10 years. D. Yes, more than 10 years from now. E. Not likely.
Q7 Client 2
—Please choose an option— A. Yes, within the next 3 years. B. Yes, within 3 to 5 years. C. Yes, within 6 to 10 years. D. Yes, more than 10 years from now. E. Not likely.
Question 8:
Excluding retirement dollars, you would be able to pay your bills for approximately how many month(s) after a loss of income due to an emergency.
Q8 Client 1 (required)
—Please choose an option— A. I do not have any emergency savings. B. 1 month. C. 2 to 3 months. D. 4 to 6 months. E. 6 months or more.
Q8 Client 2
—Please choose an option— A. I do not have any emergency savings. B. 1 month. C. 2 to 3 months. D. 4 to 6 months. E. 6 months or more.
Question 9:
What is your overall knowledge of investments?
Q9 Client 1 (required)
—Please choose an option— A. I have no investment experience and a very low knowledge level
regarding investments. B. I have very little investment experience and a fairly low knowledge level. C. I have some experience investing in mutual funds and am somewhat knowledgeable. D. I have some experience investing in mutual funds, individual stocks and bonds and am somewhat knowledgeable. E. I am an experienced investor, have a solid knowledge base regarding investments, and am aware that markets can be volatile and unpredictable.
Q9 Client 2
—Please choose an option— A. I have no investment experience and a very low knowledge level
regarding investments. B. I have very little investment experience and a fairly low knowledge level. C. I have some experience investing in mutual funds and am somewhat knowledgeable. D. I have some experience investing in mutual funds, individual stocks and bonds and am somewhat knowledgeable. E. I am an experienced investor, have a solid knowledge base regarding investments, and am aware that markets can be volatile and unpredictable.
