Name *

First Name

Last Name

1. What is your date of birth? *

MM

DD

YYYY

2. When will you start withdrawing from your portfolio? *

Immediately

1 to 5 years

6 to 10 years

11 to 15 years

More than 16 years

3. In how many years do you plan to retire? *

Retired

1 to 5 years

6 to 10 years

11 to 15 years

More than 16 years

4. What type of investor are you? *

Conservative. I am very uncomfortable with investment risk and okay with no to low returns on my money.

Moderately conservative.

Moderate. I am comfortable with investment risk in order to help grow my money over time.

Moderately aggressive.

Aggressive. I am very comfortable with investment risk in order to pursue the maximum growth of my money.

5. You started with $100,000 and now it is $75,000 due to a market decline. How will you respond? *

I would sell all of my investments immediately.

I would sell some investments immediately.

I would leave my money the way it is and continue with my long-term strategy.

I would buy more investments because the price is low.

6. Which statements best describe your attitude between risk and return? *

I am willing to accept lower expected returns to limit my chance of loss.

I am willing to accept moderate risk for a moderate chance of loss to achieve moderate returns.

I am willing to accept high risk for a high chance of loss to maximize returns.

7. How would you like your investments to perform over time? *

I am more concerned on protecting my principal than the effects of inflation.

I want my investments to keep pace with inflation.

I want my investments to exceed the rate of inflation.

8. If you have $100,000 in your investment portfolio today. Next year, you are comfortable with a balance of:

$95,000 or $105,000

$85,000 or $115,000

$75,000 or $125,000

$65,000 or $135,000

9. What is your investment goal? *

Preservation of capital

To grow with caution

To grow moderately

To grow significantly

To grow aggressively

10. Over the next several years, you expect your annual income to: *

Decrease substantially

Decrease moderately

Stay about the same

Grow moderately

Grow substantially