Name *

First Name

Last Name

Spouses Name (if applicable)

First Name

Last Name

Do you have more than 30% equity in your home? *

Yes

No

I don't own a home

Do you plan to work after retiring from your current job? *

Not at all

Part-time

Full-time for a few years

Full-time for as long as possible

From an original investment of $15,000, your portfolio now worth $25,000 suddenly declines $3,750 or 15%, which best describes your response? *

I would look for a way to invest more.

I would take no action.

I would be somewhat concerned.

I would avoid any investment that could suddenly lose 15% of its value.

Your portfolio, from previous question, now worth $21,250 suddenly declines another $2,125 or 10% down to $19,125, which best describes your response? *

I would look for a way to invest more.

I would take no action.

I would be somewhat concerned.

I would avoid any investment that could suddenly lose 15% of its value and then lose an additional 10%.

Have you ever invested in individual stocks? *

Yes

No

Have you ever invested in individual bonds? *

Yes

No

Have you ever invested in mutual funds or exchange traded funds? *

Yes

No

Have you ever invested in option contracts, futures or derivatives? *

Yes

No

How would you describe your level of investment knowledge? *

None

Limited

Good

Extensive

How much investment experience do you have? *

None (Just Starting)

Limited (1 to 3 Years)

Good (4 to 5 Years)

Extensive ( more than 5 Years)

Do you currently need to withdraw from your investments to provide income? *

Yes

No

How soon do you expect to need to withdraw from these assets to provide retirement income? *

Not including IRS required minimum distributions.

Less than 2 years

2 to 5 years

6 to 10 years

More than 10 years

Not at all

Acceptable percentage of principal loss over 1 year? *

Up to 5%

Up to 10%

Up to 15%

Up to 20%

up to 25%

over 25%

What is your target annual rate of return? *

0.0% - 2.5%

2.6% - 5.0%

5.1% - 7.5%

7.6% - 10.0%

10.0% +

Which would you prefer?

A portfolio that follows the ups and downs of the stock and bond market, but does slightly better.

A portfolio that prioritizes downside risk protection. This type of portfolio may not have all the upside capture in a normal market environment, but would attempt to have 50% or less of the losses in a severe market downturn.

In a buy-and-hold investment strategy, how would you respond in the event of a decline in the value of your investments? *

I would sell my investments immediately if they were to suffer substantial decline.

Although declines in investment value make me uncomfortable, I would wait one to two quarters before adjusting my portfolio.

I can endure significant declines in the value of my investments and would wait at least one year before adjusting my portfolio.

Even if my investments were to suffer a significant decline over several years, I would continue to follow my long-term investment strategy and not adjust my portfolio.

I would increase the amount invested in my portfolio in anticipation of an increase in value.

I would prefer to invest in a risk managed strategy that would prioritize capital preservation and would automate changes to the asset allocation based upon the investment strategy.

Which of the following statements best describes your investment objectives? *

My highest priority is to preserve my investments and I am willing to accept minimal return in order to do so.

I seek to generate income from my investments to provide retirement income.

I seek to generate income and grow my principal value over time.

I seek to accelerate somewhat the growth of the principal value of my investments over time and, in pursuit of these gains, I am willing to invest in securities that have historically demonstrated a moderate to above average degree of risk of loss of principal value.

I seek a significant appreciation of the principal value of my investments and, in pursuit of these gains, I am willing to accept a greater degree of risk by investing in securities that have historically demonstrated a high degree of risk o floss of principal.

Which of the following scenarios would make you more uncomfortable? *

Making an investment and watching it decline in value.

Selling an investment and watching it increase in value.

During the decline in stock market values that took place from 2007 through 2009, what action did you take or would you have taken with respect to your investments? *

Sold all equity holdings

Moderately decreased equity holdings

No changes

Significantly increased stock holdings

In general, how did you feel about the decline in stock market values from 2007 through 2009? If you did not invest during it, how do you think you would feel if the stock market dropped 40% in six months? *

High level of anxiety

Moderate level of anxiety

Acceptance that short-term losses are part of investing and assurance that the risk I took was reasonable given the potential long-term gains of my investments

Indifference

Excited to be able to invest in assets that had declined in value