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Application

To help formulate your financial game plan, we first need to understand what type of investor you are. This questionnaire is designed to measure several important investment parameters. Based on this information, we can develop a personalized financial plan customized to your specific needs.

Please respond to each of the questions below by choosing the single answer that best characterizes your situation. After completing the questionnaire, you will have the option of sending the information to us by e-mail. If you are interested, a financial consultant will contact you to discuss your results and provide feedback about the type of financial plan that might best suit your needs. This is a free service offered without obligation.

1. How stable is your current income source?

Very unstable
Moderately unstable
Moderately stable
Very Stable

2. Which statement best characterizes your expected earnings over the next 10 years:
I expect my future earnings:

to decrease
to increase at the rate of inflation
to increase at a somewhat faster pace than inflation
to increase at a much faster pace than inflation

3. How many dependents do you have (including spouse, children and elderly parents you support)?

0
1-2
3-4
More than 4

4. Do you have sufficient liquid assets set aside in case of emergency? (Liquid assets = cash + checking account + savings account + money market. Sufficient liquid assets are defined as at least six times your monthly after-tax salary.)

Yes, I have an adequate emergency fund.
No, I do not have a sufficient emergency fund

5. Approximately what portion of your investable funds are in a tax-deferred retirement plan?

Less than 25%
26-50%
51-75%
More than 75%

6. When you think of your investments, which statement best characterizes your feelings?

I want to be as sure as possible that my savings will not go down significantly.
I prefer taking on a small amount of risk in order to gain higher expected returns.
I prefer taking on substantial risk in order to gain higher expected returns.

7. When do you expect to retire?

3-5 years
6-10 years
11-15 years
More than 15 years

8. When do you plan to begin withdrawing money from your investment accounts?

3-5 years
6-10 years
11-15 years
More than 15 years

9. Do you prefer investments that provide steady returns without large fluctuations in value?

Yes, definitely
Yes, for the most part
No, not really
No, definitely not

10. If you could increase your chances of having more money set aside at retirement by taking on more investment risk, would you?

Take on much more risk with all your investments
Take on a little more risk with all your investments
Take on a little more risk with some of your investments
Leave your investments unchanged

11. From March to December, 2000, the Nasdaq Composite Index declined by over 45%. If you owned a diversified stock portfolio that fell over 30%, what would you do?

Sell all the remaining shares
Sell a portion of the remaining shares
Hold onto the investment without selling any shares
Buy more equity shares for the portfolio

12. How experienced are you at investing in mutual funds that emphasize stocks?

Very inexperienced
Moderately inexperienced
Moderately experienced
Very experienced

13. How experienced are you at investing in individual stocks?

Very inexperienced
Moderately inexperienced
Moderately experienced
Very experienced

14. How experienced are you at investing in bonds or bond mutual funds?

Very inexperienced
Moderately inexperienced
Moderately experienced
Very experienced

For analysis of your answers and a free financial consultation, please submit your questionnaire results along with the following information:

Items marked with an asterisk (*) are required.

Salutation:
*First Name:
*Last Name:
*E-mail:
Telephone:
Address:
City:
State:
Zip Code:

Tax Bracket:

10%
15%
25%
28%
33%
35%




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