Risk Tolerance Assessment

Name *

First

Last

Email *

Phone

Retirement Goals:

1. What is your age?

2. At what age would you like to retire?

3. How much do you currently have invested for retirement?

4. How much are you investing annually for retirement?

5. How much do you need monthly in today's $?

6. What is your estimated monthly social security benefit at retirement?

7. What is your estimated company pension benefit at retirement?

8. How much decline in $ can you emotionally withstand during any year?

Education Funding Goals:

1. What is the age(s) of your children?

1st

2nd

3rd

4th

2. What is the estimated education cost annually in today's $ for each child?

1st

2nd

3rd

4th

3. How many years education do you desire to fund for each child?

1st

2nd

3rd

4th

Other Financial Goals:

1. How much do you need in today's $?

2. How many years do you have to reach this financial goal?

Time Horizon:

1. When do you plan to begin withdrawing money from your investment account?

Choose One

• Less than 3 years
• 3 to 5 years
• 6 to 10 years
• 11 years or more

2. How many years do you plan to be able to withdraw funds?

Choose One

• Less than 3 years
• 3 to 5 years
• 6 to 10 years
• 11 years or more

Risk Tolerance:

1. How would you describe your knowledge of investments?

Choose One

• None
• Limited
• Good
• Extensive

2. When you invest your money you are most concerned about:

Choose One

• My investment losing value.
• My investment failing to gain value.
• My investment either losing value or failing to gain value.

3. Identify the investment categories you currently own, or have owned in the past.

Choose all that apply.

• Money market funds.
• Stocks or stock mutual funds.
• International stocks or international mutual funds.

4. If you investment account lost 25% of its value within 3 months you would:

Choose One

• Sell all your investments and convert to cash.
• Sell some of your investments and convert to cash.
• Do nothing.
• Buy more investments with available cash.

Which of the following Best and Worst case scenarios is most acceptable to you?

Choose One

• Avg. Annual Return 7.2% / Best Case 16.3% / Worst Case -5.6%
• Avg. Annual Return 9.0% / Best Case 25.0% / Worst Case -12.1%
• Avg. Annual Return 10.4% / Best Case 33.6% / Worst Case -18.2%
• Avg. Annual Return 11.7% / Best Case 42.8% / Worst Case -24.0%
• Avg. Annual Return 12.5% / Best Case 50.0% / Worst Case -28.2%

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