RISK PROFILE QUESTIONNAIRE

RISK PROFILE QUESTIONNAIRE
Client Name/s:*
Email*
example@example.com
Please select ONE answer to each of the following questions.
SECTION 1: FINANCIALS
Under $100K$100K - $300K$300K - $500K$500K - $750K$750K - $1.0M$1.0M - $3.0MOver $3.0M
If greater than $3M enter amount:
Under $25K$25K - $50K$50K - $100K$100K - $250K$250K - $500KOver $500K
If greater than $500K enter amount:
Under $50K$50K - $100K$100K - $150K$150K - $250K$250K - $500KOver $500K
10%12%22%24%32%35%37%
All from this portfolio (0)At least 75% from this portfolio and the remainder from other savings and investments (1)50% from this portfolio and the remainder from other savings and investments (2)Less than 25% from this portfolio and the remainder from other savings and investments (3)All from other savings and investments (4)
Section 1 TOTAL
SECTION 2: GOALS
Preserve Principal (0)Income (3)Income and Growth (6)Growth (9)Aggressive Growth (12)
Less than 1 year (0)1-3 years (3)4-6 years (6)7-10 years (9)More than 10 years (12)
Heavily (0)Moderately (1)Slightly (2)Not at all (4)
Section 2 TOTAL
SECTION 3: RISK TOLERANCE
NoneLimitedModerateExtensive
Conservative (0)Moderately Conservative (2)Moderate (4)Moderately Aggressive (6)Aggressive (8)
A (0)B (1)C (2)D (3)E (4)
A (0)B (3)C (6)D (9)E (12)
I would immediately move all my holdings to cash (0)I would immediately change to strategies that are more conservative (3)I would wait at least 3 months before deciding to make any changes (6)I would immediately change to strategies that are more aggressive (9)I would immediately add to my investment portfolio and buy more equities to take advantage of the lower prices (12)
I would immediately move all my holdings to cash (0)I would immediately change to strategies that are more conservative (3)I would wait at least 3 months before deciding to make any changes (6)I would immediately change to strategies that are more aggressive (9)I would immediately add to my investment portfolio and buy more equities to take advantage of the lower prices (12)
Section 3 TOTAL
YOUR SCORE TOTAL FROM ALL SECTIONS:
I understand that the above-referenced Risk Profile Questionnaire acts as a guide only to building an overall financial solution. I recognize that there are other factors to consider besides my score on this questionnaire when making portfolio decisions. I understand that my responses to the Risk Profile Questionnaire provided by my investment advisor representative indicates that my risk tolerance is:*
I disagree
I disagree with the above assessment and would like to indicate my risk tolerance as:
My reasoning for disagreeing with this assessment is:
Signature

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Signature - Client #2 (if applicable)

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RISK PROFILE QUESTIONNAIRE

SECTION 1: FINANCIALS

SECTION 2: GOALS

SECTION 3: RISK TOLERANCE