Discovery Questionnaire

Please complete this document as thoroughly as possible and ONLY consider the money you will be investing with GCD, but be mindful of money you have positioned elsewhere. Your answers will provide us with valuable insight into your prior investment experience and will enable us to more closely align our recommendations with your goals and preferences.

The information provided by you will be carefully analyzed and will ultimately establish the foundation for your investment program which will be clearly defined as guidelines and investment objectives that will be outlined in our investment proposal as well as in the Investment Policy Statement.

All items below marked with a red asterisk (*) are required to be completed.

You have the ability to save this form during completion, by clicking the button at the bottom, when you scroll down. Estimated completion time: 5 minutes.

Name:*

Today's Date:*

Total proposed amounts and funding to invest with GCD:*

	Amount	How to Fund
Individual
Joint
Trust
IRA
Roth IRA
SEP/Keogh
Other

1. What prompted you to seek guidance and/or more information on financial and investment matters?

2. What is important about money to you? Why?

3. What are your primary financial goals and objectives?

4. Where would you like to be five years from now?

5. Indicate any other information you would like us to consider.

Part 2 - COMPLETE THE NEXT QUESTIONS ABOUT YOUR RISK TOLERANCE

6. If you are investing both tax deferred AND non tax deferred amounts, it is possible that you will have a different risk profile for each based on differing time horizons and risk tolerances. Check only one below and then answer questions 7.1, 8.1 and 11.1 also.*

A. I believe they would be the same and therefore will only answer each question onceB. I believe they would be different and therefore will answer each of the questions with 2 different answers. The first answer is for non-tax deferred, the second is for tax deferred.

7. INVESTMENT RETURN RANGE - During any 12-month period, returns on portfolios with exposure to the stock market can vary dramatically. Given the variability in the image below, and your initial investment of $100,000, select the typical range of potential gains and losses with which you are most comfortable.*

7.1. Answer for tax deferred accounts, since 6B was selected:*

8. MAXIMUM DECLINE - If you made an initial investment of $100,000, how much decline could you be comfortable with, with no relief in sight, before you sold all or most of your investments? *

8.1. Answer for tax deferred accounts, since 6B was selected:*

9. STOCK MARKET FORECAST - Even if you have very little confidence in your forecast, pick your best guess at the most likely return for the stock market over the next 12 months.*

10. YOUR AGE RANGE?*

11. PLANNED WITHDRAWAL - If you expect to withdraw a significant portion (at least 1/3) of your account for any purpose (e.g. a new house, children’s education, a boat, etc.) other than retirement spending, when is it likely to be? *

11.1. Answer for tax deferred accounts, since 6B was selected:*

Part 3: TELL US ABOUT YOUR MAXIMUM LOSS THRESHOLD

While it’s very important to understand how you feel about the typical ups and downs of the markets (average volatility), it’s also important to understand how you feel about large declines. Behavioral research shows that large declines historically have caused many investors to lose confidence and not only leave the market at the worst possible times, but also wait too long to return to investing. Since it is impossible to perfectly time the market, our shared goal is to help you stay the course and, over the long term, grow your wealth. A clear understanding of your “maximum loss threshold” will help you stay the course when markets decline sharply.

12. How much do you have in total investable assets (approx.), not just the amount willing to have GCD manage here?*

13. What is your total approximate net worth?*

14. How much could your TOTAL investable assets decline, with no relief in sight, before you felt compelled to exit the market completely?*

Part 4: TELL US ABOUT YOUR FINANCES AND INVESTMENT EXPERIENCE

15. What is your approximate current annual income (including bonuses, commissions, rental income, small business, etc.)*

16. What are your total approximate amount of annual recurring expenses, including taxes?*

17. Does your income fluctuate on an annual basis due to commissions, bonuses, etc?*

Yes, record expected amount belowNo

17.1 Indicate the expected amount:*

18. Do you expect your annual income to change in the next 5 years beyond a normal cost of living adjustment?*

Yes, record expected amount belowNo

18.1 Indicate the expected amount:*

19. Outside your company retirement/savings plan, how much did you save last year?*

20. Do you expect to save a similar amount each year for the next few years?*

YesNo, record expected amount below

20.1 Indicate the expected amount:*

21. What is your current marginal federal tax rate?*

22. To what state do you pay income tax?*

23. Tell us about the approximate number of years you've had experience with the following:*

If you plan on opening an account right away, please click here to complete our comprehensive Client Intake Form. Otherwise, this can be done at a later time.

Discovery Questionnaire

TELL US ABOUT YOURSELF

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