Discovery Client Questionnaire

1

Full Name* This field is required.

First Name

Last Name

2

If Married, Spouse's Name

First Name

Last Name

3

Phone Number* This field is required.

4

E-mail

example@example.com

5

How did you hear about us?* This field is required.

6

If Friend or Family Member, who?* This field is required.

7

Tell us about yourself:

8

What is your primary financial goal(s) as you see it today (check all that apply)?

Pre-Retirement Accumulation Planning

Enhanced Wealth and Investment Management

Post-Retirement Income Planning

Estate/Legacy Planning

9

Are you currently working with a financial/investment advisor?

Yes

No

10

If yes, what do you like/dislike about your current investments and/or advisor?

11

What is your previous investment experience?

Little to no previous investment experience

Moderate level of investment experience

Extensive investment experience

12

How do you feel about investment risk?

I prefer to have little to no risk in my investments

I prefer to have a moderate level of risk in my investments

I prefer to take a lot of risk with my investments

13

How do you feel about the fees that you are currently paying on your investments?

Appropriate for level of advice and service that I am currently receiving.

Feel like I am paying too much for the level of advice and service I am currently receiving.

Not sure.