PlanRock IPQ

  • Investment Policy Statement - Questionnaire

    Please fill out the following Investment Policy Questionnaire per investment account as a new client. Please, also fill out this Investment Policy Questionnaire each time your goals and objective change per investment account. Directions: Please answer each question based on your circumstances, click submit
  • 1. What is the time frame for your goal? If you have reached your goal (i.e. in retirement) please answer A.*
  • 2. What is your need for growth of principal?*
  • 3. What is your income or dividend needs from your investments (this account)?*
  • 4. What is your preference for reinvesting or not reinvesting dividends?*
  • 5. What is your preference for reinvesting or not reinvesting realized capital gains by mutual funds or ETFs?*
  • 6. Select the account fluctuation you are willing to accept to reach your goals for growth of principal over time. Upside or downside performance is represented in a calendar year is not guaranteed.*
  • 7. What is your preference with the following investment instruments?*
  • 8. What is your preference with the approach to management of your investments?*
  • 9. How comfortable are you allocating to Alternative Investments to improve diversification and correlation to the stock or bond markets? (i.e. Hedging type funds, real estate, gold, etc.)*
  • 10. What is your preference as it relates to your preferred investment strategies? This applies only to your stock or equity portion of your investment portfolio. Your Advisor can help you with this question if necessary.*
  • 11. What is your preference for domestic investments or global investments?*

  • Please date and sign this Investment Policy Statement - Questionnaire below

  • Date
     - -

  • By placing your name in the Full Name box and/or electronically drawing your signature and pressing submit, you confirm that the answers to the above questions are based your goals and objectives. You also wish to have your investments for this account to be managed accordingly. You also understand that this form is not a guarantee of any results or that your goals and objectives will be met. Past performance does not guarantee future results.

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