Model Selection Questionnaire

Model Selection Questionnaire

Questions? Contact Haris Ansari at hansari@ourarg.com
Advisor Name:*

First NameLast Name
Advisor Home State:*
Rep Code:*
YesNo
If yes, who is the joint advisor?

First NameLast Name
Client Name:*

First NameLast Name
Spouse Name:

First NameLast Name
Client DOB:*

MonthDayYear
Date
Spouse DOB:

MonthDayYear
Date
Entity Name: (optional)
Entity Signer: (optional)
Entity Signer DOB: (optional)

MonthDayYear
Date
Investment Amount:*
YesNo
Commissionable Brokerage On Platform (mutual fund, ETF, etc., held at the same custodian)Direct Mutual Fund Off Platform (mutual fund held at outside custodian)Advisory On Platform (AMP, UMA, or GMP account held at the same custodian)Advisory Off Platform (advisory business held outside of WMP, e.g., AssetMark, Mariner, Orion, etc.)
Self DirectedManaged by Another AdvisorRollover
Advisory Fee:*
YesNo
YesNo
If yes, please provide tickers.
YesNo
Protected Amount?
IndividualJoint with Rights of SurvivorshipTrad IRA (Natural Person)Roth IRA (Natural Person)Trad IRA (Trust)Roth IRA (Trust)Trad IRA (Inherited)Roth IRA (Inherited)
RISK TOLERANCE

Investment Objective:
My goal is preserving the real (inflation protected) value of my investments. I am not concerned with matching or beating stock market returns.My goal is generating current income. I am not concerned with growing the value of my investments beyond that.My goal is a combination of generating current income and growing the value of my investments.My goal is growing the value of my investment, and I am willing to tolerate volatility in some years as a result.
YesNo
ConservativeModerately ConservativeModerateModerately AggressiveAggressive
Financial Planning ClientExisting Client - RTQ on FileExisting Client - Documented Risk through Approved Tool (e.g., Nitrogen, Advisor Personal Account)
If you answered no, complete the following Risk Tolerance Questionnaire.
Extremely ConcernedVery ConcernedSomewhat ConcernedConcernedNot Very ConcernedNot Concerned
5% or $12,50010% or $25,00020% or $50,000I would not sell investments based on a single year loss
Pessimistic - I am always expecting the worstAnxious - No matter what you say, I will worryCautious - But open to new ideas; convince meObjective - Show me the pros and cons and I can make a decision and live with itOptimistic - Things always work out in the end
Portfolio A - value can range from $99,000 - $103,000Portfolio B - value can range from $97,000 - $106,000Portfolio C - value can range from $92,000 - $110,000Portfolio D - value can range from $89,000 - $122,000Portfolio E - value can range from $84,000 - $134,000Portfolio F - value can range from $78,000 - $138,000
Risk Score
Risk Assessment
Risk Score is for illustrative purposes only.

Securities and investment advisory services are offered through Osaic Wealth, Inc., member FINRA/SIPC. Osaic Wealth is separately owned and other entities and/or marketing names, products or services referenced here are independent of Osaic Wealth. Osaic Wealth does not offer tax or legal advice.

10900 NE 4th Street Suite 2300 #2413 Bellevue WA 98004
425-658-0530 www.argam.com
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Model Selection Questionnaire

RISK TOLERANCE

If you answered no, complete the following Risk Tolerance Questionnaire.