Financial Planning Information Page 2
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10RISK ASSESSMENT QUESTIONNAIRE
The Risk Assessment Questionnaire helps to determine the best asset mix for a financial plan, based on the answers
given to the questions below. This page must be completed for compliance purposes.
(Please Only Check One Box For Each Question)
Time Horizon - Your current situation and future income needs.
1.
What is your current age?
2.
When do you expect to start withdrawing income?
Less than 45
Not for at least 20 years
45 to 55
In 10 to 20 years
56 to 65
In 5 to 10 years
66 to 75
Not now, but within 5 years
Older than 75
Immediately
Long-Term Goals and Expectations - Your views of how an investment should perform over the long term.
3.
What is your goal for this investment?
To grow aggressively
To grow with caution
To grow significantly
To avoid losing money
To grow moderately
4.
Assuming normal market conditions, what would you expect from this investment over time?
To generally keep pace with the stock market
To slightly trail the stock market, but make a good profit
To trail the stock markets, but make a moderate profit
To have some stability, but make modest profits
To have a high degree of stability, but make small profits
5.
Suppose the stock market performs unusually poorly over the next decade, what would you expect from this investment?
To lose money
To make a modest gain
To make very little or nothing
To be little affected by what happens in the
To make out a little gain
stock market
Short-Term Risk Attitude - Your attitude toward short-term volatility.
6.
Which of these statements would best describe your attitudes about the next three years' performance of this investment?
I don't mind if I lose money
I'd have a hard time tolerating any losses
I can tolerate a loss
I need to see at least some return
I can tolerate a small loss
7.
Which of these statements would best describe your attitudes about the next three months' performance of this investment?
Who cares? One calendar quarter means nothing
I wouldn't worry about losses in that time frame.
If I suffered a loss of greater than 10% I'd get concerned.
I can only tolerate small short-term losses.
I'd have a hard time stomaching any losses.
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