Annual Risk CheckupStep 1 of 616%Client DescriptionName First Last Email PhoneCurrent Mailing Address Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Save & Continue (We will send you email link to continue)Risk QuestionnaireAge Category Under 30 30-39 40-49 50-59 60-69 70-79 Over 80Current amount of cash reserves capable of supporting typical monthly spending. No cash reserves Less than one month 1-3 months 4-6 months 7-9 months 10-12 months More than 12 monthsHow would you rate your willingness to take on financial risk compared to others? Much Higher Higher Average Lower Much Lower Save & Continue (We will send you email link to continue)How easily do you adapt to big changes in your life? Not easily at all Fairly easily Easily Very easilyWhich best describes your philosophy on financial losses? I will take less return if I can avoid loss I will endure some losses if it means I get a positive return The only way to make money is to risk big lossesWhen you think of the word "risk", what comes to mind? Danger Uncertainty ThrillingDo you have "play money" you invest in risky ventures? Yes No Save & Continue (We will send you email link to continue)Which is more important? Job security with low bonus potential Job insecurity with big bonus potentialWhich is more important when investing? Losses Gains Both are equally importantHow risky, as a whole, have your past investments been? Not risky at all – U.S. government debt/Savings Low risk – Corporate blue chip debt Medium risk – Corporate blue chip equity High risk – Small cap growth stocks Extreme risk – Land speculationYour neighbor invested $10,000 in a company a year ago. After he invested, the company announced a huge discovery that increased its stock price 20 times. Your neighbor bought a fancy sports car and a boat with his windfall. How do you feel? Good for him, but it was a risky long shot Man, I wish I would’ve investedIf you had a very bad experience with a hotel chain, would you try that hotel on a future trip? Yes Maybe NoYou are standing at a roulette table and you’ve just seen the ball land on red 8 times in a row. You decide to make a bet on color, do you bet on red or black? Red Black Doesn't matter Save & Continue (We will send you email link to continue)A man from a well known sweepstakes comes to your door and says you won $1,000,000. To add some excitement, he gives you the option of taking the $1,000,000 or flipping a coin in which case you will win $2,200,000 if it lands on heads. Tails you win nothing. What do you do? Take the $1,000,000 Flip the coin Faint under pressureInvestments go up, investments go down. At what level of decline would you begin to feel discomfort? 5% 10% 20% 30% 40% 50% or morePortfolios of assets have an expected range of returns. Which portfolio would you prefer? Portfolio A 0% --- +3% Portfolio B -5% --- +5% Portfolio C -10% --- +15% Portfolio D -20% --- +25% Portfolio E -40% --- +40% Save & Continue (We will send you email link to continue)How have your investments changed over the years? Less risky now More risky now No change in riskHow stable is your income? Very stable Stable Not stableIs your income sufficient to meet your current lifestyle? Yes NoWould you be willing to accept the risk of a retirement lifestyle that is less than your current lifestyle if there was an equal chance your retirement lifestyle would be better than your current lifestyle? Yes NoWhich best categorizes your desire to leave money to children, relatives, and/or charity after you die? I would like to pass a significant estate when I die I would like to pass an estate when I die, but I want to enjoy it now too You can’t take it with you when you go and I plan on spending every last dime Save & Continue (We will send you email link to continue) For the Full Policy Statement, Click Here. For the Full Form ADV, Click Here.