FORMS | Pre-Investment Planning Questionnaire

Please use the form below to submit your questionnaire to us. Click the "Submit Form" to submit after the form is completed.



Name:
Phone:
E-mail:

1. Do you have an emergency fund? (Savings of 6 months' after-tax income or more)
No, I have no emergency fund.
I have an emergency fund, but it is less than the amount stated above.
Yes, I have an adequate emergency fund.

2. Do you have a separate savings plan for possible major expenses?
(Home down payment, home repairs, college tuition)
I do not have a separate savings plan.
I do not expect any such major expenses.
Yes, I have a separate savings plan.

3. Over the next 5 years, which ONE of the following best describes
your earning expectations? (Assume 4% inflation)
I expect my increases in earnings to significantly outpace inflation.
(Based on a new job, promotion, etc.)
I expect my increases in earnings to marginally outpace inflation.
I expect my increases in earnings to keep pace with inflation.
I expect my future earnings to decrease.
(Due to declines in industry, descreases in hours worked, retirement, etc.)

4. Approximately what percentage of monthly take-home income is used to pay off debt
other than home mortgage?
Less than 10%.
Between 10% and 25%.
Between 25% and 50%.
More than 50%.

5. Have you ever invested in individual bonds or bond mutual funds?
No, and I would be uncomfortable with the risk if I did.
No, however I would be comfortable with the risk if I did.
Yes, however I was uncomfortable with the risk.
Yes, and I was comfortable with the risk.

6. Have you ever invested in stocks or stock mutual funds?
No, and I would be uncomfortable with the risk if I did.
No, however I would be comfortable with the risk if I did.
Yes, however I was uncomfortable with the risk.
Yes, and I was comfortable with the risk.

7. As you consider your investments, where would you place yourself on the scale below
from 1-8 in terms of your comfort with various levels of risk/potential reward?
(1 is less risk/less potential return - 8 max return regardless of risk)

Comments/Questions:
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