RiskToleranceQuestionnaire-ScottradeInvestmentManagement.pdfVIP

Risk Tolerance Questionnaire The information provided in this questionnaire is not intended to be investment advice and does not constitute a recommendation to buy or sell securities. 1) What are the clients investment goals? A) Current Income (Emphasis on current income, some fluctuation of the portfolio value). B) Capital Preservation (Emphasis on minimal fluctuation of portfolio value; averse to short term loss). C) Capital Preservation Income (Emphasis on current income, low fluctuation of the portfolio value). D) Growth Income (Emphasis on modest capital growth, low to moderate fluctuation of the portfolio value). E) Growth (Emphasis on capital growth, moderate fluctuation of portfolio value). F) Aggressive Growth (Emphasis on maximum capital growth, willing to accept significant fluctuation of portfolio value). 2) What is the investment time horizon on these investable assets? A) Less than 3 years / Current Income B) 3 - 5 years C) 6 - 9 years D) 10+ years 3) What are your Current Income Needs from Program Assets? A) None B) Less than $10,000 Per Year C) $10,000 Per Year D) $20,000 Per Year E) $30,000 Per Year F) $40,000 Per Year G) $50,000 Per Year H) $60,000 Per Year I) $70,000 Per Year J) $80,000 Per Year K) $90,000 Per Year L) $100,000 Per Year M) More than $100,000 Per Year 4) What is your current Annual Household Income? A) None C) $50,001 - 100,000 E) $250,001-500,000 B) $0 - 50,000 D) $100,001 - 250,000 F) $500,001+ 5) What is your Approximate Net Worth? A) Less than $250K