Client Questionnaire Understanding Your Current Financial Profile What is your current annual household income? How much do you expect your income to change in the next 3-5 years? What is the current market value of your assets? (This includes your home) Do you feel you have enough money across your accounts to cover emergency situations? Yes No How long could you survive on your emergency fund? How long have you been investing in the stock market? At what age do you expect to retire? Do you feel your finances are secure enough for retirement? Yes No Please check the following accounts that you have: 401(k) Pension IRA Roth IRA SEP Stocks Bonds Mutual Funds Money Market Funds ETFs CD(s) Annutiy Other Assets Getting to Know Your Investment Goals What are you hoping to get out of our financial services?What are your biggest financial concerns right now?Where do you see yourself in 5-10 years?What do you look for in a successful professional relationship?What characteristics are most important in your financial advisor?What frustrates you about investing and financial institutions?What is your previous experience (if any) working with financial advisors? Evaluating Your Risk Tolerance What age range best describes you? 18-35 36-45 46-55 56+ Which of the following describes your objectives with investing? I would like to maintain my current principle while generating conservative income. I would like investing to be my primary source of income while generating moderate growth. I would like to generate some capital appreciation while the principle grows over the long term. I would like to grow my investment as much as possible and have a long term timeline. When do you plan to start withdrawing finds from your initial investment? Immediately 1-5 years 6-10 years 10-20 years 20+ years How long do you anticipate these withdrawals to continue once you start? Lump sum withdrawal 1-5 years 6-10 years 10-20 years 20+ years Please describe your relationship with risk and return: I am willing to accept lower returns if it means reducing risk to my investment. I am willing to accept a moderate level of risk if it means increasing my return. I am wiling to accept high risk and chance of loss if it means I can maximize my return. Please describe how you would react to investment losses: I want to adjust my investments immediately if I suffer any loss. I plan to reallocate my investments quarterly to make sure I'm making the best decisions. I am willing to wait a year, despite prolonged loss to make sure I'm making the right decision in changing my portfolio strategy. I am looking for a long-term investment strategy and can wait years for an investment to bounce back without looking for a change. Other Questions to Help the Alterity Financial Team Please list any health and family concerns that could affect your financial planning that we should be aware of.What are your biggest non-financial concerns right now?Are there any other issues your investment advisor needs to be aware of?