Risk Profile Form

RISK PROFILE QUESTIONS.... What level of risk do you wish to take with your investments? This questionnaire is about understanding your attitude to investment risk and preferences. This questionnaire is designed to help us understand your personal goals and objectives so that our advice to you matches your personal needs. It may seem long, but well worth spending the time to complete.

I/We agree

Primary Name*

First NameLast Name

Tell us a little about what you want to achieve with your investments

Birth Date*

MonthDayYear

E-mail*

Please select what this risk profile is appropriate too?*

SuperannuationInvestments held in a bankSelf Managed SuperannuationInvestments held in a trust/companyPlease use this risk profile for ALL my investing

Person 2 Name

First NameLast Name

SECTION 1 - General Info - While part of the process is to identify your individual goals and objectives; these need to be considered against/with your overall attitude to investment risk. Please answer the questions below to add to our understanding of you and your needs.

I/We agree

Please rate your ability to understand investments and their differences, financial terms, adviser language and ability to express their performance. Choose one answer only please.*

PoorFairGood

Please rate your knowledge of and experience with financial matters, in particular securities. Choose one answer only please.*

PoorFairGood

Would you consider taking out a loan to fund any investment YES/NO, if yes please specify below.*

Are there any circumstances that you are aware of that may affect your financial situation in the near future? YES/NO - if yes please specify below.*

Are there any circumstances that may alter your income or expenses or assets situation in the near future? YES/NO - if yes please specify below.*

When considering an investment review of your financial affairs, please complete the following...

OK

1. Ease of Management of your Financial Affairs*

2. Investment Security*

3. Capital Growth*

4. Liquidity/Flexibility*

5. Tax Advantage*

6. Environmental/Ethical Investing*

SECTION 2 - Investment Risk Tolerance Questions

OK

1. What kind of risk taker would you describe yourself as?*

2. How do you cope when faced with an important decision?*

I prefer not to make decisions (5)I worry whether I will make the right decision (10)I wonder what the right decision is (15)I am confident I will make the right decision (20)I enjoy the challenge (25)

3. When you think of "risk", what word first comes to mind?*

4. What is your comfort level after major financial decisions?*

5. What is your Investment Knowledge & Experience*

No experience with investing and virtually no knowledge (5)Some experience with investing but have very little knowledge (10)Some experience with investing and gained some knowledge (15)Adequate experience with investing and gained adequate knowledge for my investment needs (20)Extensive experience with investing based on my own research and knowledge (25)

6. Using $100,000 as an example, what level could your investment fall to before you became uncomfortable (based on worst case scenario)?*

7. How do you feel when you see your investments experience some losses?*

8. How would you feel about borrowing money to invest?*

9. How do you rate the importance of income generation within your investments?*

10. How do you rate the importance of growth in your investment value to your personal situation?*

SECTION 3 - Which Risk Profile are you?

Yes I understand you will shortly advise me of what profile I/we fit into

If your goals can easily be met, which of the following would you like to review?*

Spending more moneyEnjoying the goal earlier, e.g work part time of retire earlyLower the investment riskRevise or add to your goals

Sign off on your answers and add any further comments to help us with your financial plan. We will make reference to your answers in your statement of advice and if give you a chance to change your risk profile prior to any implementation of advice

OK

Comments:

Conclusion... The information collected in this workbook, and the discussions you had with your adviser, represent a starting point only. It is possible that your risk tolerance will change over time. For example, providing a theoretical answering to a question about your comfort level with losing money might be quite different to the reality of seeing your portfolio value drop. Experiencing events first hand might impact your tolerance to risk. It is important to review regularly your risk tolerance with your adviser. Over time, your needs and goals will change, and it is likely that your risk profile will as well.*

I/We agree

Client Declaration... I confirm that the information contained in this form is true and correct to the best of my knowledge. I give my permission for this information to be used for the preparation of my financial plan and I understand that the investment recommendations will be based on the information supplied in this form. I understand the concept of risk and return and acknowledge that the risk profile agreed to is an adequate reflection of my tolerance to investment risk.*

I/We agree

Contact Information

Section 4 - Asset Allocation