1. What is your name?

2. What is the name of your employer?

3. What is your current age?

Under 45 45 - 54 55 - 64 65 or Over  

4. In how many years do you plan on retiring from work?

less than 5 years 5 - 10 years 11 - 14 years 15+ years  

5. Some people retire and are able to use other savings they have before taking money out  of their retirement savings. Approximately, how many years do you think it will be before your retirement savings will be required to produce a significant portion of your income?

less than 5 years 5 - 10 years 11 - 14 years 15+ years  

6. How would you rate your level of investment knowledge?

Sophisticated Knowledgeable Good Novice  

7. Which statement most accurately describes your overall view on investing money?

  I'm prepared to sacrifice potentially higher long term
       returns to avoid ups & downs in the growth of my portfolio.

  I can tolerate moderate ups and downs in the growth of my
       investments to achieve potentially higher long term returns.

  I'm interested in trying to achieve higher long term growth of
       my investments and short term ups & downs don't concern
       me.

8. What percentage of your current investments, both inside and outside of this plan, are held in stocks or in investment funds containing primarily stocks?

None that I am aware of 1% - 33% 34% - 67% 68%+  

9. If one of your investments fell below the value at which you purchased it, would you hold it until it retained its initial value?

Definitely Probably Probably not Definitely not  

10. How frequently do you check the value of your investments?

Every day Once a month When I receive a statement Rarely  

11. Do you typically choose investments that are highly rated based on recent past performance?

It is almost always the number one thing I look at It is one of the things I look at I try not to let recent past performance over-influence my choices  

12. What long term rate of return do you expect from your investments in this plan?

3% - 5% 6% - 8% 9% - 11% 12+%  

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