CLIENTQUESTIONNAIRE
1404 Lake Pointe Parkway
Sugar Land, TX 77478
O 832.440.7293
M 502.727.5728
[email protected] www.MarshallYourMoney.com
MARSHALL
WEALTH
MANAGEMENT
-Financial Services
-Financial Planning
-Investment Management
-Life Planning
-Financial Education System
CLIENTQUESTIONNAIRE
Name:
Date:
This information is being requested to obtain a
We do not provide tax or legal advice. You are
encouraged to consult your tax advisor
or attorney.
Marshall Wealth Management, LLC
Marshall Wealth Management, LLC is
registered in Texas and Kentucky.
registered in Texas and Kentucky.
This information is being requested to obtain a more complete picture of you financial situation.
We do not provide tax or legal advice. You are encouraged to consult your tax advisor or attorney.
Marshall Wealth Management, LLC is a registered investment advisory firm registered in Texas and Kentucky.
02
TC18577(11/18)
BACKGROUND - FAMILY DATA
Name Date of Birth Place of Birth Social Security #
(First, Middle Initial, Last)
Your Name
Spouse
Child
Child
Child
Child
RESIDENCE
Street Address
Home Phone Mobile Phone
Other
Home Email
EMPLOYMENT
Your Occupation Employer How Long Address Phone
Spouse’s Occupation Employer How Long Address Phone
Your Work Email Spouse’s Work Email
INCOME
Your Primary Income Base Salary Est. Bonus Est. Commissions Est. Stock Options
Spouse’s Primary Income Base Salary Est. Bonus Est. Commissions Est. Stock Options
BUSINESS INCOME OTHER INCOME
1404 Lake Pointe Parkway
Sugar Land, TX 77478
O 832.440.7293
M 502.727.5728
[email protected]03 www.MarshallYourMoney.com
BUDGET SUMMARY - MONTHLY EXPENSE ITEMS
HOUSING ITEMS
Groceries/Dining Out
Mortgage/Rent
Real Estate Taxes
House/Renter’s Insurance
Utilities (Electric, Gas, Water)
Telephone/Cell/Internet
Housing Repair/Maint/Lawn
Other Housing
TRANSPORTATION
Vehicle Payment/Lease
Vehicle Insurance
Vehicle Gas/Fuel
Vehicle Repair (Oil, Tires, Brakes)
Other Transportation (Bus/Cab)
OTHER ITEMS
Clothing
Personal Care
Medical/Dental
Entertainment
Alimony/Child Support
Child Care
Gifts
Charity/Tithes
Debt Maintenance (credit cards)
Student Loans
Other Loan Payments
Other Items
MONTHLY SAVINGS
IRA Contributions (Traditional)
IRA Contributions (Roth)
Company Retirement Plan
(401ks, TSP, SEP, etc.)
Company Matching Contribution
(percentage)
Other savings
This information is being requested to obtain a more complete picture of you financial situation.
We do not provide tax or legal advice. You are encouraged to consult your tax advisor or attorney.
Marshall Wealth Management, LLC is a registered investment advisory firm registered in Texas and Kentucky.
04
TC18577(11/18)
SAVINGS/INVESTMENTS
Item Jointly Held Yourself Spouse Children
Savings Account $ $ $ $
Savings Account $ $ $ $
Checking Account $ $ $ $
$ $ $ $
Money Market Fund $ $ $ $
IRA $ $ $ $
Employer Sponsored
$ $ $ $
Retirement Account
529 Plan $ $ $ $
Pension $ $ $ $
Brokerage Accounts $ $ $ $
Savings Bonds $ $ $ $
Annuities $ $ $ $
Other $ $ $ $
Other $ $ $ $
Other $ $ $ $
1404 Lake Pointe Parkway
Sugar Land, TX 77478
O 832.440.7293
M 502.727.5728
[email protected]05 www.MarshallYourMoney.com
REAL ESTATE
Property Purchase Purchase Price Improvements or Capital Expenditures Current Estate
Year Market Value
Your Residence
Second Home
Rental Property
Land
MORTGAGE/EQUITY LINES OF CREDIT
Monthly Payment Principal
Property & Interest Only Interest Rate Unpaid Balance
Your Residence
Second Home
Rental Property
Land
LOANS, DEBT AND PERSONAL PROPERTY
Type of Loan Monthly Payment Monthls Remaining Unpaid Balance
NOTES
Your Driver’s License # Issue Date Expiration Date
Your Driver’s License # Issue Date Expiration Date
This information is being requested to obtain a more complete picture of you financial situation.
We do not provide tax or legal advice. You are encouraged to consult your tax advisor or attorney.
Marshall Wealth Management, LLC is a registered investment advisory firm registered in Texas and Kentucky.
06
TC18577(11/18)
INSURANCE
Property Company Name Amount of Coverage Annual Premium
Auto Policies
Home Insurance Policies
Umbrella Coverage
INSURANCE COVERAGE - LIFE INSURANCE
Family Member Amount of
Provider Company Policy Loan Insured Annual Premium Cash Value Coverage
INSURANCE COVERAGE - DISABILITY AND/OR LONG-TERM CARE
Provider Company Family Member Insured Annual Premium
NOTES
NOTES
1404 Lake Pointe Parkway
Sugar Land, TX 77478
O 832.440.7293
M 502.727.5728
[email protected]07 www.MarshallYourMoney.com
ADDITIONAL INFORMATION
Do you have a valid, executed will? (Yes or No)
Do you have a trust? (Yes or No)
Do you have an attorney? (Yes or No)
Do you have an accountant? (Yes or No)
Anticipated Social
Goals Retirement Date Additional information
NOTES
This information is being requested to obtain a more complete picture of you financial situation.
We do not provide tax or legal advice. You are encouraged to consult your tax advisor or attorney.
Marshall Wealth Management, LLC is a registered investment advisory firm registered in Texas and Kentucky.
08
TC18577(11/18)
MARSHALL
WEALTH
MANAGEMENT
-Financial Services
-Financial Planning
-Investment Management
-Life Planning
-Financial Education System
RISKTOLERANCEQUESTIONNAIRE
Name:
Circle the response that best describes you. Remember that risk tolerance is largely
subjective, so there is no right or wrong answer.
LIFE STAGE
1. What is your current age?
a) 65 or older
b) 60 to 64.
c) 55 to 59
d) 50 to 54
e) Under 50
2. When do you expect to need to withdraw cash
from your retirement portfolio?
a) In less than 1 year
b) Within 1 to 2 years
c) Within 2 to 5 years
d) Within 5 to 10 years
e) Not for at least 10 years
FINANCIAL RESOURCES
3. How many months of current living expenses could you cover with
your present savings and liquid, short-term investments, before you
would have to draw on your retirement portfolio?
a) Less than 3 months
b) 3 to 6 months
c) 6 to 12 months
d) More than 12 months
1404 Lake Pointe Parkway
Sugar Land, TX 77478
O 832.440.7293
M 502.727.5728
[email protected]09 www.MarshallYourMoney.com
FINANCIAL RESOURCES
4. Over the next few years, what do you expect will happen to your income?
a) It will probably decrease substantially.
b) It will probably decrease slightly.
c) It will probably stay the same.
d) It will probably increase slightly.
e) It will probably increase substantially.
5. What percentage of your gross annual income have you been able to save in recent years?
a) None
b) 1 to 5%
c) 5 to 10%
d) 10 to 15%
e) more than 15%
6. Over the next few years, what do you expect will happen to your rate of savings?
a) It will probably decrease substantially.
b) It will probably decrease slightly.
c) It will probably stay the same.
d) It will probably increase slightly.
e) It will probably increase substantially
EMOTIONAL RISK TOLERANCE
7. What are your growth expectations for your portfolio?
8. How would you characterize your personality?
a) I’m a pessimist. I always expect the worst.
b) I’m anxious. No matter what you say, I’ll worry.
c) I’m cautious but open to new ideas. Convince me.
d) I’m objective. Show me the pros and cons and I can make a decision and live with it.
e) I’m optimistic. Things always work out in the end.
9. When monitoring your investments and savings over time, what do you think you will tend to focus on?
a) Individual investments that are doing poorly.
b) Individual investments that are doing very well.
c) The recent results of my overall portfolio.
d) The long term performance of my overall portfolio.
This information is being requested to obtain a more complete picture of you financial situation.
We do not provide tax or legal advice. You are encouraged to consult your tax advisor or attorney.
Marshall Wealth Management, LLC is a registered investment advisory firm registered in Texas and Kentucky.
10
TC18577(11/18)
EMOTIONAL RISK TOLERANCE
10. Suppose you had $10,000 to place in savings or investments and the choice of 5 different portfolios with a range of
possible outcomes after a single year. Which of the following portfolios would you feel most comfortable investing in?
a) Portfolio A, which could have a balance ranging from $9,900 to $10,300 at the end of the year.
b) Portfolio B, which could have a balance ranging from $9,800 to $10,600 at the end of the year.
c) Portfolio C, which could have a balance ranging from $9,600 to $11,000 at the end of the year.
d) Portfolio D, which could have a balance ranging from $9,200 to $12,200 at the end of the year.
e) Portfolio E, which could have a balance ranging from $8,400 to $14,000 at the end of the year.
11. If the value of your investment portfolio dropped by 20% in one year, what would you do?
a) Fire my investment advisor.
c) Monitor the situation, and if it looks like things could continue to deteriorate, move some of my money to more
d) Consult with my investment advisor to ensure that my asset allocation is correct, and then ride it out.
e) Consider investing more because prices are so low.
12. Which of the following risks or events do you fear most?
a) A loss of principal over any period of 1 year or less.
of my money.
d) Portfolio performance that is consistently less than industry benchmarks.
e) A missed investment opportunity that could have yielded higher returns over the long term, even though it entailed
higher risk.
1404 Lake Pointe Parkway
Sugar Land, TX 77478
O 832.440.7293
M 502.727.5728
[email protected]11 www.MarshallYourMoney.com
SCORING
Give the following points for each answer: a = 1, b = 2, c = 3, d = 4, e = 5
Question My Answer Point Value
Number
Life Stage Questions
Life Stage Score (add results from 1 and 2)
Financial Resources and Emotional Risk Tolerance Questions
10
11
12
Resources and Tolerance Score (add results from 3 thru 12)
This information is being requested to obtain a more complete picture of you financial situation.
We do not provide tax or legal advice. You are encouraged to consult your tax advisor or attorney.
Marshall Wealth Management, LLC is a registered investment advisory firm registered in Texas and Kentucky.
12
TC18577(11/18)
INTERPRETATION OF RESULTS
If your Life Stage Score is: Then your Investment Time Horizon is:
1 to 3 Short-term (5 years or less)
4 to 6 Intermediate-term (5 to 10 years)
7 to 10 Long-term (over 10 years)
If your Investment Style Score is: Then Your Investment Style is:
5 to 10 Very Conservative
11 to 20 Moderately Conservative
21 to 30 Moderate
31 to 40 Moderately Aggressive
41 to 50 Very Aggressive
1404 Lake Pointe Parkway
Sugar Land, TX 77478
O 832.440.7293
M 502.727.5728
[email protected]13 www.MarshallYourMoney.com
MARSHALL
WEALTH
MANAGEMENT
-Financial Services
-Financial Planning
-Investment Management
-Life Planning
-Financial Education System
At Marshall Wealth Management,
LLC, our mission is to be focused and
diligent in educating, supporting, and
advising diverse communities through
knowledgeable and experienced
services, life planning and
investment management.
Marshall Wealth Management, LLC is
registered in Texas and Kentucky.
1404 Lake Pointe Parkway
Sugar Land, TX 77478
O 832.440.7293
M 502.727.5728
[email protected] www.MarshallYourMoney.com
TC18577(11/18)
