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Discovery Workbook
Prepared For:____________________________
Introduction
At Private Client Group we help our clients grow
their wealth, preserve their wealth, and pass it
onto their heirs. We do this with a team
approach utilizing the many experts we are
partnered with.
Through our passionate
commitment to our clients, whatever their goals,
our team builds plans around clients, not just
around their account balances. This leaves our
clients feeling confident and at ease with their
financial future. We make a difference in
people’s lives.
your investment program. A set of clearly
defined guidelines and investment objectives will
be outlined in an Investment Strategy Profile
which includes a detailed Investment Policy
Statement tailored specifically to you.
We ask that you complete the Client and
Account Information sections as well as telling
us a little bit about yourself. Please also give
careful consideration to each of your responses
to the ten questions in the Investment Objectives
and Risk Tolerance section. Your answers to
these questions will provide us with the insight
that will enable us to more closely align our
recommendations with your goals and
preferences.
This Discovery Workbook is designed to help us
define and prioritize your goals, establish your
time horizon, and to understand your ability to
accept risk. With the information you provide to
us, we will be able to establish the foundation for
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Client Information
CONFIDENTIAL CLIENT SUMMARY
Full Legal Account Title:
.
Client / Plan / Trust Name
First Name / Plan or Trust Name:
___________
Last Name / Plan or Trust Type:
.
Contact (Plan):
.
Address:
.
City:
.
State:
Tax ID / Social Security #:
Telephone #:(
)
Zip Code:
-
-
.
.
.
Employer Name:
Employer State:
Occupation:
.
.
ACCOUNT INFORMATION
Please complete the section below as it corresponds to the proposed account.
Date of Birth/Date of Trust (mm/dd/yyyy):
US Citizen:  Yes
. Age Plan to Retire:
.
 No
Co-Applicant First Name:
.
Co-Applicant Last Name:
.
Co-Applicant DOB (mm/dd/yyyy):
.
Approx. Net Worth: $
.
Approx. Annual Income: $
Current Tax Bracket:  0-15%
.
 16-28%
 29% and Up
What changes do you expect in your employment status and/or income from
employment in the next few years:
 I may be laid off or plan to retire
 My annual income will likely be reduced
 My income tends to greatly fluctuate
 My income will not likely change
 My income will most likely increase at a steady rate
How many dependents do you have:  5+  3-4  2
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1
 None
Account Information
TOTAL INVESTABLE ASSETS
Please complete the following questions as they apply to your total investable assets.
1.
What is the value of your total investable assets: $
.
2.
Which best describes the current asset allocation of your total assets:
 100% Equities/0% Fixed Income  80% Equities/20% Fixed Income

60% Equities/40% Fixed Income  40% Equities/60% Fixed Income

20% Equities/80% Fixed Income 

0% Equities/100% Fixed Income
0% Equities/100% Cash
3.
Please indicate the approximate value of your current assets below or provide us with a
copy of your most recent statements:
Personal
Savings
Asset Class
IRA
Pension
Plan(s)
Cash Equiv/Money Market Fund
Domestic Bonds/Bond Funds
Municipal Bonds/Bond Funds
International Bonds/Bond Funds
Stocks/Stock Funds
Other
Total
4.
Distribution/Withdrawal Information:
 Do you request distributions or withdrawals from these assets?
If yes, please indicate the expected amount as either:
Percent per year or
Dollars per year
Please indicate how you would like the distribution to be made:
 Monthly
 Quarterly  Semi-Annually
 Annually
When do you anticipate these withdrawals to begin:
.
 Will you make additional contributions/deposits to these assets?
If yes, please indicate the expected amount as either:
Percent per year or
Dollars per year
When do you anticipate these deposits to occur:
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.
Tell Us About Yourself
1. What about your current circumstance is motivating you to seek advice and counsel?
________________________________________________________________________________
_______________________________________________________________
2. What are your primary financial goals and objectives?
________________________________________________________________________________
____________________________________________________________
3. What are your personal/professional goals?
________________________________________________________________________________
______________________________________________________________________
4. Where would you like to be five years from now?
________________________________________________________________________________
______________________________________________________________________
5. Tell us about your family.
________________________________________________________________________________
________________________________________________________________
6. What other assets do you have? i.e. properties What liabilities? i.e. mortgages
________________________________________________________________________________
______________________________________________________________________
7. What type of insurance do you have in place?
________________________________________________________________________________
______________________________________________________________________
8. It is very important for us to be able to work alongside some of your other trusted advisors. Please
provide us with the following people.
Estate/Tax Attorney__________________________________________________________
Life Insurance Agent__________________________________________________________
Accountant _________________________________________________________________
Financial Planner/Investment Advisor ____________________________________________
9. How involved do you like to be in managing your finances?
________________________________________________________________________________
______________________________________________________________________
10. How often would you like to be contacted regarding your investment portfolio? Face to face/phone
calls/e-mail.
__________________________________________________________________________________________
________________________________________________________________________________________
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INVESTMENT OBJECTIVES AND RISK TOLERANCE
Please complete the following questions as they apply specifically to the assets being considered
for this investment strategy proposal.
1.
Which of the following best describes your primary financial goal for this investment?
a.
My goal is preserving the value of my investment. I am not concerned with out-performing the
market.
b.
My goal is generating current income. Growing my investment is not that important.
c.
My goal is a combination of generating current income and growing the value of my investment.
d.
My goal is growing the value of my investment, and I am willing to tolerate some losses in some
years.
e.
My goal is growing the value of my investment, and I am comfortable with potential losses in order
to reach this goal.
2.
What is the time horizon for your investment?
a.
1-3 years: these investments need to remain very liquid.
b.
3-5 years: I can only tolerate a small amount of volatility.
c.
5-10 years: I can tolerate a moderate amount of volatility.
d.
Over 10 years: these assets are invested for the long-term and I can tolerate short-term fluctuations
in value.
3.
Your requirement for investment income is:
a.
Extremely Important: I need income to meet my daily living expenses.
b.
Important: I require my investment income to maintain my lifestyle.
c.
Somewhat Important: Investment income allows me to afford additional discretionary items.
d.
Somewhat Unimportant: Investment income offers me additional liquidity, though I don’t require the
funds.
e.
Unimportant: My investment strategy is for long-term growth and I have no need for additional
income at this time.
4.
How likely is it that you will need to withdraw a significant portion of these assets prior to your planned time
horizon to pay for a home, education, or some other purpose?
5.
a.
I will definitely be withdrawing some assets.
b.
There is a strong possibility.
c.
It’s a possibility, but not very likely.
d.
There is little to no chance.
Please rate your tolerance for investment risk on a scale from 1-10: _______with 1being the most
conservative and 10 being the most aggressive.
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6.
7.
8.
What is your expected annual return from this portfolio?
a.
Less than 5%
b.
5% - 7%
c.
7% - 10%
d.
More than 10%
While every attempt will be made to achieve that target, there are no guarantees that the target will
be achieved. Investments utilized are subject to fluctuation and are not guaranteed as to principal
value.
How often could you tolerate an annual loss in your portfolio?
a.
Once every 10 years
b.
Once every 5-7 years
c.
Once every 3-5 years
d.
Once every 2-3 years
The chart below represents the potential annual performance of a $100,000 investment in five different
portfolios. Based on the range of ending values of each portfolio, which one would you choose?
A
9.
B
C
D
E
If you made a long-term investment of $100,000, how much of a loss in a single year would you withstand
before selling?
a.
5% or $5,000.
b.
10% or $10,000.
c.
20% or $20,000.
d.
I would not sell my investments based on a single year loss.
10. Suppose that over a three year period, your portfolio has lost value. What action would you take?
a.
I would transfer my investments to another investment manager of similar strategy.
b.
I would move my investments to a more conservative portfolio to avoid losing money.
c.
I would maintain my present disciplined long-term strategy.
d.
I would develop a more aggressive strategy to recover my losses.
.
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Do you know of anyone who would also benefit from our services?
Name___________________________ Name____________________________
Name ___________________________ Name ____________________________
CLIENT ACKNOWLEDGEMENT
The client acknowledges that the information provided in the client summary is accurate to the
best of his/her knowledge. The client agrees that the information accurately represents his/her
investment goals and objectives, and attitude towards the investment risk. The information given
by the client does not constitute a guarantee with respect to realizing the client's goals and
objectives, but will be used by the Advisor in the creation of a general investment strategy.
Date (mm/dd/yyyy):
.
Client or Plan Name:
.
Client(s) Signature:
.
.
Securities offered through First Allied Securities, Inc.
A Registered Broker/Dealer, Member FINRA/SIPC
Advisory Services through Private Client Group AM
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