FINANCIAL-PLANNERSURVEY

CLIENT NAME : ...........................................

Emplyment details: ...................................
Age Started Working : ...........
Earning left:
.........

Age You Want To Retire: ........... Years Of

No. Of Dependant : ...........

Smart Financial Goals:
About Goals

Time

CV of Goal

Inflation

1.
2.
3.
4.

Income Expense :
Self (monthly)
Income From
Salary
Any Other Income
Capital Gain
Total D

Expense Detail
Household
Children Education
Entertainment
Loan/EMI
Total E

Saving Potential
(D) - (E) = .......................
Asset Liability Details :
Asset
Self Occupied
House
Equity
LI+MF
Gold
Car

Liabilities
Housing Loan
Education Loan
Vehicle Loan
CC/PL
Any Other

Per Month
Investment

Total

Total

NETWOTH

Part 2 Customer Risk Profile

Please mark the most appropriate answer
a) What is your age?
a. Above 50 Years
b. Between 40 and 50 Years
c. Between 30 and 40 Years
d. Below 30 Years
b) How many years do you intend to work?
a. <5 years
b. 5 to 10 years
c. 11 to 15 years
d. 15 years and more
c) What is your annual income?
a. < Rs. 2,00,000
b. Rs. 2,00,000 to Rs. 5,00,000
c. Rs. 5,00,000 to Rs. 10,00,000
d. Rs. 10,00,000 and more
d) How long do you intend to remain invested?
a. Less than 5 years
b. Between 5-7 years
c. Between 7- 10 years
d. > 10 years
e) How good is your knowledge about finance and capital market?
a. No knowledge
b. Knowledge of bank fixed deposit/post office/ national saving certificate
c. Knowledge of post office/mutual fund/share market
d. Expert on finance and capital market
f) When you invest money, your primary goal is to:
a. Preserve the value of my investments and minimize the risk of my wealth losing value
b. Generate current income and also grow the value of investments somewhat over time
by taking a little risk
c. Grow the value of investments moderately over tine by taking a fair level of risk
d. Grow the value of investments substantially over time by taking considerable amount
of risk
g) You are financially responsible for
a. More than 3 persons besides myself
b. 2-3 persons besides myself
c. 1 more person besides myself
d. Only myself
h) I typically buy a financial product when
a. After the professional advice only

b. My friends or family advise me to buy it

c. As a pastime, at home or in office (especially shares)
d. Often impulsively or intuitively 'from the heart'
i) In financial decisions, I would rather
a. Cannot foresee any major decisions that need to be taken
b. Hand the activity over to someone I trust
c. Given tools, and be allowed to carry out my own analysis
d. Arrive at decisions myself, and be responsible for them
j) The subject of finance and investment is
a. Exciting and challenging
b. Good to read about occasionally
c. Enormously boring
d. Too complex, jargonized or mathematical
k) How much time do you spend with your finances? (include banking, stock trading,
investments, tax, etc)
a. 1 hr a week or more
b. About couple of hours a month
c. 1-2 days in a year
d. Almost none
1) Calculate the scores
The responses and options chosen are collated and scores are calculated
Options
chosen
1
1
2
2
3
3
4
4

Total Score 11-44