Gender: Male Female
Please tick in front of appropriate Choices
What is your Qualification? Below Higher Secondar Higher Secondary Graduate Post Graduate or above
Your Marital Status Single Married Other
Please specify your post tax income (per annum) Less than Rs. 3 Lakhs Between Rs. 3-7 Lakhs Between Rs. 7-10 Lakhs Between Rs. 10-20 Lakhs Above Rs. 20 Lakhs
Number of dependants you support financially (other than yourself) None 1-2 3-4 More than 4
What percentage of your income do you manage to save? Less than 10% Between 10% to 25% Between 26% and 50% Over 50%
Do you own a house property? Yes No
What is the size of your emergency fund? I have not created an emergency fund Between 1 to 3 months of average monthly expense Between 4 to 6 months of average monthly expense More than 6 months of average monthly expense
Expected expenditure on your life goals (Like daughter’s marriage, house property etc) in next 5 Years is Less than 3 times your annual post tax income Less than 5 times your annual post tax income Less than 7 times your annual post tax income More than 7 times your annual post tax income
Number of Years left to retirement Less than 5 Years Between 5 to 10 years Between 10 to 20 years More than 20 Years
Do you expect to maintain your current living standard after retirement? Strongly agree Agree No opinion Disagree Strongly disagree
Do you expect your income to Increase substantially Stay ahead of inflation Drop due to inflation or other factors
If you win Rs. 50,00,000 in a Raffle/contest, would you Spend the entire amount Invest in FDs Invest in stocks for a long term Indulge in short term speculation
You have saved a long while to buy an expensive car. A week before you buy the car, you lose your job. Would you: Postpone your purchase Buy a new but not the expensive one you saved for Go ahead with your purchase plan and buy the same car Buy the same car and go on a one week vacation to celebrate the new purchase
If the value of your investments drop by 10% in a year would you immediately switch to all cash Strongly agree Agree No opinion Disagree Strongly disagree
You prefer having your savings in the bank and do not mind a return of 4.5% Strongly agree Agree No opinion Disagree Strongly disagree
While making an investment, I plan to hold the investment for < 1 year 1-3 years 3-5 years > 5 years
I would invest in a mutual fund based on Random decision Conversation with friends, co worker or a relative Self research Research by professionals
When it comes to investing, how do you rate your financial quotient on a scale of 1-10 1-2 3-4 5-6 > 7-8 > 9-10
Which of the following portfolios would you like to invest in Low risk / low return portfolio Low to mod risk / low to mod return portfolio Moderate risk / moderate return portfolio Mod to high risk / mod to high return portfolio High risk / high return portfolio
What would you prefer? Aggressive capital appreciation Invest more for capital appreciation than current income Invest in a balance manner (Capital appreciation & current income) Invest for generating current income I would not invest, rather redeem my investments to meet short term goals
Retirement and Financial Independence Planning Concepts (if applicable)
Liabilities (Debts) Mortgage or loan Interest rate % Payment/month Balance Due
Life and Health Insurance Name Type Benefits Amounts & Limits Annual Premium