Client & household information
The basics we keep on file for your account.
Marital status
Select one
Single
Married
Domestic partnership
Divorced
Widowed
Please select a marital status.
Number of dependents optional
Employment & income
Helps us understand the source and stability of your income.
Employment status
Please select your employment status.
Annual household income
Please select an income range.
Primary source of income
Please select an income source.
Net worth & liquidity
Broad ranges are fine — we're gauging your overall financial cushion.
Total net worth Including home equity, retirement accounts, and other assets, minus liabilities.
Please select a net worth range.
Liquid net worth Cash, brokerage accounts, and anything convertible to cash within a few days.
Please select a liquid net worth range.
Do you have adequate cash reserves for an emergency?
Please select an option.
Any large cash needs in the next 12 months? optional e.g. home purchase, tuition, a major purchase
Investment objectives & time horizon
What you're investing toward, and when you expect to need the money.
Primary investment objective
Please select a primary objective.
Secondary objective optional
Primary time horizon When do you expect to begin drawing on these funds?
Please select a time horizon.
Do you have separate goals with different timelines? optional
Special circumstances
Anything else worth knowing that could affect what's suitable for you. All optional.
Health, upcoming life events, estate or legal matters, other advisors you work with, or anything else you'd like us to keep in mind optional
Risk tolerance on file
We track your risk tolerance separately from this form.
Has your risk tolerance changed?
If your comfort with investment risk, or your ability to take on risk, has shifted since your last assessment, retake the questionnaire so your file stays accurate.
Retake the risk assessment
Has anything changed in your life or finances that might affect your risk tolerance since your last assessment?
Please select an option.
Certify & submit
This record serves as your periodic recertification with Ascent Advisors.
Submit & certify