Investor Questionnaire

Thank you for considering Fisher Investments. Completing this brief questionnaire will enable us to have a more educated conversation with you about how our services may be able to help meet your financial goals and objectives. Should we provide you with a portfolio recommendation, we will first obtain additional information from you about your finances, investment objectives, and investment time horizon. We respect the sensitive nature of this information. Under no circumstances will your financial information be sold or marketed to unaffiliated organizations.

*Required fields.

Primary Contact Information
Salutation:*Full Name:
Preferred Name (if applicable):*Age:
Marital Status (Check one):

*Working Status (Check one):

*Employer (former if retired):
*Position / Title (former if retired):
If working, planned retirement year:
*Country of Citizenship:
*Country of Legal Residence:
Mailing and Phone Information
Street Address:
City, State, Zip:
Phone (Primary):
Phone (Cell):
Spouse or Secondary Contact Information (if applicable)
Salutation:Full Name:
Preferred Name (if applicable):Age:
Working Status (Check one):

Employer (former if retired):
Position / Title (former if retired):If working, planned retirement year:
Country of Citizenship:Country of Legal Residence:
Accounts to be Reviewed
*Account Type (Individual, Joint, IRA, etc):
*Recent Value:
*Account Holders:
Account Type (Individual, Joint, IRA, etc):Recent Value:
Account Holders:
Account Type (Individual, Joint, IRA, etc.):Recent Value:
Account Holders:
Personal Financial Information
Non-Investment Accounts (checking, savings, etc):$
Investment Accounts: 
Taxable accounts (individual, joint, trusts, etc):$
IRA accounts (traditional, rollover, Roth, etc):$
Retirement Plan Assets (401k, 403b, 457, etc.):$
Real Estate: 
Primary residence:$
Other real estate (please specify):$
Other Assets (please specify):$
*Total Assets$
Real Estate Mortgages:$
Other Liabilities (please specify):$
*Total Liabilities$
*Net Worth (Total Assets less Total Liabilities)$
*Annual Household Income:$
*Do you anticipate any cash flow requirements from the accounts we might manage for you?

If Yes, Amount:$Frequency:
Do you have any tax related issues to be taken into consideration when managing your portfolio? If so, please explain:
Restrictions and Additional Information
*Are you considering any mandates to limit investing in specific asset classes, countries, sectors, or securities?

*Have you or your spouse ever been involved in any litigation or arbitration?

If yes, please explain:
*Are you or any account holders, a director, officer, or 10% or greater shareholder in a publicly traded company?

If yes, please list the company or companies:
*Completed By:
*Date Completed:

Your information will be transmitted securely and held confidentially.