Mutual Fund Suitability Profile

  Name:         
  Address:    
  City:         State/Province: 
  Zip Code:   
  Email:      
  Home Phone:   
  Work Phone: 
  Your Age:     Spouse's Age: 
  

  Which best describes your overall attitude towards investing and risk?  
  I am generally willing to accept:

     Wide price fluctuations in return for maximum long-term gains
     Moderate price fluctuations for conservative gains
     Virtually no price fluctuations for a guarantee of principal and income

  What is your employment status? 

  Your Occupation: 
  Your Spouse:     
  Desired Age of Retirement: 
  Your Spouse:               

  Gross household income last year? 

  My Federal Tax Bracket is: 
			     
  My State Tax Bracket is:   

  General awareness level of stock/bond market activites: 

  Of the mutual funds you own, do you spend or reinvest the earnings?
     Spend    Reinvest

  I actively switch or reallocate among my portfolio...
  at least  times per year.

  Your favorite money managers are:   

  Which investment newsletters/periodicals do you subscribe to: 
    

  What type of mutual funds do you generally prefer?            
    

  Are you contributing to Qualified Retirement Plan?            
     Yes    No 
  
    If so, what type: 
    
 
  What best describes your current level of satisfaction with your mutual fund 
  holdings:
      

  How do you select your mutual funds?
    
						      
  Who do you rely upon for financial input or advice? 
						      
  Your primary concers are:                           

  Approximate value of current mutual fund holdings:
     5-10K    10-25K    25-50K    50-100K    100-250K    Over


  Additional Comments/Questions:
  

   

Copyright 1998 Fielder Financial Management, Ltd.
All Rights Reserved.

Securities offered through Fortune Financial Services, Inc. member FINRA, SIPC.  Fielder Financial Management, Ltd. not affiliated with Fortune Financial Services, Inc.  Mark Fielder, Financial Professional, CA. Insurance Lic. # 0690576.

For more complete information about mutual funds, including charges and expenses, obtain a prospectus by calling 1-800-480-7526. Read it carefully before you invest or send money. Mutual funds are subject to market fluctuations, investment risks and possible loss of principal. Consult your tax advisor.