Integrated Financial Services - Investments Questionnaire

REPUBLIC OF IRELAND RESIDENTS ONLY

If you need more information please complete the Investment Questionnaire, to help us understand your investment parameters and your attitude to investing.

(Fields denoted with * are required)

Outline your experience of investment products on a scale of 1 to 10:
Your Investment Experience:

1	2	3	4	5	6	7	8	9	10
No Experience			Moderate			Highly Experienced
* Please select your Level of Experience:

Outline your attitude to potential risk of loss of investment on a scale of 1 to 10:
Your Attitude to Risk / Reward:

No Risk

Low Risk

Medium Risk

High Risk

* Please select your Level of Risk:

Important Notes: No Risk indicates a guarantee of capital with the likelihood of a small gain. Low Risk indicates a guarantee of capital with potential for modest growth. Medium Risk indicates a possible loss of some capital in return for good potential growth in medium term. High Risk indicates potential significant loss of capital in return for potential high growth.
* What is your anticipated Term of Investment:	Years

Personal Details:

* Title:

* First Name:

* Surname:

* Address:

Telephone:

*Home:
Mobile:

* E-mail:

Additional Information:

* I confirm that I have read, understand and accept the Terms of Business of Integrated Financial Services.