First Name: 

Last Name: 

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Please specify your profession:
Select Portfolio Manager Broker Investment Banker Investment Advisor Individual Investor Other

Are you an accredited investor, as defined by the Securities and Exchange Commission? (See SEC definition)
Yes     No

What is the size of your stock investment portfolio?
Select Less than $500 thousand From $500 thousand to $1 million From $1 million to $3 million From $3 million to $5 million More $5 million Will not disclose

How many stocks do you on average have in your portfolio?
Select Less than 5 From 6 to 15 From 16 to 40 From 40 to 100 More than 100

What is your average holding period of stocks?
Select Less than 1 month From 1 month to 1 year From 1 to 3 years More than 3 years Do not know

Do you buy over-the-counter stocks or low priced stocks under $2.00 for speculation?
Select Exclusively Regularly Sometimes Never Not allowed

What is the maximum investment you would risk on a single small cap or micro cap stock?
$