Risk Assessment Do you need Embezzlement Insurance for Your Investments? Take the Capital Shield Risk Assessment. What is your age? Under 40 40-55 55-65 Over 65 What is the value of your investible assets? <$1M $1M-$5M $5M-$15M >$15M Are your assets in individual name or held in a trust? Individual Trust Are you currently employed? Retired? Recently sold a business? Employed Retired Recently sold a business Have you recently inherited a large sum of money? Yes No Have you or someone you know been victimized by embezzlement? Yes No What are your current Umbrella Liability Limits? $1M-$5M $5M-$10M Over $10M In addition to mutual funds, stocks and bonds, are you invested in Hedge Funds or other alternative investments? Yes No Are your investment advisors registered with the SEC? Yes No Unsure