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QUESTIONNAIRE ABOUT POTENTIAL STOCKBROKER CASE
As a securities law firm dedicated to helping public investors obtain compensation from stockbrokers, financial advisers and insurance salesmen, we will gladly give you a free email consultation and opinion about the likelihood of success of your claim. Just fill out the questionnaire below and email us, and an experienced securities lawyer will respond to you.

Answer as many questions as you can. The more information we have, the better we can advise you.


First Name

Last Name

Address

 

City

State

Zip Code

E-Mail Address

Telephone

Age

Under 30

30-40

40-50

 

50-60

60-70

over 70

Name of Brokerage Firm In Question

Name of Broker

Location of Firm



What were your investment objectives?

Long term growth

Speculation

Income return

Conservative

 

 

What investments were purchased in your account?

IPO

Stocks  

Bonds 

Mutual Funds

Options

Whatever the broker suggested I Bought

 

 

How much did you lose?

Under $50,000

Between $50,000 to $150,000

Between $150,000 to $500,000

Between  $500,000 to $1,000,000 

Between  $1,000,000 to $5,000,000

Between  $5,000,000 to $10,000,000

Over $10,000,000

 

 

How many years ago did the loss occur?

Less than one year. 

Between one year and four years.

Between four and six years ago. 

More than six years ago.

 

 

What do you think the broker did wrong?

Bought stock without my permission. 

Bought stocks which were too risky. 

Churned my account with a lot of "in and out trades".

Failed to follow my instructions with regard to specific investments

 

 

If Debra Speyer feels I have a meritorious claim, I may be willing to file an action to recover my losses.

Yes    No




By submitting this form, I am stating that all information provided is honest and accurate to my best recollection. By no means does this form constitute a contract for action.