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.
