If you're interested in personal one on one coaching with a professional trader, please fill out the following application or call 1-866-561-8227 extension 7011 (International callers dial 561-200-3709):

1. What is your level of options experience?
   • Beginner
   • Intermediate
   • Advanced
   • Professional
2. How long have you been trading?
   • Stocks:  January February March April May June July August September October November December 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
   • Options: January February March April May June July August September October November December 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
3. If you trade options, what are the strategies you employ the most? (Check all that apply):
   • Covered calls
   • Vertical spreads
   • Calendar spreads
   • Straddles
   • Strangles
   • Butterflies
   • Condors
   • Diagonals
   • Selling cash secured puts
   • Selling naked puts
   • Buying calls
   • Selling naked calls
   • Other: please list
4. Do you have a well thought out and defined trading plan?
   • Yes
   • No
5. How often do you trade?
   • Hourly
   • Daily
   • Weekly
   • Monthly
6. How many trades do you place a month?
   • Stocks:  0 1 2 3 4 5 6 7 8 9 10 More Than 10
   • Options: 0 1 2 3 4 5 6 7 8 9 10 More Than 10
7. What concerns you the most about your options trading?
8. What would you like to achieve from personal one on one coaching?
9. What is your overall investment objective? (Check all that apply):
   • Project capital
   • Growth
   • Income
   • Speculation
   • Consistent returns
10. When is the best time for you to conduct your coaching?
    • Morning
    • Afternoon
    • Early evenings
    • Late evenings
11. What other OU products/services have you utilized?