Form: Potential Client Survey
Your Name: *
Your answer
Title: *
Your answer
ETA to "Go-Live" :
Email Address : *
Your answer
Phone: *
Your answer
Your Company Name: *
Your answer
Website URL:
Your answer
Company Address:
Your answer
Type of your Firm: *
Required
MPID/Exchange ID:
Your answer
Requirements:
Asset Class Support Required:
System Required:
Hosting type Required
Market Coverage:
OMS Functionality:
Number of Outbound FIX Connections Required:
ARCA,INET,UBSS, BATS, AMEX , SUSQ, ISE, NITE, Fidelity, TD Ameritrade, ThinkPipes, etc
Your answer
Number of Inbound FIX connections Required:
Your Buy side Clients, Firms sending orders to you
Your answer
BackOffice Functionality:
Clearing and Reporting:
Clearing Firm Name/DTC Code/Number:
Example: JP Morgan Clearing Corporation / JPMC/ 0352
Your answer
Clearing Firm Rep Name for your firm/Email/Phone:
Your answer
Clearing Firm Rollout Schedule:
EOD trade upload Required to any other firm (Name):
Your answer
OATS Reporting Required?
NYSE MRO Files Processing Required?
Reports Required (Monthly client invoices, daily recaps emails, Reg rep comm, co comm, exec fee)
Your answer
Reports Required
Pre-Post Trade Vendors:
Market Data Vendors:
Estimated Load:
Number of Accounts:
Your answer
Number of OMS Terminals Required:
Your answer
Number of Backoffice & Compliance users required:
Your answer
Average Daily Stock Orders Count:
For example 2,000 orders a day
Your answer
Average Daily Stock Fills Count:
Your answer
Average Daily Option Orders Count:
Your answer
Average Daily Option Fills Count:
Your answer
Average Daily Vol. Stock:
For example 2 mln shares
Your answer
Average Daily Vol. Options:
Your answer
Current OMS in use:
Example: Fidessa/SS&C/Flex/EZE
Your answer
Reason to switch OMS/Backoffice System:
Your answer
Would you like to see any other custom functionality?
Your answer
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