New Client Questionnaire

Contact Information

First Name*

Last Name*

E-Mail Address*

Telephone Number

Street Address

City*

State*

Zip Code

Country*

Profile Information

Gender
—Please choose an option—FemaleMale

Birthday

Are Your Ears Pierced?
—Please choose an option—YesNo

Height* (Feet & Inches)

Weight (Pounds)

Waist (Inches)

Bra Size*

Dress Size* (choose all applicable sizes)
SMLXL2XL3XL4XL024681012141618202224

Top Size* (choose all applicable sizes)
SMLXL2XL3XL4XL024681012141618202224

Pant Size* (choose all applicable sizes)
SMLXL2XL3XL4XL024681012141618202224

Pant Inseam Length*
—Please choose an option—Short/PetiteRegular/AverageLong/Tall

Shoe Size*
—Please choose an option—455.566.577.588.599.51010.51112

Shoe Width
—Please choose an option—NarrowMediumWide

Additional Information

What is your budget per outfit?*

What is your favorite way to shop?
In-StoreOnlineBoth In-Store and Online

How did you find me?

What's your life like?

Describe your personality.

I am experiencing the following transitions:*
Promotion at WorkWeight LossWeight GainNew CareerInterviewingDivorceEngagedOther

If you selected 'Other' please explain below:

What would you like the most assistance with? Check as many as needed.
Learning how to shop for my body typeHow to shop efficientlyHow to accessorizeFinding the best dealsHow to go from day to nightMixing and matchingDressing for my age/lifestyleOther

If you selected 'Other' please explain below:

List some of your favorite brands and/or places to shop.

What are your favorite colors? Are there any you will absolutely not wear? How do you feel about prints? Tell all!

Please upload a picture of your gorgeous face:*

Please upload a full body photo (front):*

Please upload a full body photo (side):*

Note: These photos are for my reference and will NEVER be shared!

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