Client Intake Form

General Information

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth*

Height*

Weight*

Shirt Size*

Pant Size*

Pant Length*

Bra Size

Shoe Size*

Shoe Width

I need the most help putting outfits together for:

I would like to learn more about the following:*

What is your shopping budget?*

Where do you currently shop?

What words describe the Personal Style you want to have?

How do you want to feel in your clothes?

I am going through the following life transition:

If other, can you please describe?

What important personal or professional events do you have coming up?

I would like my stylist to know the following details about my life:

I will know my stylist's services are a success for me and that she has met my expectations when…

Please provide a full body image of yourself. This image is for my personal file, so it’s completely private. A simple phone image will work!*

Accepted file types: jpg, gif, png, pdf, Max. file size: 4 MB.