Image By Alex - Questionnaire

Please answer some questions so we can best help you...

Basic Information
Name:
Address:

Phone:        Fax:
Email:
Employer:
Job Title:
Length of Employment:
Age:       Birthday Month/Day: /
How old do you FEEL:
Marital Status: Single Married Divorced
Children: Yes No       Ages of Children (if applicable):

Measurements
Height:       Weight:       Dress Size:
Pant Size:       Jacket Size:       Shoe Size:

Other Questions
1. How did you hear about this company?
2. Why do you feel the need to employ an image consultant?
    Please include information on life changes, such as re-entering the job market, divorce, etc.

    (All information is kept absolutely confidential and is used solely to provide you with better service.)
3. What do you want to achieve from an image update? (Check all that apply)
    A more professional image
    Greater confidence for personal satisfaction
    Want to look younger/slimmer
    How to put together wardrobe to save time
    Other (please specify):
4. In which areas do you feel you need advice? (Check all that apply)
    Hair
    Makeup
    Clothing selection
    Putting together a whole wardrobe
    Accessorizing
    Other (please specify):
5. Do you have a particular brand (or brands) you prefer to wear all of the time?
    (Please specify):
6. How would you describe your current style (fashion style)?
7. Who is your style icon?
8. What is your biggest fashion mistake you have ever made?
9. What was your best fashion moment?
10. If you could have only two things in fashion what would they be?
11. How would someone describe you in terms of your clothes?
12. What is the best fashion advice (style advice) you have ever received?
13. Do you have a signature piece you wear all of the time? What is it?
14. What would you never be caught wearing?
15. If you had unlimited store credit, where would you shop?
16. What do you wish to wear but can't?
17. What is your most extravagant fashion purchase?
18. What fashion magazine(s) do you read?
19. What would you change about your current style?
20. What is the one thing about yourself you'd like to change?
21. What words would you use to describe your personality?
22. Which of the following terms best describes your personal (fashion) style:
    Classic - Tailored, Understated
    Natural - Easy, Casual, Comfortable
    Dramatic - Bold, Creative, Colorful
    Romantic - Feminine, Soft, Flowing
    Alluring - Chic, Sexy, Edgy
    Elegant
    Sporty
    Others:
23. What are the results you expect from our work together?
24. What do you need to be satisfied with our work together?
25. When you achieve your goal, what will it look like for you?

 
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