Personal Information
Name (required)			E-mail (required)
Cell Phone			Home Phone
Street Address			City	State CA	Postal Code
Age	Date of birth		Height	Gender Please select Female Male
What is the best way to contact you: Please select Home phone Cell phone E-mail			What is the best time to contact you: Please select Weekday/Daytime Weekday/Evening Weekend/Daytime Weekend/Evening
Describe your occupation: (title, role, work environment, etc...)
Upload a recent photo of yourself (Full-body shot preferred).

Services & Goals
Which service(s) interest you? (Check all that apply)
Wardrobe Consultation	Personal Shopping	Wardrobe Mapping	Event Shopping
The Gift of Giving	Accessorize Me	Travel in Style	I am not sure yet
What would you like to accomplish together?
When are the best times in your schedule to meet? (Check all that apply)
Weekdays         Weekends        Mornings        Afternoons         Evenings
What is your shopping budget? Please select Under $500 $500 - $1000 $1000 - $2000 $2000 - $5000 $5000 plus

Personal Style
Which words describe your current personal style. (Check all that apply)
Bohemian	Bold	Boring	Contemporary
Chic	Classic	Conservative	Sexy
Formal	Relaxed	Retro
Sophisticated	Vintage	Casual
Other, please specify:
Typically, my work attire consists of: (Check all that apply)
Blazers/Jackets	Blouses	Boots	Dresses
Flats	Gym Clothes	Heels	Jeans
Khaki Pants	Pant Suits	Polo Shirts	Sandals/Flip Flops
Shorts	Skirt Suits	Slacks (dress)	Sneakers
Sweaters	Tailored Shirts	T-Shirts	Uniform
Other, please specify:
Typically, my social attire consists of : (Check all that apply)
Blazers/Jackets	Blouses	Boots	Dresses
Flats	Gym Clothes	Heels	Jeans
Khaki Pants	Pant Suits	Polo Shirts	Sandals/Flip Flops
Shorts	Skirt Suits	Slacks (dress)	Sneakers
Sweaters	Tailored Shirts	T-Shirts
Other, please specify:
What colors do you gravitate towards when you shop? (Check all that apply)
Black	Blue	Brown	Gray
Green	Khaki	Orange/Coral	Purple
Red	White/Cream	Yellow	Brights
Metallics	Pastels	Neutrals
Other, please specify:
What patterns/prints do you gravitate towards when you shop? (Check all that apply)
Abstract	Florals	Graphic	Plaids
Polkadots	Stripes
Other, please specify:

Sizing & Fit
WOMEN (Check all that apply)	MEN (Check all that apply)
Select Size Small Medium Large Belts	Select Size 30 32 34 36 38 40 42 44 46 48 Belts
Select Size 0 2 4 6 8 10 12 14 16 18 1x 2x 3x XS S M L XL Dresses	Select Size 14.5 32/33 15 32/33 15 34/35 15.5 32/33 15.5 34/35 16 32/33 16 34/35 16.5 32/33 16.5 34/35 16.5 36/37 17 32/33 17 34/35 17 36/37 17.5 32/33 17.5 34/35 17.5 36/37 18 34/35 18 36/37 18.5 34/35 18.5 36/37 Dress shirts
Select Size 0 2 4 6 8 10 12 14 16 18 1x 2x 3x XS S M L XL Jackets/Outerwear	Select Size XS S M L XL XXL Jackets
Select Size 24 25 26 27 28 29 30 31 32 33 34 Jeans	Select Size 28x30 28x32 28x34 30x30 30x32 30x34 31x30 31x32 31x34 32x30 32x32 32x34 33x30 33x32 33x34 34x30 34x32 34x34 36x30 36x32 36x34 38x30 38x32 38x34 40x30 40x32 40x34 42x30 42x32 42x34 44x30 44x32 44x34 46x30 46x32 46x34 48x30 48x32 48x34 Jeans/Slacks/Pants
Select Size 0 2 4 6 8 10 12 14 16 18 1x 2x 3x XS S M L XL Slacks/Pants	Select Size 32 S 32 M 32 L 34 S 34 M 34 L 36 S 36 M 36 L 38 S 38 M 38 L 40 S 40 M 40 L 42 S 42 M 42 L 44 S 44 M 44 L 46 S 46 M 46 L 48 S 48 M 48 L Suits/Sportcoats
Select Size 4 N 4 R 4 W 4.5 N 4.5 R 4.5 W 5 N 5 R 5 W 5.5 N 5.5 R 5.5 W 6 N 6 R 6 W 6.5 N 6.5 R 6.5 W 7 N 7 R 7 W 7.5 N 7.5 R 7.5 W 8 N 8 R 8 W 8.5 N 8.5 R 8.5 W 9 N 9 R 9 W 9.5 N 9.5 R 9.5 W 10 N 10 R 10 W 10.5 N 10.5 R 10.5 W 11 N 11 R 11 W 11.5 N 11.5 R 11.5 W Shoes	Select Size 6 N 6 R 6 W 6.5 N 6.5 R 6.5 W 7 N 7 R 7 W 7.5 N 7.5 R 7.5 W 8 N 8 R 8 W 8.5 N 8.5 R 8.5 W 9 N 9 R 9 W 9.5 N 9.5 R 9.5 W 10 N 10 R 10 W 10.5 N 10.5 R 10.5 W 11 N 11 R 11 W 11.5 N 11.5 R 11.5 W 12 N 12 R 12 W 12.5 N 12.5 R 12.5 W 13 N 13 R 13 W 13.5 N 13.5 R 13.5 W 14 N 14 R 14 W 14.5 N 14.5 R 14.5 W Shoes
Select Size 0 2 4 6 8 10 12 14 16 18 1x 2x 3x XS S M L XL Tops	Select Size XS S M L XL XXL XXXL T-Shirts/Shirts

Shopping History
What brands do you gravitate towards when you shop?
What accessories are you comfortable wearing? (Check all that apply)
Belts	Bracelets	Earrings	Necklaces
Purses/Clutches	I do not wear accessories
Other, please specify:
What articles of clothing do you feel uncomfortable wearing (fabrics, colors, styles)?
Where do you typically shop for your clothing? (Check all that apply)
Ann Taylor	Banana Republic	Barney's	Bloomingdales
H & M	Macy's	Neiman Marcus	Nordstrom
Saks Fifth Avenue	Talbots	The Gap	Zara
Discount Stores (Marshalls, Loehmans, Ross, etc.)
Other, please specify:
Is there anything else you would like me to know in order to best serve your style needs?