Questionnaire for Free Assessment

*denotes a required field
Contact Information
*Name:
*Telephone:
*Email:
About You
Age Bracket:







Occupation:
If working:
if other:
How did you find out about our services?
If Referral:
If Website:
If Event:
   
Physical Attributes
Natural Hair Colour:
Eye Colour:
Skintone Colour:
Height
Weight:
Current Clothing Size:
What is your favourite colour to wear?
What is your least favourite colour to wear?
What motivates you to engage an image consultant?
if other:
What is your biggest challenge when buying clothes?
if other:
What topics are most relevant to you?
if other:
 
*What would make this free one-hour consultation a success?