Name
*
City
*
Bangalore
Chandigarh
Delhi
Jaipur
Kolkata
Mumbai
Pune
Other
Email
*
Mobile
*
Occupation
*
Date of birth
-
Month
-
Day
Year
Date
Maintaining a strong Image everywhere
*
No Problem
Occasional Problem
Often a Problem
Serious Problem
N.A.
Inter-Office Communication
*
No Problem
Occasional Problem
Often a Problem
Serious Problem
N.A.
Maintaining customer rapport
*
No Problem
Occasional Problem
Often a Problem
Serious Problem
N.A.
People don't listen to me
*
No Problem
Occasional Problem
Often a Problem
Serious Problem
N.A.
Maintaining family relations
*
No Problem
Occasional Problem
Often a Problem
Serious Problem
N.A.
Inner Peace and Happiness
*
No Problem
Occasional Problem
Often a Problem
Serious Problem
N.A.
Unclear about appropriate clothing
*
No Problem
Occasional Problem
Often a Problem
Serious Problem
N.A.
Dressing Professionally for less money
*
No Problem
Occasional Problem
Often a Problem
Serious Problem
N.A.
My clothes don't reflect my image
*
No Problem
Occasional Problem
Often a Problem
Serious Problem
N.A.
My wardrobe is plain, ordinary and outdated
*
No Problem
Occasional Problem
Often a Problem
Serious Problem
N.A.
My Clothes don't fit my body type
*
No Problem
Occasional Problem
Often a Problem
Serious Problem
N.A.
My Clothes don't mix and match
*
No Problem
Occasional Problem
Often a Problem
Serious Problem
N.A.
Appropriate Business Clothes for Work
*
No Problem
Occasional Problem
Often a Problem
Serious Problem
N.A.
Appropriate Dressy Clothes
*
No Problem
Occasional Problem
Often a Problem
Serious Problem
Pressure to improve or change your Image is coming from
*
Spouse
Children
Parents
Employer
Self
Preferred day to call
*
Weekday
Weekend
Preferred time to cal
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Are you a robot?
*
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