Form

Elegant J

Image and Style Consultant Screening Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
What is your favorite color?*
What is your favorite Season?*
What image are you or look are you trying to achieve, what are you goals working with an Image Consultant & Personal Stylist?*
How would you describe yourself, and your personal & professional style goals?*
What are your clothing and style preferences, limitations, and concerns?*
What are our likes and dislikes about your existing wardrobe, are there any items that you specifically want or need?*
Anything else you want me to know?
Please verify that you are human*
Should be Empty:

Elegant J