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  5. Personal Style Questionaire
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Questions marked with a * are required Exit Survey
 
Contact Information
* First Name : 
* Last Name : 
* Address 1 : 
   Address 2 : 
* City : 
* State : 
* Zip : 
* Phone : 
* Email Address : 
 
 
 
* Age
   
 
 
 
* Gender
 
Male
 
Female
 
 
 
* Occupation
   
 
 
 
* Describe your current style:
   
 
 
 
* Describe your dream style:
   
 
 
 
* What do you hope to gain from this consultation?
   
 
 
 
* What is your favorite clothing item you currently own? Why?
   
 
 
 
* Describe a typical day in your life: