IntakeForms | Danielle Perrodin, LLC

Client Questionnaire

I look forward to meeting with you soon. Please complete this questionnaire so that we can get the most out of our consultation time together. Don't overthink your responses - just write down the first thing that comes to mind and if you don't know your measurements, no worries, we can get those at a later date.

Last Name*

Email*

First Name*

Phone

Street Address

City*

State/Province/Region*

ZIP/Postal Code*

Country*

Other Information

Birthday

Anniversary

What is your shopping budget?

How did you find me?

I am going through the following life transition:

Work Promotion New Work Position Weight Loss Weight Gain Working Between Home and Office Just Out of School Into New Career Transitioning From Home Into New Career Divorce Other (tell me at the end)

How often do you shop? (in person and online)

I would like to learn more about the following:

How to shop on my own How to accessorize How to use clothing in multiple ways How to step-it-up a notch How to bring-it-down a notch What cuts are best for my body frame How to dress for my current life transition Other (tell me below)

I'd like some expertise in putting outfits together for:

Work Casual Outings Fun Outings (Happy Hours, Concerts, etc.) Life At Home With Kids Event (Trip, Photo shoot, etc)

Sizing Information

Sex

Age

Weight

Height

Shoe Size

Pants Inseam and Size

Jacket Size

Blouse/Shirt Size

Bust/Chest Size

Waist Size

Hip Measurement

Shoulder Size

Specialty Sizing

Share any information that may help in search of what you are looking for...

What do you love least about your body?

What do you love most about your body?

What are your favorite places to shop?

Client Questionnaire

Other Information

Sizing Information

Thank You