Eric Client Intake Form

Appt Date:

First Name (required)

Last Name (required)

Email (required)

Mobile Phone:


Home Phone:
Work Phone:


Address



City: State: Zip:


Client Age: Birthday:


Hobbies


Goals

Sizing Information

Weight: Height:

Shirt-Neck: Shirt-Sleeve:

Coat Size:

Pants Size:

Pants Waist:

Pants Length:

Shoe Size:

Wardrobe Information

I need help putting together outfits for:
WorkCasual OutingsEventsOther


I want to learn more about:
How to shop on my ownHow to use clothing in multiple waysHow to step it up a notchHow to be dressy causalWhat is best for my body typeHow to dress for my current life situationOther


Recommendations


Client Response


Other Details

Gallery