Please take a few minutes to fill out the following form if you are
interested in any services of Wardrobe Image.
I am looking forward to hearing from you soon.

If you prefer, simply contact Pat Newquist at patnewquist@cox.net or
by calling (480) 839-4856 any information you submit will be held
confidential, between the client and Wardrobe Image, and will be only used
by and for Wardrobe Image.

 
Client Profile Form
Personal Data
First Name:
Last Name:
Address:
City:
State:

Zip/Postal Code:

Phone:
Email:
Age Group:


Hair
Hair Color:
Other Hair Color:


Eyes
Eye Color:
Other Eye Color:


Services

What Services would be most helpful to you (please check all that apply):

Color Analysis

Line & Design

Image Training

Mentoring Programs

Presentations/Seminars/Workshops

Closet Analysis

Wardrobe Retainer

Personal Shopping

Other

Color Analysis:
If you have been color analyzed, were you a:
Do you refer to these colors when you shop?
Makeup Information:

  
Do you currently wear makeup?
If no, would you consider it?

 

Shopping Habits
Have you ever used a Personal Shopper in the past?
Are you available to travel?
Do you like to shop?
If not what do you find most frustrating about it?

Image Concerns

What are your three most pressing image concerns:
If you could change one thing what would it be?