Thank you for your interest in KM Image Consulting. Please fill out our needs assessment form to receive a proposal.

Client Style Profile

*Required fields

Title*
Given Name*
Surname*
Male or Female*
Date of Birth*
E-mail Address*
Alternate E-mail
Address*
Address
State
Province
Postal Code*
Country*
Mobile Phone*
Home Phone
Work Phone
Occupation*

Job Description

Where did you hear about us?
Preferred Location
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Service of Interest

One-on-One Consulting

Wardrobe Advisory
YesNo
Online Image Analysis
YesNo
Telephone Consulting
YesNo
Personal Shopping
YesNo
Colour Analysis
YesNo
The Image Connector Programâ„¢
YesNo
The International Image Connectorâ„¢ -
Destination Shopping
YesNo
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Seminars

Corporate Consulting
YesNo
Communication Skills
YesNo
Other (Please specify)
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Consultation or Seminar Budget
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Style Preferences

Style Preference A
Style Preference B
Style Preference C

Style Comments

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Colour Preferences

Colour Preference A
Colour Preference B
Colour Preference C

Colour Comments

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Fabric Preferences

Fabric Preference A
Fabric Preference B
Fabric Preference C

Fabric Comments

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Designer Preferences

Designer Preference A
Designer Preference B
Designer Preference C

Designer Comments

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Personal Attributes

Eye Colour
Hair Colour
Skin Tone

Personal Attributes Comments

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Sizes

Accuracy of sizes is absolutely essential for the right fit, so please be sure to enter your correct current sizes. See Size Charts

Height
Weight
Dress
Shirt
Collar (for men)
Jacket
Suit
Skirt
Trouser
Coat
Shoe
Boot
Belt
Bra
Hat
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Comments and Special Requests:

Tell us something about your personality and some of your favourite pieces in your wardrobe. Kindly describe any items that you have trouble finding the 'right fit' with as well as any areas you would like to highlight or minimize.

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