Request for Style Consultation
Thank you for your interest in improving your image. Please complete this form
Email address *
Your Name
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1. Why do you feel you need a help with your wardrobe/look?
Your answer
2. What have you done so far to improve your look?
Your answer
3. What is standing in your way, preventing you from loving your wardrobe?
Your answer
4. What happens if you don't improve your look?
Your answer
5. On a scale of 1-10, how important is it to you right now that you change your style immediately?
Not at all
Very Important- I'm ready to go!
6. Is there anything I should know about you?
Your answer
7. How old are you, today? *
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8. Gender
9. City/State or Zip
Your answer
10. What is your phone number?
Your answer
11. When is the best time to call?
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This form was created inside of Constance Long Personal Stylist. Report Abuse