NEW CLIENT INTAKE FORM Please fill out the information below and click “SUBMIT” when finished. Once this form is complete, you're officially ready for your scheduled session! * First Last * Street Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code ** **Sizing Information*****Style InsightsWardrobe InformationI need the most help putting outfits together for:WorkNetworkingPublic Appearances (speaking gig, website, etc)Fun Outings (dates, happy hours, concerts, etc)Formal OccasionsWeekend CasualI would like to learn more about: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 dress for my current life.I am going through the following life transition:Seeking a work promotionWorking between home, office and airplane!Dating after divorcePregnancy/post-partumWeight fluctuationDownsizingMy budget for shopping for clothes & accessories with Scarlet is:$500 - $1000$1000 - $1500$1500 - $2000$2000 - $3000$3000+My budget is...strict.flexible.may change if we get on a roll.Please upload a full body image of yourself in one of your favorite outfits.Accepted file types: jpg, gif, png, pdf. Δ
