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Client Info Record for Men
Client Info Record for Men
Name
First
Last
Date
MM slash DD slash YYYY
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email
Phone
Preferred method of contact
Lifestyle questions
Age group:
Pre-teen
13-24
25-34
35-44
45-54
55-64
65+
Where do you live:
City
Apartment
Suburb
Home
Rural
Condo
Mobile home
Climate:
Humid
Hot
Cold
Seasons
Roles, Activities, and Occasions in your life:
Family:
Single
Children home
Married
Teens home
Divorced
Grown children
Widowed
Home making:
Cooking
Cleaning
Shared responsibility
Child care
Yard work
Community work:
Member
Volunteer
Daily
Weekly
Monthly
Profession/employment:
Part time
Full time
Title/position:
Occupation:
Entertainment/leisure:
Leisure:
Daily
Weekly
Monthly
(e.g., reading, tv, writing, painting, photography, gardening, outdoor activities, travel, etc.)
Casual dining out:
Daily
Weekly
Monthly
Dressy dining out:
Daily
Weekly
Monthly
Formal dining out:
Daily
Weekly
Monthly
Theater/opera/etc.
Daily
Weekly
Monthly
Spectator sports:
Daily
Weekly
Monthly
Excercise/sports:
Daily
Weekly
Monthly
Camping/fishing/boating:
Daily
Weekly
Monthly
Travel:
Weekly
Monthly
1-4x per year
Your workplace:
Describe the mood/atmosphere:
Relaxed
Hectic
Formal
Casual
Progressive
Conservative
Creative
Is there a written, implied or assumed dress code?
What is the apparent standard of dress and grooming among your colleagues/peers?
Sloppy
Casual
Impreccable
Nice
Other
What is your degree of fashion awareness?
Very aware
Somewhat aware
Generally aware
Not aware
Personal style
How do you want to be perceived in your:
Home:
Work:
Social life:
What values determine your decision to buy an article of clothing?
Comfortable
Beautiful
Durable
Brand
Designer
Good fit
Fast to put on
Unique
Thifty
Trendy
Plain
Impressive
Good fabric
One of a kind
Easy care
Practicality
Expensive
Versatile
Well made
Appropriate
Timelessness
Color
Like my friends
Modest
Warm/cool enough
Flatters figure
Feel of fabric
Other
List three words that describe the clothes you presently own:
List three words that describe your favorite clothing in your closet presently:
Color:
Of clothes in my closet presently:
Warm colors
Cool colors
Light colors
Bright colors
Muted colors
Earth toned colors
Low contrast (2-3 colors)
Strong contrast (3+ colors)
Least favorite color:
Favorite color(s):
Fibers, fabrics and textures:
Fabrics
Cotton
Rayon
Smooth fabrics
Plush fabrics
Leather
Wool
Blends
Textured
Suede
Sheer
Soft/fluid fabrics
Shiny fabrics
Fur/faux fur
Linen
Knits
Firm fabric
Lace
Least Favorite Fabric:
Favorite Fabric:
Patterns:
Large
Floral
Ethnic
Gingham
Houndstooth
Medium
Paisley
Scotch-plaid
Jacquard
Photographic
Naturalistic
Small
Abstract print
Stripes
Pin-stripes
Border print
Animal print
Jungle print
Dots
Tweed
Mixed
Least favorite pattern/print:
Favorite pattern/print:
Accessories – check the ones you wear:
Large
Bold
Earrings
Belt
Necklaces
Watch
Shoes
Sandles
Bracelets
Sunglasses
Boots
Eyeglasses
Ties
Hats
Socks
Rings
Pocket scarf
Tie clip
Other
Do you have difficulty selecting or coordinating?:
Styles
Colors
Fabrics
Patterns
Accessories
What does your vision require:
Glasses
Contact lenses
Both
Neither
Color blind
Style & fit
What is your height?
What is your weight?
What is your off-the-rack size on:
Suit:
Dress pant:
Button-down/dress shirt:
Shoe size:
Any additional notes or information you would like me to know about you…
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