The following is a new client questionnaire, which will be used to customize a plan that is catered to your needs, style and budget.

Please fill out all the mandatory fields and be as specific as possible in your responses. 

Contact Information
Name *
Name
Phone *
Phone
(If applicable)
Address *
Address
Birthday *
Birthday
Employment Information
PHYSICAL DESCRIPTION
Physique *
(Select all that apply.)
Best Asset(s) *
(Select all that apply.)
Concerns/Problem Areas *
(Select all that apply.)
(See links at bottom for conversion to US measurements.)
(See links at bottom for conversion to US measurements.)
Women's Measurements
(See links at bottom for conversion to US measurements.)
(Cup Size: AA to N, Band Size 28-56).
(See links at bottom for conversion to US measurements.)
Men's Measurements
(See links at bottom for conversion to US measurements.)
Personal Style
(List anything that would influence specific wardrobe needs.)
(This can refer to a color, print, style, brand, article of clothing, etc.)
(Please list in order of priority.)
(If you haven't shopped much recently, list the stores/designers you used to frequent.)
(You can also list your favorite colors if you would like to incorporate more of them.)
(If you have an Instagram account that shows off your style or want to share one that encompasses your desired style please note the handle below.)
(If you have a Pinterest board that will give me a better sense of your current / ideal style please share the link below.)
How true are the following statements? *
How true are the following statements?
I enjoy shopping.
I have a hard time finding pieces I like.
I have a hard time finding pieces that fit me well.
I don't have time / patience to shop.
What services are you interested in? *
(Check all that apply.)
What are you looking to get out of this experience? *
(Check all that apply.)
(Please note a specific number or range and if / how flexible you are.)
Please note the following in order of priority: weekday afternoons, weekday evenings, weekends
How did you hear about Shop With Val? *
Personal Photo (Required) *

For international visitors please check out the links below to convert your measurements to US sizes.

WOMEN'S CLOTHING

WOMEN'S PLUS SIZE

WOMEN'S & MEN'S SHOES

MEN'S CLOTHING

CONVERT CENTIMETERS TO INCHES

CONVERT KILOGRAMS TO POUNDS