Personal Shopping Questionnaire     
Personal
Name:   _____________________________________
Birth Date:   _____________________________________
Address:   _____________________________________
City/State/Zip:   _____________________________________
Country, if applicable:   _____________________________________
Home Phone:   _____________________________________
Cell Phone:   _____________________________________
Email:   _____________________________________
Best way & times to contact you:   _____________________________________
Career/job title/company:   _____________________________________
Marital Status:   _________________ If children, ages: ___________
Body
Height:   _________________ Weight: ______________ lbs
Hair color:   _______________
Hair style:  
______ ear length ______ shoulder length
   
______ below shoulder ______ thick
   
______ fine ______ straight
   
______ curly ______ wavy
Eyecolor:   ____________________ Glasses: __ yes  __ no
Skin color:  
______ ivory ______ pink
   
______ reddish ______ olive
   
______ yellow ______ light brown
   
______ dark brown  
Sizes:  
jacket/suit   ______
skirt/pant   ______
   
top/blouse   ______
dress   ______
   
outerwear   ______
shoes   ______
Dimensions:   (ask a friend to measure circumferences of the body to the closest 1/4" using a tape)
   
neck   ______
upper arm   ______
   
wrist   ______
     
   
shoulder across front   _______________
   
shoulder across back   _______________
   
waist   ______
bust   ______
   
upper hip (abdomen)
    ______
   
lower hip (widest part)
    ______
   
thigh   ______
     
   
sleeve length
     
   
(from shoulder bone to wrist bone)
______
   
pants outseam
______
   
usual skirt length
______
Describe any fit problems:   ________________________________________
Body type:  
______ pyramid ______ inverted pyramid
   
______ hourglass ______ rectangle
   
______ round  
Image
Your style descriptor:  
______ classic/elegant ______ classic/business
   
______ cutting edge ______ folk/country
   
______ classic/casual  
   
______ other, describe __________________
Which well-known woma(e)n's style do you most identify? Why?: __________________
  _________________________________________
Which designers (brands) do you like? Why?: __________________
  _________________________________________
Which stores do you most shop? Why?: __________________
  _________________________________________
Which colors do you most wear?: __________________
  _________________________________________
Shopping/Wardrobe
List what you least like about shopping:  
  _________________________________________
List what you most like about shopping:  
  _________________________________________
Prioritize the four most important characteristics you want in  
your wardrobe, 1 being most important and 4, least important :  
   
______ fit ______ comfort
   
______ reasonable cost ______ image
   
______ ease in travel ______ style
   
______ versatility ______ wide selection
   
______ other __________________
Have you ever used a personal shopper before? Describe:  
  _________________________________________
  _________________________________________
  _________________________________________
Your shopping list for this season: (please note desired item.  
color & fabric, star the most important)  
   
career _______________________
   
  _______________________
   
week-end casual _______________________
   
  _______________________
   
week-end elegant _______________________
   
  _______________________
   
special occasion _______________________
   
  _______________________
   
other _______________________
   
  _______________________
What is your total budget for these items?: __________________
Suggested shopping dates and neighborhoods/stores  
you would like to shop:  
  _________________________________________
  _________________________________________
Signature:   ____________________________________________________   Date:   _________
 
To reserve your shopping session with Susan, please mail completed questionnaire with deposit check to: Susan Dresner, 36 West 89th Street, 4A New York, NY 10024.
Any questions, call Susan 212-877-1417 between 8 am - 6 pm EST, M-F.