The form below will inform our first consultation and allow me to put some materials together to give you an idea of what we can create. It will also cut through the fine details and allow us the chance to just talk and get to know each to see if we’re a great fit.

Name *

First Name

Last Name

Check all participants *

Self

Spouse / Partner

Children

Total number of Participants *

How would you describe your wardrobe for the session?

Check all that apply

Professional

Modern

Vintage

Preppy

Colorful

Eccentric

Graduation

Do you have a specific place for your session(s)?

Leave blank if none. Address Line 1 required if you fill out this section. Location used for research purposes.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

If you don't have a specific place in mind, what is your vision?

Check all that apply

Nature Setting

Urban Setting

Studio Setting

Colorful

Muted Colors

Are there any sensitive situations I should be aware of (i.e., divorced members of the family, illnesses, injuries, accessibility awareness, etc.)? *

Put "N/A" if none.

Desired Date for Session

Either exact or estimated date

MM

DD

YYYY

Thank you so much for taking the time to fill out this questionnaire! I’ll be sure to note your responses for our consultation and in preparing an initial estimate.

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R Jay Molina, LLC.

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