Women Clothing Questionnaire
Your Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Questions & Comments
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Who Referred you; hostess or friend? How did you hear about this?
*
What group, if on Facebook?
*
Not from Facebook, type N/A
How much do you hate your bra?
Extremely
Hate it
Not at all
It's okay, here to learn more
Haven't thought about it
What do you dislike about your current bra?
*
Underwire pain
Straps Slip
Straps Dig
Breast Spillage (sides, back or front)
Cup Gap
No Support/Breasts Sag
Back Pain
Sports Bra Uni-boob/Flattened
Want Smooth Back/Tummy
Need Separation
Want Cleavage
Other
Body Shape?
Pencil
Triangle
Hourglass
Pear
Apple
Torso Length?
Short
Balanced
Long
Back
Next
Next few Questions are Important for Correct Sizing. Do you have a Measuring Tape?
*
Yes
No - I'll use a string/cord and measure it with a ruler
Current Bra Size
*
Band Measurement
*
Inches - Measure with cord/tape
Fullest Part of bust
*
Inches
Height
*
5.5
Pant Size?
*
Helps me with body shape PLUS we have shaping bottoms, leggings, pants all with shaping technology too.
Back
Next
Fit Preference around back/tummy
*
Firm fit undergarment
Gentle fit undergarment
Both for Difference Occasions
Have you ever worn Shapewear?
Yes
No
Do any apply?
*
Back -Scoliosis
Back -Love Handles
Breast -Asymmetry (dramatic difference)
Breast -Augmentation/Reconstruction
Breast -Prostethis Breast -Fibroids
Breast -Mastectomy
Breast -Nursing
Health - Fibromyalgia
Health -Lymphademia
Health -Pregnancy
Stomach -Post Surgery
Stomach -Hernia
Submit
Should be Empty: