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New Client Survey

Tailored for Success, Inc. - New Client Survey

This form is for job seekers interested in receiving free business clothing for an upcoming interview, internship or new job. Our Career Closets are located in MassHire Metro North Career Centers by appointment only. Questions with * are required to receive services. Feel free to skip past questions regarding clothing types that do not apply to you.
1.First and Last Name:(Required.)
2.Email(Required.)
3.Street Address(Required.)
4.City(Required.)
5.Age(Required.)
6.Ethnicity(Required.)
7.Household income(Required.)
8.Gender(Required.)
9.Employment Status(Required.)
10.Were you referred by an agency?(Required.)
11.If you are a MassHire customer please fill in your Job Quest Number.
12.Do you need an appointment at one of our Career Closets? If yes, please indicate which closet you would like to visit.(Required.)
13.Please indicate approximate blouse size (i.e. small, medium large) for women.
14.Please indicate approximate pants size for women
15.Please indicate approximate dress shirt size (men)
16.Please indicate approximate pants size for men (length x width)
Current Progress,
0 of 16 answered