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.

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* 1. First and Last Name:

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* 2. Email

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* 3. Street Address

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* 4. City

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* 5. Age

18-25

25-35

35-55

55+

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* 6. Ethnicity

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race

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* 7. Household income

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

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* 8. Gender

Male

Female

Transgender

Other

Prefer Not to Answer

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* 9. Employment Status

Unemployed

Employed Part-time

Student

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* 10. Were you referred by an agency?

Yes

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* 11. If answer to Question 8 is yes, please indicate agency.

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* 12. Do you need an appointment at one of our Career Closets? If yes, please indicate which closet you would like to visit.

MassHire Woburn, 800 W. Cummings Park, Suite 6400, Wednesdays (10:00 a.m. - 2:00 p.m.)

MassHire Malden, 2 Florence Street, Monday or Wednesday (9:30 a.m. - 1:00 p.m.)

MassHire Cambridge, 186 Alewife Brook Parkway, 3rd Floor (Monday 9:00 a.m. - 4:30 p.m.)

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* 13. Please indicate approximate blouse size (i.e. small, medium large) for women.

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* 14. Please indicate approximate pants size for women

0-6

8-10

12-14

16-18

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* 15. Please indicate approximate dress shirt size (men)

small (14-16)

medium (16-18)

large (18-19)

XXL

XXXL

New Client Survey

Tailored for Success, Inc. - New Client Survey

Question Title

* 1. First and Last Name:

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* 2. Email

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* 3. Street Address

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* 4. City

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* 5. Age

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* 6. Ethnicity

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* 7. Household income

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* 8. Gender

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* 9. Employment Status

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* 10. Were you referred by an agency?

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* 11. If answer to Question 8 is yes, please indicate agency.

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* 12. Do you need an appointment at one of our Career Closets? If yes, please indicate which closet you would like to visit.

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* 13. Please indicate approximate blouse size (i.e. small, medium large) for women.

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* 14. Please indicate approximate pants size for women

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* 15. Please indicate approximate dress shirt size (men)

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* 16. Please indicate approximate pants size for men (length x width)