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Client Intake Form

Name

First Name

Last Name

Email Address

Tell me a little bit about your personal style and how you want your brand to be perceived

Explain your ideal client. Age, family dynamic etc.

I work with __________ who want to _________

(fill in the blanks)

Describe your brand in 3 words

What keeps your client up at night? In other words, what do they worry about, lack, fear.

How does your service resolve what is keeping them up at night?