New Client Survey

Tailored for Success, Inc. - New Client Survey

This form is for job seekers in Massachusetts (Middlesex or Suffolk counties) interested in receiving business clothing for an upcoming interview, internship or new job.  All information collected will be kept confidential. 
1.First and Last Name:
2.Email
3.Full Mailing Address
4.Age
5.Ethnicity
6.Household income
7.Gender
8.Employment Status
9.Were you referred by an agency?
10.If answer to Question 8 is yes, please indicate agency.
11.Do you need an appointment at one of our Career Closets?
Current Progress,
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