|
Name:
City:
Province:
or other
1. What brand of bra do
you currently wear?
2. Size? (ex: 36C)
3. Is your bra padded?
Yes
or No
4. Does it have an
underwire? Yes
or No
5. Have you ever had a
professional bra-fitting? Yes
or No
6. What frustrates you
most about your bra?
Bust spills out from the top,
bottom or sides
Cups pucker and feel too
loose
Bra feels too tight
Back rides up
Bra accentuates “back fat”
Shoulder straps constantly
fall down or lose their elasticity?
Underwire pokes into your
skin causing sores or bruising?
7. Are you a mother-to-be,
or are you presently nursing? Yes
or No
8. Have you ever had
breast surgery?
Lift
Reduction
Implants
Mastectomy/Lumpectomy
None
9. Do you wear a
prosthesis, foam or insert?
Prosthesis
Foam
Insert
None
10. How often do you
purchase a bra?
Less than 6 months
Every 6 months
Every year
Every 2 years +
11. Would you be
interested in getting a free, professional
bra-fitting?
Yes
or No
If not, why?
12. What do you want to
find out from having a professional bra-fitting?
Determine my correct bra size
Find a bra that best suits
your body shape and breast size
Fine-tune my present bra fit
by suggesting alternate sizes or styles
Find a better fit – without
underwire
Or all of the above
13. I’d be interested in:
Getting a free, personal bra
consultation (to determine my correct bra size)
Hosting a bra party in my
home
Holding a bra-fitting clinic
in my business
Getting more information on
becoming a Jeunique distributor (part-time or
full-time)
14. How did you hear about
Jeunique’s custom-fit bras?
Word-of-mouth
Internet
Local Bra-fitting clinic
Newspaper advertising
Magazine article
Radio
Brochure
Trade show
15. What do you want a
Jeunique bra to do for you?
Make me look slimmer
Enhance breast size
Make clothes fit better
Improve posture
Reduce back or neck pain
Eliminate bouncing when
exercising
Create a smooth, seamless
silhouette when wearing T-shirts or form-fitting
clothes
If you’ve answered “YES” to any one of
these questions, let us help you!
How would you prefer to be
contacted?
Phone (please include area
code)
-
Email address
Jeunique custom-fit bras will change the way you
look and feel. We have fitted thousands of
women! Now it’s your turn to give us a chance!
Get in touch with us today, and we’ll find the
closest certified bra-fitter to your area.
|
