Fragrance Profile Request Form

Name *

First Name

Last Name

Phone

(###)

###

####

What fragrance types do you enjoy? *

Check all that apply

Floral

Citrus

Woody

Fresh/Green

Oriental/Spicy

Fruity

Gourmand (sweet, edible notes)

Aquatic

Aldehydic (soapy)

Musky/Animalic

Other

Fragrance Strength *

Light/ Refreshing

Moderate

Bold/ Intense

Preferred season(s) for fragrance

Check all that apply

Spring

Summer

Fall

Winter

Year-round

Occasion?

Check all that apply

Everyday wear

Special Occasions (weddings, celebrations)

Work/Professional

Evening/Romantic

Other

Do you have any allergies or sensitivities to fragrance ingredients? *

Yes

No

What is our budget? *

$50-$100

$100-$200

$200-$300

$300-$400

$500+

Is our budget flexible? *

Yes

No

Preferred Date

Specify if this is for a gift or upcoming occasion

MM

DD

YYYY