I’m so excited to be present and be a part of capturing this beautiful event in your life! Knowing the info below will allow me to be able to do my best in capturing your birth story.

Birth Questionnaire

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Father of Baby - Name*
Father of Baby's Number*
Estimated Due Date*
Where do you plan to deliver & address*
Care Provider's Name*
Practice Name*
Practice's Number*
Have you added me and birth photography to your birth plan?*

If no, please do so right away. This could mean a difference between me being allowed in or not.
# of People in attendance*
List any other people you plan to have there (friends, grandparents, etc)*
Are you using a doula? (if so, name & number would be great!)
How is your pregnancy progressing?
Do you know the baby's gender?*
If for any reason you are to be transferred from home to hospital or from one hospital to another for any reason, would you want me to*
Please tell me about your past labors*
I'd love to hear a little more of your past birth experience*
Let's talk about your labor & deliver - what photos do you want?*
Other Photos*
I want most of my pictures to be of*
Social Media

As you probably know, social media is my largest marketing tool for sharing my work. I would love the opportunity to share your (non-revealing) birth images in my portfolio and with my followers. But, ultimately, the decision is completely up to you.
Posting Online*
Would you like me to post a birth announcement and/or birth story blog post about your birth experience? (A birth announcement would be posted on Facebook within 48 hours of your birth experience. A blog post would likely be published within a few weeks.)
Are you comfortable with me posting non-identifying social media updates about your labor & delivery experience?
Do you want tagged in Social Media posts*
Any other comments/notes?*