Birth Photography Questionnaire

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

What is your due date?*

What is your birthdate?

What is your partner's name and contact number?

What is your OB/midwife/practice's name?

Where will you be delivering and what is the address?

Please be specific.

Is there anyone else I should contact if you cannot be reached? Ex. Parent/Relative

Who will your birthing team consist of?

Is there anything specific you do NOT wish to have captured during the labor and delivery?

Is there anything specific you do NOT wish to have shared via social media or the photographer's portfolio?

Do you have a written birth plan? If so, is the photographer mentioned?

Do you know the baby's gender? Do they have a name?

Do you plan to breast or bottle feed?

This question sets as a precursor of whether or not you would mind being photographed while breastfeeding if that is the chosen feeding plan.

Is this your first baby?

Please tell me about any prior labor and deliveries you have had!

Is there anything else you would like to share?