Birth Photography Questionnaire

Please fill out this form as completely as possible in order for me to serve you best!


If you have questions while filling out the form or you don't hear from me within 48 hours of submitting the form, please email me at!

Name *
Estimated Due Date *
Estimated Due Date
Home Address *
Home Address
Phone Number *
Phone Number
Alternate Phone Number
Alternate Phone Number
Partner / Labor Support Person
Partner / Labor Support Person
Partner's Phone Number
Partner's Phone Number
Please include their name and phone number.
Feel free to include information about other children, or pets, as well as any information you want to share about your journey to parenthood.
Current Birth Plan *
Birth Location *
Address of Birth Location *
Address of Birth Location
Please include the name of your care provider as well as the practice they are with.
Care Provider's Phone NUmber *
Care Provider's Phone NUmber
How far along were you when you delivered? How many hours were you in labor? Were you induced? Did you have a C-section? Did you use pain medications? Were there any other interventions necessary for you or baby? Feel free to be as detailed as you like!
Please include names and their relationship to you/baby.
How is your pregnancy going so far? *
If not, please make sure that your care provider is aware that you will have a birth photographer in attendance at your birth.
Should I leave the room during.. *
Please check all that apply.
If something happens and you are transferred (either from home to hospital or from one hospital to another), what would you like for me to do?
What images are most important to include in your birth story? *
Would it be ok to post non-identifying posts or labor updates on social media during or soon after birth?
For example, I might post an Instagram story of a birth detail saying that I'm at a birth! It would never include faces or details that might give away whose birth I was at.
Can I share images of you on my website and/or social media? *
Should I tag you on social media posts?
If you answered that I could share photos in the question above.
I am a part of a private and exclusive social media group for birth photographers where we often share photos asking for editing help, image critique, or just to share difficult or exciting details about a birth with other people who get it. Are you ok with me sharing photos in this group?
Are you interested in any other types of sessions?
Please check all that apply. I offer a discount when multiple sessions are booked at the same time!