Your Birth Experience

PLEASE FILL OUT THE QUESTIONNAIRE BELOW

Name

First Name

Last Name

Phone

(###)

###

####

What is your estimated due date?

YYYY

Please provide the names and contact details of those expected to be at your birth

Tell me a bit about yourself

This will help me get to you know you and your family before the arrival of your little one

Have you discussed having a birth photographer with your care team (Midwife, OB/GYN, Dr)?

This is an important conversation to have with the care team in the lead up to your birth. Please feel free to provide my contact details with them if there are policies or procedures they need me to be aware of.

Yes

Would you like me to continue photographing in the event of an emergency?

If circumstances allow, this is an important thing to discuss with your care team.

Yes

Planned place of birth and address?

Any relevant information of previous births? (if applicable)

For example, history of precipitous (fast) births, gestation of previous births. Sometimes having this information can help us be prepared.

Please list any specific images you would like included

I cannot guarantee these images but can do my best.

If home birthing, in the case of a hospital transfer, would you like me to transfer with you and continue photographing?

Yes

In the situation of low light are you happy for me to use my flash?

Many births occur during the night! I keep this to a minimum so as not to distract you.

Yes

Is there anything else you’d like me to know?

How did you hear about me?