birth photography questionnaire birthing person's name * First Name Last Name edd MM DD YYYY email * birthing person's contact number (###) ### #### address partner/support person's name First Name Last Name partner/support person's contact number (###) ### #### birth location & address care provider's name care provider's contact number (###) ### #### other than your partner, your photographer, and your care providers, are you expecting anyone else to be present during your labor and/or birth? if so, please indicate their names, relationship to you, and any other details or dynamics that I may need to be aware of: is this your first pregnancy? is this your first birth? if this is not your first birth, please describe your previous births in as much detail as you are willing. have there been any health complications in this or previous pregnancies? are there any aspects of your labor or birth that you feel most excited about being documented? are there any aspects of your labor or birth that you prefer to not be documented? stages of labor, specific parts of your body, etc photographic release you can use the images you take at my birth for your instagram and website I would like to approve images before you share them I would like my images to remain private I haven't decided, let's chat more down the line! are there any resources that you have been utilizing during or before your pregnancy, related to pregnancy, labor, birth, postpartum, or parenthood? books, classes, courses, groups, etc do you have any cultural, religious, or spirtual needs that you'd like to share with me? what, if any, specific desires or visions do you have for this labor and birth? if these desires and visions are met - what does that feel like for you? if these desires and visions are *not* met, what does that feel like for you? is there anything else you feel that I should know or anything you'd like to discuss further in person? Josephine Salamonskijosephine.salamonski@gmail.com507-304-2557
