Mom's Name *

Mom's Name

First Name

Last Name

Mom's Email Address *

Mom's Phone *

Mom's Phone

(###)

###

####

Partner's Name *

Partner's Name

First Name

Last Name

Partner's Phone *

Partner's Phone

(###)

###

####

Partner's relationship to you *

What is your estimated due date? *

What is your estimated due date?

Don't worry! I'm on call for the four weeks surrounding your date.

YYYY

What type of birth are you planning? *

If you're not sure, just select what you THINK you'll do.

Homebirth - with a doula or midwife

Homebirth - unassisted

Birth Center

Hospital - labor will start naturally

Hospital - scheduled induction

Hospital - scheduled c-section

Location where birth will take place. *

Kapiolani Medical Center

Queens Medical Center

Kaiser Hospital

Castle Hospital

Tripler Army Medical Center

My Home (please indicate address below)

If birth location is your home or somebody else home, please list address below:

Who will be with you during the birth? *

Is there any notable prior birth history we should be aware of?

Feel free to tell us a little about your family and pregnancy.

Are there any plans or details regarding your birth plan that you would like to share with me?

Do you have any concerns regarding your birth photos?

PRIVACY INFORMATION SOCIAL MEDIA AND MY WEBSITE ARE AN IMPORTANT TOOL FOR ME TO SHARE MY WORK AND INSPIRE OTHER MOTHERS, AS I'M SURE YOU EXPERIENCED WHEN YOU BEGAN YOUR SEARCH FOR A BIRTH PHOTOGRAPHER. I WOULD LOVE TO HAVE THE OPPORTUNITY TO SHARE MODEST IMAGES FROM YOUR BIRTH IN MY PORTFOLIO AND ON MY BLOG OR SOCIAL MEDIA. I TAKE YOUR PRIVACY SERIOUSLY AND WE WILL OUTLINE THE DETAILS OF WHICH PHOTOS MAY BE SHARED IN OUR CONTRACT.

Would you like to inspire other women through sharing modest photos of your birth?

If yes, we would like to offer you a digital birth announcement within 24 hours of your birth. *

How did you hear about the Hawaii Birth Collective? What led you to book us over other options?

Next, we will send you our contract to read over and we will set up a time to meet in person to get to know one another and answer your questions. What days and times are typically good for you? * Your spouse/partner is welcomed and encouraged at this meeting. Your children are welcome as well.

Birth Photography

Client Questionnaire