BIRTH STORY BOOKING QUESTIONNAIRE

Please fill out the client questionnaire and your EDD (estimated due date) will go onto my calendar and I can block off my "on call" dates!
This questionnaire will help me get to know you better and I'd love to get together with you soon and continue planning your birth story - coffee or tea is on me!
A retainer of $400 is required to hold your date - click on "Make a Payment" to pay the retainer, balance is due in full by 36 weeks gestation. If you have any questions, please don't hesitate to contact me. I am so honored that you have chosen me to be a part of this special time in your life!

Name *
Name
Address
Address
Phone
Phone
What is your EDD (estimated due date)? I will block off a some time around this date just for you! It's important you have someone let me know when the baby is bon so that I can put a date onto the calendar for you. Session generally take place in the morning on a Saturday and Sunday but don't worry I will work with your schedule :-)
What is your EDD (estimated due date)? I will block off a some time around this date just for you! It's important you have someone let me know when the baby is bon so that I can put a date onto the calendar for you. Session generally take place in the morning on a Saturday and Sunday but don't worry I will work with your schedule :-)
Do you know the gender of your baby? *
Where are you delivering? *
If a medical emergency should happen during birth, what would you like me to do (this also depends on hospital policy)? *
What do you plan to do with your birth story images? *
Are you interested in having some snippets of video taken should the opportunity present itself? *
Being invited into your birth space is such an honor! If there is anything at all you want to ask or tell me, please feel free to do so! You can also wait until we meet in person if you like.
Would you like to set up a payment plan for the balance on your Birth Story? *