Fox Valley Birth and Baby | Green Bay, Appleton, and Oshkosh WI Doula and Birth Photography
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Doula Services
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DoulaServices
Fox Valley Birth and Baby | Green Bay, Appleton, and Oshkosh WI Doula and Birth Photography
Women shouldering women. Support. Empowerment. Peace.
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Birth Questionnaire
This questionnaire is meant to be a guide for our doula and/or photographers to use in order to provide you with the best service possible. The information you provide will be a helpful reference during our on-call waiting period, as well as during your unique birth.
Estimated Due Date: *
Tell me about you
Name *
Phone Number *
Alternate Phone Number
Labor Partner's Name
Partner's Phone Number
Address *
Tell me about your upcoming birth and/or birth history
Location Address *
Phone Number of Practice:
People in Attendance: *
Please list any that may be attending the birth of your baby. Check all that apply.
Current pregnancy
How is it progressing? Please check all that apply.
Past labors *
If this is not your first delivery, please explain how your past labors have gone. Check all that apply.
Do you know the gender of your baby? *
FOR DOULA CLIENTS ONLY
If so, please enter their names and ages...
Please select
If so, please specify below...
If so, please explain below...
COMPLETE THE FOLLOWING IF YOU ARE HIRING US FOR PHOTOGRAPHY/VIDEOGRAPHY. OTHERWISE, LEAVE THE FOLLOWING BLANK AND SUBMIT AS IS.
What I would like photographed:
Check all that apply.
I want most of my pictures to be of:
Transfer:
If for any reason, you would need to be transferred from home to hospital or from one facility to another, would you want your photographers to:
SOCIAL MEDIA (for photography)
As you probably know, Social Media is our largest tool for sharing our work. We would love the opportunity to share your birth images (after you have approved which ones you are comfortable with sharing) in our portfolio and with our followers. But, ultimately, the decision is up to you.
Would you like us to post a birth announcement and/or birth story blog post about your birth experience?
A birth announcement would be posted on Facebook within 48 hours of your birth experience. A blog post would likely be published within a few weeks.
Do you want to be tagged in images on social media?
Other
How did you hear about us? *
If a friend or provider referred you to us, please let us know who to thank in the space provided!
Checkbox 10

Thank you! We can't wait to work with you!

Afterglow Questionnaire
THIS QUESTIONNAIRE IS MEANT TO BE A GUIDE FOR OUR PHOTOGRAPHERS TO USE IN ORDER TO PROVIDE YOU WITH THE BEST SERVICE POSSIBLE. THE INFORMATION YOU PROVIDE WILL BE A HELPFUL REFERENCE DURING OUR ON-CALL WAITING PERIOD, AS WELL AS DURING YOUR POSTPARTUM SESSION WITH YOUR NEWBORN.
Estimated Due Date: *
TELL ME ABOUT YOU
Name *
Phone Number *
Address *
Tell me about your upcoming birth
Who will be photographed? *
Please list anybody that might be in attendance when we come to your home after your baby is born.
Do you know the gender of your baby? *
Your Session
What I would like photographed: *
Check all that apply.
SOCIAL MEDIA
Would you like us to post a birth announcement and/or birth story blog post about your birth experience? *
A birth announcement would be posted on Facebook within 48 hours of us coming to your home. A blog post would likely be published within a few weeks.
Do you want to be tagged in images on social media? *

Thank you! We can't wait to photograph these special first moments with you and your new baby!

Doula Contract
General Model Release
Birth Photography Contract
Placenta Encapsulation Contract
Portrait and Documentary Contract
Appleton, WI 54914
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