EmailMe Form - Personal Branding & Head-Shot Questionnaire

Name *

First Last

E-mail *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

-please specify complete address, as this information will be used for shipping and mailing of your actual products and information packets

Phone (primary) *

Phone (secondary)

Birth Date (DD/MM/YYYY) *

Name of Business

Web Site

What is your profession?

This photo shoot will include:

Other

Please tell me about your business, personal brand or project. What do you want to get out of this photo shoot? *

Who is the primary audience of these images / who is the target client we are trying to impress? *

Can you please provide me with a summary of your professional background? Where are you in your career today and where do you want to go next? How can I help you grow your business with professional photos?

What are your personality, skills, talents we want to bring forward with these portraits?
You can use keywords that you want to have come across from your portraits.

What makes you or your business different and special (relative to your competition)?

What are Your General Style Preferences

Which settings do you prefer for portraits?

Other

What is your favored color palette?

Earthy

Bold & bright

Pastel tones

Other

Style preferences

Other

Where will the images be used? *

Other

Photographic products you are interested in

Other

When would you like to schedule your photo shoot?

Desired photo shoot date

MM / DD / YYYY

Is there anything else you would like me to know when designing your photo shoot?

Upload an image of a current portrait you may be using

(optional)

Would you like to be added to my mailing list and be featured in my newsletter, blog or social media with a story to promote your business or personal brand?

Yes

No

Maybe, tell me more about it

Would you like your portraits to be tagged on social media?

Yes

No

Maybe, tell me more about it

Facebook - business

Facebook - personal

Instagram

Attach any images, mood boards you want to link

Attach Pinterest board you want to share