EmailMe Form - Pamira Bezmen Photography Client Questionnaire

Name *
First Last
Email *
Address *

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

please provide the full street address of where you'd like your print products to be delivered
the same address will be used for your contract and billing
Phone number *
Alternative Phone Number
Names, last names, birth dates of all the individuals who will participate in the portrait session *
Please let me know if any of you has a special condition, health concern, allergies, physical limitations, etc.
Please tell me what are your expectations from this portrait session. If you could have your dream shoot, what would it be like? *
Can you tell me a little about you and your family who will participate in the photo shoot. Personality, endearing qualities, particular looks or faces you want me to capture. Or anything I should watch out for? Anything you think is important, please share.
What are your general style preferences *
What kind of images do you prefer? *
Color
Black & White
Both
Which settings do you prefer for portraits?
Studio
Nature
Home
Scenic
Other
What is your home decor style?
Traditional
Antique
Modern
Eclectic
Coastal
Cottage
Whimsical
Ethnic
Other
On your walls, which do you prefer?
A single large image
A collection of smaller images
Canvas prints or stand alone displays
Framed images
Gallery wall or colllage
please select as many as applicable
What is your favored color palette?
Earthy
Bold
Pastel
Warm
Cool
Dark tones
Light and bright
Other
please check all that apply
How do you envision displaying and enjoying your images?
Your furniture is mostly ... *
The color of your walls
-please only specify the walls where you think you will wish to display your images.
you can list living room, master bedroom, nursery, family room, office, etc.

How much do you generally LIKE each of the following styles in terms of themes, outfits and accessories?

	Don't Like	Neutral	Like	Like a Lot
Geometric patterns
Lacy, frilly things
Colorful designs
Children's themes
Romantic & vintage themes and outfits
Natural, plain things
Cutting edge
Casual
Flamboyant, showy
Black & White
Retro
Minimalist

Is there anything else you'd like to tell me to help me understand your style, decor and color preferences
Upload an image of your Living Room
optional
Upload an image of your Master Bedroom
optional
Upload an image of your Family Room
optional
Upload an image of the Kids' Room
optional
Upload an image of any other walls of your home where you may want to hang portrait art
optional
I would love to include you to my inner circle of friends to receive special news, offers and inspiration. May I have your permission?
(I never ever share your information)
Yes
No