Name

First Name

Last Name

Who makes up your family (people and pets)

What is your favorite part of the day (i.e morning coffee, walks, making dinner together, bedtime)

What are your favorite parts of your partners personality (Both answer)

Words to describe your child (including pet children)

What part(s) of your body do you love or feel neutral towards?

What part(s) of your body are you working on loving or accepting?

Favorite song/musician

Anything else I should know

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

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Thank you for your vulnerability and reflection. I can’t wait to make pictures together.