Great Photos Start Here PHOTO SURVEY Basic InformationName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Cell Phone Number*Alternate Phone NumberEmail Address What type of photos would you like?*---HeadshotsMaternityNewbornFollow me (Birth - 2 Years)FamilySenior PortraitEngagement PhotosBridalWeddingHow many adults will be in the photoshoot, and what are their names?*How many children will be in the photoshoot, and what are their names and ages?I authorize myheartcreative to take photos of all persons listed above.* Yes No Availability Mornings Afternoons Evenings Weekends Please check all that apply.Desired Photoshoot Date RangeDo you already have a location planned or booked? Yes No If you have a location, where is it?If we are scouting locations, do you prefer indoor or outdoor?YesNoBothPlease list any specific locations you would like us to check out?Are there any specific shots you have in mind?YesNoPlease share an inspiration image.Please share an inspiration image.Please share an inspiration image.Please check the words that describe your tastes in photos. Candid Formal Casual Black and White Color Fashion What look/feel are you wanting to convey? Dramatic Artistic Modern Rustic Playful Classic Please share a link to any Pinterest boards with examples of looks you like. Please share a link to any Pinterest boards with examples of looks you like. Please share a link to any Pinterest boards with examples of looks you like. Do you have a wardrobe style and colors chosen?YesNoPlease describe your wardrobe and colors, if already chosenDo you have any props or special items you would like to incorporate?YesNoHow did you hear about us?Questions/Commentsmyheartcreative has legal permission to use photographs of me and my family for any lawful purpose, including, but not limited to publicity, illustration, advertising, and web connection.* I agree EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.