Senior Portrait Questionnaire
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Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Send me your favorite photo of yourself! I love to put faces to names right away.
Birthday
-
Month
-
Day
Year
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Graduation year?
Cell Number
-
Area Code
Phone Number
E-mail
High School
Instagram
Facebook
Twitter
Parent's Name
Parent's Phone Number
-
Area Code
Phone Number
Parent's E-mail
How did you hear about Melissa Samluk Photography? Check all that apply.
Facebook
Instagram
Website search
Referral from friend
What made you reach out to Melissa Samluk Photography? Check all that apply.
Quality of work
Cost
Availability
Referral
Is there someone I can thank for referring you?
Do you wear glasses? Please note that transitions lenses will appear dark in your photos.
What kind of feel would you like for your portrait location? Check all that apply.
Urban City
Trendy/upscale
Rustic
Beach
When would you like to have your photos done? Check all that apply.
Spring
Summer
Winter
Fall
Are there special locations you would love to go to for your session?
Is there something/someone you would like to include in your pictures? (Instrument, sports equipment, car, pet, ballet attire, friend, etc.)
Tell me about yourself. What are your hobbies? What is one fun fact about you?
How do others describe you?
What is your FAVORITE fashion trend right now?
What types of clothes are you bringing for your session?
Upload pics of your outfits here
Upload pics of your outfits here
Upload pics of your outfits here
What is your FAVORITE color to wear?
What are your FAVORITE clothing stores?
Do you participate in any extra-curricular activities?
What kind of music do you like? What is your favorite song right now?
Are there any specific poses that you consider "must-haves"?
What do you see in OTHER photography work that you DO NOT LIKE? This will help me stay away from that for your session!
What type of products are you interested in? Check all that apply.
Framed Wall Art
Canvases
Albums
Graduation Announcements
Digital Files
Please post the link for the TOP FIVE TO TEN IMAGES you love that I have shot. This really helps me find out what lighting and composition style you want for your images.
Please post the link for the TOP FIVE TO TEN IMAGES you love that I have shot. This really helps me find out what lighting and composition style you want for your images.
Please post the link for the TOP FIVE TO TEN IMAGES you love that I have shot. This really helps me find out what lighting and composition style you want for your images.
Please post the link for the TOP FIVE TO TEN IMAGES you love that I have shot. This really helps me find out what lighting and composition style you want for your images.
Please post the link for the TOP FIVE TO TEN IMAGES you love that I have shot. This really helps me find out what lighting and composition style you want for your images.
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