Portrait Session Information Sheet

Our portrait session is right around the corner! To help me better understand what you're looking for and how I can help, please fill out this information sheet as best as you can. 

Name *
Name
Phone
Phone
Date of the Shoot
Date of the Shoot
Meeting Time
Meeting Time
Location of the Shoot
Location of the Shoot
To the best of your ability, where will this session take place?
Here is a link to some images that I'd like to replicate or capture something similar...
http://
I'd best describe my feelings about being photographed as:
What kind of images are you looking for?
Check all that apply!
Tell me about yourself!