SENIOR QUESTIONNAIRE • CLASS OF 2020

Please fill out this form before your high school senior portrait experience or high school senior portrait session.  Your answers will better help us to meet your needs and ensure that you have a satisfying high school senior portraits.  Thank you!

HIGH SCHOOL SENIOR INFORMATION

First Name:

Last Name:

Address:

Address Line 1:

Address Line 2:

City:

Country:

Select Select Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam 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 Congo, The Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

State/Province:

Select Select AA AE Alabama Alaska American Samoa AP Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

Phone:

Email:

What is the best way to communicate with you?

• Phone
• Email
• Facebook
• Other

If you selected other, please specify here:

Gender:

• Male
• Female

HIGH SCHOOL INFORMATION

What high school do you attend?

What is your high school mascot?

What are your high school colors?

Extra-curriclar activities (including high school sports, organizations, community, etc.):

What high school sports did you participate in (if any)?

SOCIAL MEDIA INFORMATION

Are you on Facebook?

'Like' us on Facebook (www.facebook.com/JacobMaesPhotography)

• true
• false

Are you on Twitter?

'Follow' us on Twitter (@JacobMaesPhoto)

• true
• false

Are you on Instagram?

'Follow' us on Instagram (@JacobMaesPhotography)

• true
• false

Are you on Snapchat?

'Add' us on Snapchat (@JacobMaesPhoto)

• true
• false

ADDITIONAL INFORMATION

What is your favorite color (s)?

What do you like to do in your free time?

Describe your personality and style - what makes you stand out from a crowd?

PARENT INFORMATION

First Name(s):

Last Name:

Address (if different from senior's address; if the same, leave blank):

Address Line 1:

Address Line 2:

City:

Country:

Select Select Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam 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 Congo, The Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

State/Province:

Select Select AA AE Alabama Alaska American Samoa AP Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

Phone:

Email:

What is the best way to communicate with you?

• Phone
• Email
• Facebook
• Other

If you selected other, please specify here:

SESSION INFORMATION

Please indicate the senior portrait photography services that you will be completing with Jacob Maes Photography.

• Senior Portrait Experience • $250.00
• Senior Portrait Session • $180.00
• I'm not sure...what's the difference?...more information needed

When my proof book(s) is/are ready...

Please select an option for pick-up or delivery of your proof book(s) below

• ...I will pick up my proof book(s) at Jacob Maes Photography • No additional charge
• ...I would like my proof book(s) mailed to me • Additional $7.35 shipping charge (per proof book)

Please indicate your senior session date and time (if known and scheduled) with Jacob Maes Photography
or
Please indicate a date and time in which you are interested in booking your senior session with Jacob Maes Photography
(Please note that all session dates will be confirmed with Jacob Maes Photography)

Date:

Time:

HOUR

-- -- 1 2 3 4 5 6 7 8 9 10 11 12

MINUTE

-- -- 00 05 10 15 20 25 30 35 40 45 50 55

AM/PM

-- -- AM PM

What kind of senior session are you interested in?

• Studio only
• Outdoors only
• Both studio and outdoors

What style of session would you like?

• City/Downtown
• Park
• Country
• Other

If you selected other, please specify here:

What kinds of backgrounds do you like?

• Dark colors
• Light colors
• Wild colors
• Patterns
• Outdoors/Natural

How many different outfits would you like to be photographed in?

• 1-2 outfits
• 3-4 outfits
• 5-6 outfits
• 6+ outfits

Are you bringing any props? (including: sports equipment, cars, pets, instruments, etc)

Are there any physical qualities about yourself that you do not like?  Please select all that apply.

We ask this so we can take special attention to minimize these features during your senior session.

• Weight
• Too tall
• Too short
• Acne
• Hair
• Eyes
• Nose
• Chin
• Other
• None of the above

If you selected other, please specify here:

Do you wear glasses?

• true
• false

ADDITIONAL INFORMATION

How would you rate your excitement to having your senior session completed?

Select Select It's just something I have to do. It will be okay, not really a big deal. Super excited; looking forward to it!

When is the yearbook submission deadline date for sending your yearbook photo to your high school?

Please indicate the yearbook submission deadline date here:

How is your senior yearbook photo being sent to your high school yearbook?

• Print Form
• Digital Form
• Not Yet Known
• Other

Who is your school's yearbook advisor that your high school senior picture should be sent to?

What is your high school yearbook advisor's email address?

How did you hear about Jacob Maes Photography?

Add any additional notes to Jacob Maes Photography here:

Thank you for completing this high school senior questionnaire.  We greatly appreciate your interest and really look forward to your high school senior portrait experience or session.  Thank you!

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Thank you!

Thank you for completing the Jacob Maes Photography Senior Questionnaire!  We have received your senior questionnaire and will contact you shortly!  We are also looking forward to your upcoming senior session!

If you need an immediate response, please contact Jacob Maes Photography directly.

Thank you,

Jacob Maes
Jacob Maes Photography
715•781•7129
contact@jacobmaesphotography.com
www.jacobmaesphotography.com

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