Name *

First Name

Last Name

Pronouns *

She/Her/Hers

He/Him/His

They/Them/Theirs

She/They

He/They

Other

Phone *

A phone number to receive texts.

(###)

###

####

Date of Birth *

MM

DD

YYYY

Do you wear high heels? If yes, please indicate your preferred heel style: *

Select all that apply.

Stiletto

Block

Wedge

Platform

No heels for me, flats only.

Do you need lodging (hotel) accommodations for the shoot? *

Yes

No

Would you be interested in a payment plan option for your participation fee if offered? *

More details about pricing will be shared during your one-on-one interview.

Yes

No

Are you married? *

Yes

No

Which statement best describes you? *

I have a natural talent for influencing people.

I am not good at influencing people.

Which statement best describes you? *

When people compliment me I sometimes get embarrassed.

I know that I am good because everybody keeps telling me so.

Which statement best describes you? *

I really like to be the center of attention.

It makes me uncomfortable to be the center of attention.

Would you describe yourself as a sensitive person? *

Yes

No

Do you feel nervous or anxious in social settings? *

Yes

No

Are you short tempered? *

Yes

No

Have you ever been incarcerated? *

Yes

No

Within the past 2 weeks, how often have you felt sad, depressed, or hopeless. *

Not at all

I have my good and bad days, but I'm maintaining.

Nearly everyday

*Trigger Warning* Have you ever contemplated suicide? *

Yes

No

Have you ever been diagnosed with any mental illness or personality disorder? *

Yes

No