Please fill out the below questionnaire to provide me with information to write your poem?
Email:
Reason for Poem Name of recipient/s
How many verses do you want the poem to be? 4 Verses @ £15 5 Verses @ £20 6 Verses @ £25 7 Verses @ £30 8+ Verses Recommend based on info What date is the poem required for?
Is the poem to be read out or presented in printed form? How did you hear about Jelli - Bean: Google Other Search Engine Facebook Word of Mouth Returning Customer How do you know the recipient? Occupation of recipient? Age of recipient? What is the key message that you want me to get across? If not a family member, please describe how you know each other / met: Give details of at least 3 stories / memories that you would like included: Story 1 Story 2 Story 3 Any embarassing incidents you would like included? Particular references you would like made: i.e. Nicknames/pet's names/other family members/place names Does the recipient have any strange / quirky habits or interesting hobbies? Tone of ending? i.e. Heart felt, humourous, etc Is the occasion to be celebrated with a meal, party, event of some description? If so please give details of date and location, type / size of event? Any additional information:
Please fill in the questionnaire and provide me with as much information as possible.
