Questionnaire

Name(required)

Email(required)

Your Address

Your Contact Number

Address you wish the gift to be sent

Name of Loved One

Age of Loved One

Are they male or female?

Their relationship to you

Do they have any outstanding personality characteristics you’d like us to include in their poem?

Do they have any outstanding features? (e.g curly blonde hair etc)

Three or more of their favourite things and three or more of the things they dislike

Is there a theme or style you would like us to write in?

Has your loved one passed away?

is it for a special occasion? if so what is it and what date does it fall on?

Please send us the picture you would like on your poem

Upload files

Please note that pictures will be inserted into the finished product but may not look completely the same as the original picture although it should still clearly resemble them.