Bespoke Poem Questionnaire

Question Title

* 1. Your Name & Email Address

Question Title

* 2. Who is your Poem for?

Question Title

* 3. What is your relationship with them?

Question Title

* 4. For what occasion is this Poem?

Question Title

* 5. When and how did you meet?

Question Title

* 6. What feel would you like to give the Poem?

Funny

Romantic

Reminiscent

Melancholic

Serious

Other (please specify)

Question Title

* 7. What memories do you share with this person?

Question Title

* 8. Is there anything you would like me to make sure is included in the Poem?

Question Title

* 9. Any other useful information you can provide me?

Question Title

* 10. Any design specifications?