"Personalised Poetry Questionnaire"

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					VirgilArt Verbal Graphics “See What I’m Saying”®™ Congratulations! You have chosen the most valued gift any one can give or receive. A personalized poem is truly the gift that keeps on giving. It shows the reciepient that you took time to think of the things that are important to them. All poems are printed with theme-appropriate backgrounds. Sizes are 8.5 x 11 or 11 x 17. All poems are posted on ¾” posterboard and are suitable for framing or may be hung as is. Prices are negotiable depending on number of copies ordered. Allow 10 days for delivery. “Hall mark is for the masses, but for those who REALLY matter. . . . give Virgil Art Personalized Poetry”

Personalized Poetry Questionnaire
When writing a poem it is helpful to have as much information about the individual as possible. Not every fact will be used but when composing a rhyme scheme you never know what will fit together and how, therefore the more info about the person the better. Please fill this questionnaire out as completely as possible. If you do not know, or do not care to give out certain information or if the question is irrelevant to the person, you may leave it blank. Date Name of Person Commissioning Poem____________________________________________ Ordered: Name of Recipient___________________________________(Gender)_______(Age)______ Relationship(example: Family, Friend, Coworker – be specific)________________________ Date Promised: Poem to Commemorate: (Event e.g. Birthday, Graduation, Wedding. Etc)________________ Date of Event________________________/Location_________________________________ Date Occupation__________________________________________________________________ Delivered Whose “voice” do you want the poem in (in other words, who will be reading/narrating it)? What do you want the overall theme of the poem to be centered around?  Work  Family Personal Achievement Hobbies Love Apology Friendship Dreams Health Faith Troubles Encouragement Worry New Endeavor Other (_________________________) Do they have a spouse, any children? Grandchildren? If yes, what are their names and ages? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ If they are a student, where do they go to school? What is their favorite subject? ________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________

Do they have any pets and if so, what are the names? _________________________________________________________________________________ _________________________________________________________________________________ General personality traits as well as any quirks or habits you may want mentioned: _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Appearance attributes you want mentioned or that could be used in the rhyme scheme (such as, tall, bald, short, skinny, hair color, handlebar mustache, pigtails, etc) :

_________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ What are this person’s hobbies or interests? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ What makes this person unique? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ What is the funniest thing this person ever did? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ What are some stupid or embarrassing things this person has done? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ What acts of kindness or generosity has this person done? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Most important, please tell me what other things you would like incorporated into this poem? Please take some time to think about this and write down as much as you can. Examples can include: o Specific individuals by name / relationship and associated experiences you would like to include in the poem o Person’s history, country of origin (if not US), etc. o Things this person did or did not do to prepare for this occasion o Marriage history / family lineage o Likes and dislikes or pet peeves o Special talents this person may have – funny or serious o Experiences this person may have had on vacation or during business travel Well, you get the idea! Poems are best when they come from the heart. They should be light and fun, offering both the recipient and the listener(s) a laugh and a tear. Be sure to include special experiences that people in the audience will be able to relate to about this person. Tell me things about this person that really capture their essence, heart and personality. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________

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Description: Congratulations You have chosen the most valued gift anyone can give or receive A personalized poem is truly the gift that keeps on giving It shows the recipient that you took the time to consider what is important to them and it shows how much you care All poems are printed with themeappropriate backgrounds on 11 x 17 acidfree media and mounted on 3/4" thick posterboard They are suitable for framing or may be hung as is Price is negotiable depending on the number of copies ordered Allow 14 days from order date for completion of draft and an additional 7 10 working days for delivery Samples of VirgilArt poetry is available on docstoccom key in the name veeveegee to view To order Please contact the poet via email at veeveegeezohocom or call 3126186038