questionnaire

PLEASE COMPLETE THIS QUESTIONNAIRE, COPY AND PASTE INTO

YOUR E-MAIL AND SEND TO JSAUL@ACROSTICPOET.COM

1. What is the name, phrase or word you would like spelled out by the first letter of the

first word in each line of the poem (e.g., Mary Jane Parker or Joe Smith or Happy Anniversary)?

__________________________________________________________________________

2. Are there specific references (words) must be made in the text of the poem?

__________________________________________________________________

Please answer as many of the questions about the person (or persons or event)

which help to show how well you understand/know the person (people):

3. What are the person's personal favorites:?

(e.g., colors, foods, activities, books, movies, all the things that the person loves the best):

__________________________________________________________________

4. What are the person's personal qualities?

(e.g., kind, generous, available, supportive, tough, realistic, idealistic, Many friends?, Likes to talk?):

__________________________________________________________________

5. What are the person's physical attributes?

(e.g., hair color, attractive features, eye color, complexion, height, body build):

__________________________________________________________________

6. Which words would best describe the physical attributes you wish to praise (mention):

__________________________________________________________________

7. What are this person's favorites foods?

__________________________________________________________________

8. What does this person collect? (e.g., stamps, coins, comic books)

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9. What is the energy level of the person? (e.g., active, passive):

__________________________________________________________________

10. What is the spirit (mood) of the person? (e.g., loving, nostalgic, excited):

__________________________________________________________________

Are the any special aspects to your relationship you want to include?

(e.g., lover, friend, relative, other relationship):

__________________________________________________________________

COPY AND PASTE INTO YOUR E-MAIL

AND SEND TO JSAUL@ACROSTICPOET.COM

You may order a long or a short poem.

Prices begin at $100.00 for up to 15 lines of poetry.

Additional lines cost $7.00 per line.

You can require that certain words, phrases or names be included in the poem.

There is a non-refundable $50.00 deposit. ORDER NOW:

By number of lines

Sample Sample

ADD AN ORIGINAL CONTEMPORARY STYLE FINE ART BACKGROUND

CREATED BY CANDICE BREARLEY for an additional $175.00

(includes 5 x 7 frame and shipping!)

THE LOOKING GLASS ORDER NOW COLLISION

(sample) (sample)