Gem Catcher Questionnaire
Looking forward to making a piece for you!
Full Name: *
Your answer
What is your email address? *
Your answer
Birthdate: *
Your answer
Where do you live? *
Your answer
Where do you intend to hang your piece? *
Your answer
Is this a gift? If so, for whom? *
Your answer
Gem Catcher size? *
What colors resonate with you? *
Your answer
My purpose in creating these pieces is to make a piece that is specifically designed to support you. In as many or as little words as you'd like, describe your intention in seeking a custom gem catcher. It can be as simple as physical aesthetic or as detailed as an aspect of your life you would like to heal. *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.