Commission Questionnaire
Thank you for your interest in my performance art! If interested in commissioning me for an original work of art then please head back to my website and find that questionnaire under the SHOP section. For any questions regarding this questionnaire please e-mail me at
Are you a new or existing customer?
What is the item you would like to order? *
I specialize in a variety of performance therapies to increase your positivity, purity, power, or passion.
What is the budget for this piece? *
Your answer
Duration and Location
Where would you like this performance piece to take place? What is your best estimate for the duration of the performance you would like? (Most therapies are at least 5 minutes)
Your answer
Time Frame
What is the time frame with which you would like to have your performance?
Your answer
For the general performances: I am able to develop a performance for any event based on any theme and for any length of time from 3 minutes to 7 hours. For any performance therapies please answer N/A
Your answer
Contact Info
Please be sure this information is accurate and I will contact you within 2-3 days regarding your commission.
First Name *
Your answer
Last Name *
Your answer
Phone number *
Your answer
Your answer
Preferred Contact Method *
Additional Comments or Questions
Your answer
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