Bespoke Gift Questionnaire

Your Name:

NameSurname

Your Phone Number:

Country CodePhone Number

Your Email:

Shipping Address:

Line 1

Line 2

CityCountry

ZIP CODE

Do you know the receiver personally?

YesNo

How are you related to the receiver?

Is this a surprise gift?

YesNo

What's the budget for this jewellery piece?

in Pound sterling £

Is there a specific reason or purpose you want to realize this gift for, or is it for a particular occasion?

Do you believe in the healing properties of crystals and minerals?

Please express as much or as little as you feel like.

Do you believe in the power of manifestation and that you can achieve anything you believe in?

Please express as much or as little as you feel like.

Now, please fill out the questions below with the receiver's information that you are aware of. The following information is for the purposes of customizing the jewelry piece and the experience. Please feel free to answer exclusively the ones you'd like to share with us, skipping the ones you don’t find relevant or don’t know how to answer.

Full Name:

NameSurname

Date of birth / Time of birth:

AM/PM Option

Place of Birth:

Does the receiver usually wear jewellery?

If yes, how often and which kind?

Is there a specific kind of jewelry you have in mind for this gift (pendant, collar, ring, bracelet, earring, cufflink, crown, etc.)?

Are there particular metals or materials you find appropriate for this gift?

What's the receiver’s favourite colour/s?

Alternatively, choose the colour/s that you find more appropriate for this gift.

When dressing up does the receiver prefer patterns or neutral colours?

What's the receiver’s favourite colour of gold?

Alternatively, choose the one that you find more appropriate for this gift.

What is the receiver’s favourite accessory?

Does the receiver believe in the healing properties of crystals and minerals?

YESNO

Are there specific crystals the receiver is attracted to or that you feel appropriate for this piece?

If yes, which one/s?

Receiver’s Religion [if any]:

What do you know about the receiver’s spiritual belief?

Please express as much or as little as you feel like and are aware of.

What is the most significant experience you have shared with the receiver?

Please express as much or as little as you feel like.

What is the receiver's biggest desire or aspiration, or what is your biggest desire or aspiration for the receiver?

Please express as much or as little as you feel like and are aware of.

Do you feel you need to change something in your relationship with the receiver?

Please express as much or as little as you feel like.

Could you express the receiver’s relationship with visual arts and their personal tastes?

Please express as much or as little as you feel like and are aware of.

Are you aware of any symbols the receiver is particularly attached to, or do you have in mind any meaningful symbols you'd like us to feature in this jewel?

If yes, which one/s?

Could you express the receiver’s relationship with music and sounds and their personal tastes?

Please express as much or as little as you feel like and are aware of.

Does the receiver like animals? Are you aware of any particular animal the receiver is fond of?

If yes, which one/s?

Is there a meaningful animal representative of your relationship or associated with a particular event?

If yes, please describe what it represents.

Could you express the receiver’s relationship with nature?

Please express as much or as little as you feel like and are aware of.

Are you aware of any particular culture the receiver is attracted to?

If yes, which one/s?

Are you aware of any specific time and place in history that the receiver is attracted to?

If yes, which one/s?

Are you aware of any divine, religious, historical, mythological or fantasy character the receiver is affine or devoted to?

If yes, which one/s?

Are you aware of any other entity, concept or element the receiver is fond of or that is meaningful in regard to your relationship?

If yes, which one/s?

Does the receiver have any experience with holistic medicine?

Please express as much or as little as you feel like and are aware of.

Does the receiver participate in meditative practice (transcendental, vipassana, loving-kindness, mindfulness, any type of yoga, tai chi, qi gong, etc.)?

Please express as much or as little as you feel like and are aware of.

Does the receiver practice sport, martial arts or any form of physical exercise?

Please express as much or as little as you feel like and are aware of.

Do you know if the receiver participated to any form of ritual or ceremony before?

Please express as much or as little as you feel like and are aware of.

Does the receiver believe in fortune or destiny?

YESNOI DON’T KNOW

Does the receiver believe in numerology?

YESNOI DON’T KNOW

Do you know the receiver favourite number?

Is there a meaningful number representative of your relationship or associated with a particular event?

If yes, please describe what it represents.

Does the receiver believe in astrology?

YESNOI DON’T KNOW

Do you know the receiver’s star signs?

First sun, second rising, third moon.

Would you like us to include the receiver’s astral map and numerology study? (Please answer yes only if the receiver expressed consent to this point)

YESNO

We highly encourage the receiver to set an intention to associate with this piece. You can either ask the receiver to share it with us or not. What is important is that it is truly meaningful for them.

In the first case, please write above.

At Supera Jewels we hand over our pieces through Ceremonies meaningfully customised in order to consciously facilitate the infusion of intention in the crystal, the energy-trapping core of our jewels. We can organise Ceremonial Experinces and Private Retreats in different locations around the world, accordingly to your desires and wishes. We integrate fire rituals, breath-works, different kind of meditative practices, cleansing procedures, sound journeys, theatrical performances, ritual dances, art exhibitions and much more to shape a tailor made experience that is meant to empower an energetic bond between the jewel and the receiver.

Do you wish to deliver this bespoke creation through a Ceremonial Experience or a Private Retreat?

I would love to learn more about the Ceremonial Experiences.I would love to learn more about the Private RetreatsNo, I’m fine with the Jewel.

We highly appreciate your collaboration, thank you!

We will get in touch with you soon to submit the first design ideas.

By signing and submitting this form I declare:

I agree to pay a deposit of 600,00 £ or anyway not higher than 25% of the budget to cover the costs of consultation, research and preliminary design.

The deposit must be transferred within 24 hours after submitting the form, to the following bank details:

SUPERA JEWELS LTD

Account number: 22217198

Sort code: 04-06-05

IBAN: GB12CLRB04060522217198

SWIFT code: CLRBGB22

Beneficiary address: 79 SAFFRON HILL, EC1R5BU, London, United Kingdom

I agree with the TERMS AND CONDITIONS OF SERVICE as specified on SUPERA JEWELS's website (https://superajewels.com/)

I consent to SUPERA JEWELS Ltd storing and using all the personal
informations, which I shared in the Bespoke Questionnaire, exclusively for
the customisation purposes of the Bespoke Jewel, the gadgets and the
Consignment Experience or the Healing Retreat which accompany the
bespoke jewel and, in any case, accordingly to our PRIVACY POLICY
(https://superajewels.com/pages/privacy-policy).
I understand that the customisation purposes include sharing these
informations with: the Design and Manufacturing team for them to carry
out any activity related to the personalisation of the bespoke jewel or
intended to recollect, partially or integrally, the informations shared with
us; the Creative team for them to carry out any activity related to the
personalisation of the gadgets and other contents consigned with the
jewel of during the Consignment Experience or the Healing Retreat; all the
internal and external personnel involved in any activity necessary for the
proper set up and execution of the Consignment Experience or the Healing
Retreat; any other internal and external collaborator involved in any
activity necessary for the finalisation of the design, manufacturing or
crafting of the bespoke jewel.
These informations includes identity data, contact data, financial data and
all the other sensitive personal data shared with SUPERA JEWELS Ltd
filling the form.

Contacts
After reviewing this policy, if you have additional questions, want more information
about our privacy practices, or would like to make a complaint, please contact us by
e-mail at info@superajewels.com or by mail using the details provided below:
79 Saffron Hill , EC1R 5BU.

Complaints
If you have complaints about how we process your personal information, please
contact us using the contact details provided above. If you are not satisfied with our response to your complaint, depending on where you live you may have the right to appeal our decision by contacting us using the contact details set out below, or lodge your complaint with your local data protection authority.

Sign*