Standard Self Care Basket Questionnaire Form

Standard Self Care Basket Questionnaire Form

Because we thrive on creating a personable experience please complete this questionnaire to the best of your ability. Please complete this form before our consultation. If you have any questions please send us an email at purelovecrates@gmail.com
Please submit one form per recipient.
Customer Ordering Information:
Your Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Method of contacting- If you are choosing a method of contact please make sure this is a method you actually use.
Is this order for a business or brand?
If yes, what business/brand
Gifting Request General Information
What's the occasion ? (This helps with picking designs and styles)
Recipient Information
Recipient Name

First NameLast Name
Are there any allergy requests?
If yes, what is allergy request?
What is the gender of recipient(s)? (This helps with picking designs and styles)
Favorites: Please list any favorite scents, colors, brands.
Order Inquiry Questions
Standard Self Care Basket: Choose your budget Starting at $25.00

Please choose which options fits your gifting request.
What's Included:

Each standard self care basket comes with a soft and cozy blanket; the choice of a candle or wax melts, a journal, a pen, and 1 mug. If the receiver is sensitive to scents and a candle or wax melts, are not preferred it will be substituted with another self care item. All gift baskets comes with 1 gift tag, and 1 gift bow.
What's your budget
Choose your Quantity
How many of this self care basket do you need
Choose your options:
Pick One: Candle or Wax Melts
Personalized Add On

Other
Delivery Methods

How would you like to receive your gift basket
Delivery Method
For shipping & local delivery | Additional Fee Applies
Preferred Delivery Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearWhat date do you need the gift basket by
Delivery / Shipping address | Additional Fee Applies

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Surprise Shipping Delivery Method (If applicable)

All Surprise Delivery Gifts will be delivered with a "Surprise Someone was Thinking of you Insert Card" Surprise gifts will only include the senders name. For safety reasons we do not send gifts anonymously.
Senders Name (This will be included in the surprise gift)

First NameLast Name
Would you like to include a small note with your surprise gift, if so what would you like to say. (Optional)
**Please note: We hold the right to decline an inappropriate message**
Final Thoughts

Additional thoughts, notes, or questions we forgot to ask that you think would be important.
Are there any additional notes or information you would like for us to know?
Thank you

Thank you taking the time to complete our Standard Self Care Gift Basket Questionnaire. Please hit Submit Request below and we will contact you within 24-48 hours.
Should be Empty:

Standard Self Care Basket Questionnaire Form

Please submit one form per recipient.

Customer Ordering Information:

Gifting Request General Information

Recipient Information

Order Inquiry Questions

Standard Self Care Basket: Choose your budget Starting at $25.00

What's Included:

Choose your options:

Delivery Methods

Surprise Shipping Delivery Method (If applicable)

Final Thoughts

Thank you