FYI: anything in BOLD is a note to the developer and not to be written on the Questionnaire

1) Is this a gift?
a) Yes
b) No, it’s for me
2) How would you like your Affirmation Piece?
a) Audio Only
b) Video Only
c) Both
Write this below -> Note: The video only option will include captions by default, for those with auditory impairments.
3) What would be a suitable length?
a) SLIDER
b) Amounts (logarithmic slider after 3min mark)...
i) VIDEO:
(1) SEPARATE OPTION: Quickie (we will make something between 1min and 3min)
= $65 (if they select a quickie, the slider becomes un-usable)
(2) 3m mark = $100
(3) 5m mark = $200
(4) 10m mark = $300
(5) 30m mark = $600
ii) AUDIO:
(1) SEPARATE OPTION: Quickie (note: we will make something between 1min and
3min) = $35 (if they select a quickie, the slider becomes un-usable)
(2) 3m mark = $50
(3) 5m mark = $100
(4) 10m mark = $200
(5) 30m mark = $400
iii) Show the dollar amounts above the slider, and the number of affirmations below
(1) We’ll set the accurate number of affirmations later.
4) Would you like an option for revisions?
a) Just one should suffice (included in the price)
b) Four (you can request one more revision per every two weeks, and must use all four within 3 months)
i) This raises the price 1.5x
c) Write this below: NOTE: Since your goals and preferences may change, you might wish for more revisions.
5) What are you seeking, in terms of quality?
a) Meh (0.5x the price)
b) Decent (1x the price)
c) Exceptional (1.5x the price)
d) I only wear designer (20x the price)
6) Intensity?
a) Blow My Mind (epilepsy warning: there may be overlapping content)
b) Professional (affirmations will be said clearly and calmly)
c) Dramatic (affirmations are clear, but dramatic)
7) What type of voice would you prefer?
a) Feminine
b) Masuline
8) Any accent preferences? (1 included, 1.35x the price for every other one)
a) British
b) American
c) Note below: (more accents coming soon)
9) Music Preferences?
 a) genres
i) Acoustic
ii) Ambient Electronic
iii) Calm
iv) Cinematic
v) Country
vi) Electronica
vii) Energetic
viii) Epic
ix) Hip-Hop
x) Jazz
xi) Post-Sludge
xii) Rock
xiii) Upbeat
xiv) Witch-House
b) Or no background music
10) What are your intentions? (List your goals, preferably from most to least urgent)
a) List goals (autosuggest or they can write custom ones)
i) Be a better listener
ii) Be more creative
iii) Become healthier
iv) Improve time management
v) Improve physical fitness
vi) Increase willpower
vii) Learn more
viii) Let go of the past
ix) Practice compassion
x) Practice perseverance
xi) Quit drinking
xii) Quit smoking
xiii) Resolve conflicts
xiv) Stop procrastinating
xv) Take care of your health
xvi) Travel whenever you can
xvii) Wake up earlier
b) Up to 10 goals
c) NOTE: sometimes less is more
11) Which aesthetics inspire you most?
a) List things you want to see (autosuggest or they can write custom ones)
i) Classical Architecture
ii) Happy people
iii) Good Grades
iv) Green
v) Luxury Cars
vi) Mansions
vii) Modern Architecture
viii) Muscles
ix) Private jets
x) World peace
b) Up to 10 Selections
c) Or Surprise me (we will base these on your goals in the last slide)
12) What feelings do you want to associate with? (autosuggest or they can write custom ones)
i) Admiration
ii) Adrenaline Rush
iii) Affection
iv) Amusement
v) Altruism
vi) Awe
vii) Cheerfulness
viii) Confidence
ix) Contentment
x) Curiosity / Interest
xi) Eagerness
xii) Ecstasy
xiii) Elevation
xiv) Enjoyment
xv) Enthusiasm
xvi) Euphoria
xvii) Gratitude
xviii) Happiness
xix) Hope
xx) Inspiration
xxi) Joy
xxii) Love
xxiii) Optimism
xxiv) Orgasm
xxv) Pride
xxvi) Rage
xxvii) Relaxation
xxviii) Relief
xxix) Satisfaction
xxx) Serenity
xxxi) Surprise
13) Any key phrases or words which you want included in your Piece?
a) Custom
b) Up to 10 Key Phrases
14) Do you want us to use your name?
a) Yes
i) Then they need to write it down
b) No.
15) Are you comfortable with us sharing your Piece on our social media?
a) Yes
b) No
c) Write this below: If your Piece is featured, you will be provided with credits and/or discounts for
future orders.
16) Personal + Billing Details
a) Captcha
b) Disclaimer: we cannot guarantee the fulfillment of orders requesting ‘rated-R’ material. Please
cancel or alter your order if you think it may be rejected.
 EXAMPLES

AUTOSUGGEST: Type or select option: (Questions #7,8,9,10,11 from our questionnaire will be like this)
https://www.typeform.com/templates/t/employee-satisfaction/ (FIRST SECTION)

Similar to FB Hobbies:
Multiple Choice: (fewer options)
https://www.typeform.com/templates/t/event-registration/ (SLIDE #3)

Multiple Choice: (more options)

https://www.typeform.com/templates/t/exit-survey/ (SLIDE #6)
Post Production:
- They can request us to loop the affirmation audio/video into a longer length (+$10 or so)
- They can request more revisions than the ones included (+$10~100 per revision)

Later Additions:
- Other Languages
- More Accent Options
- Rated R Version?

If we want them to upload assets:

https://www.typeform.com/templates/t/request-form-template/ (SLIDE #5)