The Questionnaire

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This is Norman's questionnaire that should be filled out and submitted to him using the SUBMIT button at the bottom of this questionnaire. Please fill in as much information as you possibly can in order to assist the artist to begin the stage of sketches for you in order to arrive at a design for an exclusive ketuba ... a ketuba that no one else has or will have.

If this is a gift for someone's anniversary, a replacement ketuba, a Bar Mitzvah document or for any other special occasion or if the questionnaire does not satisfy all your questions, Norman suggests that you fill it in with as much information as you can and then write him an email with all your questions and suggestions and kindly send it to the following email address:
norma_nm@netvision.net.il

PLEASE NOTE: Place your email address in any field that asks for an email address regardless of what text is written next to that text field. There have been problems in reception of the questionnaire due to email flukes and glitches. It is suggested by Norman to send it to his efax aside from submitting it through the SUBMIT button. The efax number is directly below:

EFAX:
From within Israel: 050-8965897
From anywhere else: 011-972-50-8965897

IMPORTANT: PLEASE ENSURE THAT YOU PLACE YOUR CONTACT EMAIL ADDRESS WHEREVER SPECIFIED.


SOME GENERAL INFORMATION

YOUR NAME

YOUR EMAIL ADDRESS

How did you find this website? Referral from a friend Web Search Gift Shop Wedding Planner

If you were referred to Norman by either a gift shop or a wedding planner, please fill in the fields below giving the artist the name of the shop or wedding planner, the contact person and their location.

Name of Gift Shop or Wedding Planner

Contact Telephone Number

City and Address if possible

Are you ordering this as a ketuba for yourself? Yes No

If this is a gift for someone else, specify by clicking the checkbox Yes


NOTE: Wherever Norman has requested your Hebrew names, please use transliteration
Example: Mordechai, Hershel Leib, or Rivka Leah, Tzipora Rachel.

Names of Bride and Groom (in English)

NAME OF CONTACT PERSON

EMAIL ADDRESS of person with whom I will have all correspondence

Full Postal Address(es)

Contact Telephone Number

Fax




THE GROOM

Hebrew Name(s) in full

Father's Hebrew name(s)

Mother's Hebrew name(s)

Is your Father a Cohen Levi Israelite

Is your Father deceased? Mother deceased? Both Living

Please submit your favorite colors:

What are your hobbies and what do you like to do for leisure?

Tell me a little more about yourself:




THE BRIDE

Hebrew Name(s) in full

Father's Hebrew name(s)

Mother's Hebrew name(s)

Is your Father a Cohen Levi Israelite

Is your Father deceased? Mother deceased? Both Living

Please submit your favorite colors:

What are your hobbies and what do you like to do for leisure?

Tell me a little more about yourself:




WEDDING INFORMATION

For dates, please fill in the information completely.
EXAMPLE: July 15, 2001 (for the Gregorian calendar) and 16 Tammuz 5763 (for the Hebrew Calendar)

Gregorian Calendar

Hebrew Calendar

Time of Ceremony (be as precise as possible)

Location of wedding (city and country)

How many witnesses will you have?

Will both the Bride and Groom be signing the ketuba?

Will your Rabbi be signing the ketuba?

Will your wedding be Orthodox Conservative Reform




DESIGN INFORMATION

Was there a ketuba that you saw in my gallery that particularly pleased you? If so, kindly put the name(s) here:

Are there colors which you do not want in your ketuba?

Choose one of the following overall shapes for your ketuba: Square Circle Oval Rectangle Pyramid

Would you like to see arches in your ketuba? Yes No

If you can submit more details about the general shape that you would like, then please do so here. For example, you may like a lot of arches within a particular other shape or perhaps a circle within a square or rectangle, etc.:

If you chose the rectangle, would you prefer it aligned Horizontally or Vertically

Would you prefer a geometric design or a random design?



In the text field provided below please supply me with any extra information that you can regarding other visual elements that you would perhaps like to see; for example: Jewish stars, a menorah, water, flowers, a Tree of Knowledge, shrubbery in general, birds, geometric designs, etc. Please feel free to write as much in the box provided.


Select one of the following. Do you like Classic Modern




THE TEXT

Do you have the text of the ketuba with which you will be married? Yes No

Will your text also have a second language aside from the traditional Hebrew/Aramaic? Yes No







Home | Who is Norman? | What is a Ketuba? | Creating an Exclusive Ketuba | Ketuba Texts | Passover Haggadah | Early Works | Main Gallery | Online Store | Letters of Thanks | Questionnaire | Ordering


This website designed and constructed by Norman Slepkov.
© 2007 Norman Slepkov. All Rights Reserved.



NEW EMAIL: To contact me:
norma_nm@netvision.net.il

Phone (Land): 972.2.6242967 | Phone (Mobile): 972.544.909714 | Efax: 972.50.896.5897
Jerusalem, Israel