Print this out, circle or check the items that interest you, then put it in an obvious place,
like the refrigerator, Voila, a perfect Mother’s Day!

l. Let me sleep until:
	□ 8 am 	□ Noon	□ I wake up naturally      □ Other:__________________

2. Please serve me:
	□ On a tray in bed	 □ Brunch at the restaurant ___________________
	□ On the table as soon as I emerge	 □ Other: _____________________

3. My Made-To-Order breakfast should include:
	Orange Juice	Milk	Grapefruit Juice	Fruit:  ____________
	Cereal	Pancakes	French Toast	Waffles
	Bacon	Ham	Sausage	Hash Browns
	Yogurt	Toast	English Muffin	Bagel with Cream Cheese

4. If you are feeling very generous, I would love (check all that apply):
	□ Flowers	□ Books	□ Bath Products	□ Kids Promise Coupons
	□ Computer stuff	□ Perfume	□ Massage/Spa	□ Gift Certificate to: _____________
	□ Candles	□ Seedlings/Flowers for garden	□ Other: ____________________	

5. Hearing the following phrases during the day would make a difference:
	□ I love you	□ You're the best mom ever	  □ Anything I can do for you?
	□ You look beautiful today     □ Thanks for always…. 	□ Other: _________________

6. Signs of affection that are most cherished are:
	□ Loving glances	 □ Hugs	  □ Holding hands	 □ Kisses	□ All of the above

7. If I were to describe a perfect Mother's Day, I would say:
	□ I didn't hear one complaint all day long
	□ The whole household was argument free
	□ I never had to ask anyone more than once to do their chores
	□ The house was cleaned and stayed that way without any help from me
	□ I had the whole day to do whatever I wanted, such as: ______________________

8. If you were thinking of a card, please give me:
	□ A homemade card from my children
	□ A card with an original poem from my husband
	□ A mushy store bought card

9. A delightful Mothers Day day/evening would include:
	□ Helping me ____________________		□ Playing a game with my family
	□ Renting & watching movie all together		□ Going to the movie/play/musical _____________
	□ Enjoying a visit with extended family		□ Dinner with my family at ___________________
	□ A show performed by my family		□ Other: __________________________________