Say Words
Shirley Sergent
137 East 28th St. #3D
New York, NY 10016
212.686.8639
800.464.1013
sas@saywords.com

Saywords Questionnaire

Please note that the questionnaire is not working at this time. It does not transmit. I will have someone look at it as soon as I can. In the meantime, please write me an email with your request for a speech. You can also call me and leave your number and I will return the call as soon as possible. Thank you, and I apology for any inconvenience. I can be reached at 212-686-8639, toll free 1-800-464-1013, or sas@saywords.com.

Way to Say Words

Speech, Poem, Toast, or Wedding Vow:

The Event

Type of Event:

Date & Time:

Location:

Number of Guests:

Bride's or Groom's Name, Age, Profession (for weddings):

Wedding Party (Names, Roles, and Relationship)

The Person Being Honored

Name:

Age: Sex: Female Male
Nickname(s):

Physical Appearance:

Living Status:
Single Married
With Children No Children
Living Style:

Education:

Profession:

Passions:

Hobbies:

Talents:

Sports (Indoor/Outdoor):

Leisure Time:

Ways of Thinking:

View on Life:

Moral Standards:

Personality (Inward/Outward):

Core Qualities:

Something About Culture:

Likes and Dislikes:

View of Friends & Family:

Additional Information:

Person Giving the Speech

First Name:

Last Name:

Connection to Person Honored:

People to Mention:

Style to Say (humorous,serious,light,combination):

Humorous Moments to Mention:

Serious Moments to Mention:

Other Moments or Thoughts:

Where did you find Say Words?

Information About Speaker

Address:

City:

State: Zip: Country:

Phone: Fax:

Email Address:

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Say Words Shirley Sergent 137 East 28th St. #3D New York, NY 10016 212.686.8639 800.464.1013 sas@saywords.com