Subscription Box for Single Moms | The Velvet Embrace LLC

Tell us a little about you...

Tell us a little about you...

What's your first name?

What's your last name?

What's your email address?

When is your birthday ( Month & Day)?

Tell us a little about your family...

Tell us a little about your family...

How many kids do you have?

What are their age ranges?

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What brings you joy ...

If you could have a day just for yourself, how would you spend it?

1. If You Could Have a Day Just for Yourself, How Would You Spend It?

Curling up with a good book

Exploring a new place

Having a spa day at home

Working on a creative project

Other (please specify)

Which small luxury do you wish you had more often?

4. What Small Luxury do You Wish You Had More Often?

Spa products or treatments

Fine chocolate or treats

Cozy nightwear

Home Decor

Basic Beauty ( Nail Polish, Lipstick etc)

Clothing accessories

Which of these fragrances do you prefer ?

2. What Type of Fragrance Do You Prefer ?

Light and floral

Fresh and clean

Rich and earthy

Warm and sweet

No preference / fragrance-free

None

List up to three colors that make you feel happy or relaxed?

Are there any hobbies you love ?

What are your preferred books or movies ?

7. What are your preferred books or movies ?

Self-help or inspirational

Fiction novels

Mysteries or thrillers

Romance

Adventure or fantasy

What are your go-to/ in the moment pick-me-ups?

8. What's Your Go-To/ In the Moment Pick-Me-Up?

Hot tea or coffee

Fresh flowers around the house

Lighting a candle or using essential oils

Listening to a favorite song or podcast

A Glass of Wine

How would you describe your style?

11. How Would You Describe Your Style?

Minimalist and classic

Casual and cozy

Bohemian and eclectic

Trendy and modern

Other

Are there allergies, dietary restrictions, or specific preferences we should know about?

12. Do You Have Any Allergies, Dietary Restrictions, or Specific Preferences We Should Know About?

What subscription frequency would you prefer?

What subscription frequency would you desire ?

Every Month ( i.e. Feb, March, Apr...)

Every 2 Months ( i.e. Feb, Apr, Jun..)

Every 3 Months ( I.e. Feb, May, Aug...)

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