Quite frankly I inquire if they "like" quilts that I make, if they say yes, I inquire if they would actually use a quilt if they get one. I also ask them to be honest with me about if they would actually like a quilt or if they would prefer something else. Ask color preferences and have even let them pick from several patterns. The only time I didn't ask was when a niece was undergoing chemo and was saying she was cold all the time after a treatment. Made her a flannel quilt with a wool bat inside, so she could wrap up in it. This was almost 10 years ago and she will still mention that she curls up under it when she feels sad. That also warms my heart.