Did you (or whoever) use their hands to make something? Was it cut by you, did you put the pieces together and guide them into the sewing machine? Did you take out the wrong stitches? Did you press the item each step of the way? Did you pick out the different fabrics and materials that went into the project? Did you guide it through your machine for the quilting stitches? Was is constructed in your home? If there were individually premade pieces, did you assemble it all together? It was hand made.
Now if you bought the finished quilt at Walmart and added a bow, NO!