At my house, thank you notes are a big deal. Well, they have been a sort of sticking point for me, anyway. Thank you's, birthday cards, etc. are almost always handmade, which involves a certain time factor. Coming up with ideas is the tricky part. It's a lot like paperwork. It can be tough to get around to doing. However, once I have an idea, I'm good to go. Then I do the same thing a few times (occasionally 20 or more times!) to streamline the process and make the most of it.