I find figuring out what to do is the process that takes the longest, especially with a custom. You want it to look special. I agree, look at various sites and see what others of done that you feel you can accomplish, not something that is beyond your experience level that will cause more anxiety. Audition those ideas on plexie of on a paper picture of the quilt. Once you "see" the finished concept, you'll be inspired to hit it. Hang in there, if you've been ill, you may need more time to recover. Your customer will understand.