Sometimes it can seem hard to follow exactly what the sketch has but I always try to remember that all the pieces can be changed to fit my needs. So with this card I did a 90 degree turn and then the large vertical piece I narrowed down (my polka dot piece) and the two pieces with rounded edges I actually made a shape(flowers) coming off the top of the top layer, the horizontal piece turned into ribbon. Always remember that the sketch is just a starting place and as you work on your card you may decide to change it up a bit and that's okay. So here is my take on the sketch below.
Click HERE to go see all the other designers takes on this sketch and then why don't you take a few min. okay maybe more that a few ;) and join in on the fun of creating a card that you can send to someone. I'm sure that they will appreciate you taking the time and thinking of them and it would be relaxing for you - I hope:0)