The background is my usual go-to technique: a Gelli Plate print. This one was done on a textured handmade paper I had in my stash. I added some stamping to it.
The flowers were all cut freehand from scraps of various other Gelli Plate prints. I adhered them one at a time with a glue stick, then stitched around them on my machine. I also stitched around the entire page, both as decoration and to make sure everything stayed where it belonged. Here are close-ups of the very imperfect stitching. It's a good thing I like imperfection.
The lettering was done with a blue Sharpie water based poster pen. When dry, the letters were outlined with a black Pitt pen, and some simple doodling inside the letters was done with the same pen.