Birthday presents on the hour. They dont have to be huge presents--just something for them to open! It would be a great idea for a big birthday---like their or - Or anniversary presents as the picture suggests?
Have family and friends write messages on balloons and mail them for a birthday surprise. (Instruct everyone to blow up the balloon, write a message, sign it, deflate it, and mail. This way they have to inflate the balloon to read the message)
Remember: Doing Nice Things for your family is just as good as for strangers. Leave a nice unexpected note for you kids or husband - A sweet loving message or a thank you or an encouragement. Any kind word is good.