Name (required):

Address:

City, State, ZIP:

Occupation:

Phone:
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1. How many people reside at this location?
Name
Age Select age 0-2 years 3-5 years 6-10 years 11-14 years 15-18 years 19-25 years 26-35 years 36-45 years 46-55 years 56-65 years 66-75 years 76-85 years 86+ years
Name
Age Select age 0-2 years 3-5 years 6-10 years 11-14 years 15-18 years 19-25 years 26-35 years 36-45 years 46-55 years 56-65 years 66-75 years 76-85 years 86+ years
Name
Age Select age 0-2 years 3-5 years 6-10 years 11-14 years 15-18 years 19-25 years 26-35 years 36-45 years 46-55 years 56-65 years 66-75 years 76-85 years 86+ years
Name
Age Select age 0-2 years 3-5 years 6-10 years 11-14 years 15-18 years 19-25 years 26-35 years 36-45 years 46-55 years 56-65 years 66-75 years 76-85 years 86+ years
Name
Age Select age 0-2 years 3-5 years 6-10 years 11-14 years 15-18 years 19-25 years 26-35 years 36-45 years 46-55 years 56-65 years 66-75 years 76-85 years 86+ years
Name
Age Select age 0-2 years 3-5 years 6-10 years 11-14 years 15-18 years 19-25 years 26-35 years 36-45 years 46-55 years 56-65 years 66-75 years 76-85 years 86+ years

2. How many years have you lived at this location?
Years

3. How many years do you expect to live at this location?
Years

4. Are there any cultures, garden types or philosophies that influence or interest you? (Check any that apply)

5. Would you like your landscape more formal or more naturalistic?

Formal

1

2

3

4

5

6

7

8

9

10

6. Would you like to see more wildlife attracted to your garden?
Yes
No
Impartial

7. Are there any favorite spots on your property that are special or that you like to visit?
Some of my favorite spots are...

8. Is your landscape in need of any of the following features? (Check any that apply)
Driveway
Arrival court
Walkway(s)
Patio(s) or deck(s)
Pool or spa
Other

9. When you're having parties or entertaining, how many people on the average attend?
Adults Children

10. What are some of the more active uses that take place, or you would like to have take place on your property?

11. What are some of the more passive uses that take place, or you would like to have take place on your property?

12. Are there any other landscape features that you would like to have on your property?

13. Are there any problems on your property that you are aware of?

14. Do you have any favorite plants that you would like to have incorporated into a landscape plan? (Example: shade trees, flowering trees, ornamental shrubs, perennials, etc.)
Some of my favorite plants are...

15. In what time frame would you like to implement the work being considered?
This year
By the end of next year
3 to 5 years

16. Do you have an estimated figure for the project being considered?
2 to 5 K
5 to 10 K
10 to 20 K
20 to 50 K
50 to 75 K
75 to 100 K
100 K +