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Address: ________________________________ Work Phone: __________________
City, State, Zip: ________________________________
Name and age of family members: (list any outdoor hobbies or sports that take place in the yard) ________________________________________________________________
Any Pets? Yes No If yes, what kind? ________________________________
What style of house do you have? (Victorian, cottage, etc...) ________________________________
How old is the house? ________________________________
Do you have plot plans or architectural plans for the house or lot? Yes No
What is the approximate budget for the design and installation of the landscape? _______________ Please comment if necessary ________________________________
Who will maintain the landscape? owner contractor others
Who will install the landscape owner contractor others
*Please check all that apply
Soil/Drainage Questions
Poor Drainage Compacted Soil Excessive Runoff Steep Slopes Poor Water Holding Other Grade Problems
Utilities
Above ground utilities________________________________ Below ground utilities________________________________
Light Conditions
Please provide information on the amount of sun the landscape receives. Be specific. ________________________________ ____________________________________________________________________________________
Special Considerations *Please check all that apply
Screens needed Traffic noise Windbreaks Snow drifting Shade needed Too much shade Fence needed Poor driveway Turnaround needed Poor walks Existing plants Too much lawn Not enough lawn Paths on turf Others, please specify________________________________
Plant Selection
Plants liked _______________________________________________________________ ____________________________________________________________________________________
Plants disliked________________________________________________________________________ ____________________________________________________________________________________
What type of foundation planting do you prefer?
Deciduous shrubs Evergreen shrubs Combinations
Service Areas
Cloths line Compost bin Dog kennel Boat/trailer storage Vegetable garden, approx. size?_________ Grill/fire pit Others____________________
Recreational/Entertainment Areas
Would you like recreational areas? Yes No
If yes, please indicate what the areas will be used for.______________________________________________
Would you like a deck or patio? Yes No
If yes, please indicate the average number of people you will entertain.______________________________________________
*Please check all items that you would like incorporated into the landscape design
Annual flowers Perennial flowers Ornamental grasses Prairie garden Water garden Butterfly garden Vegetable garden Trees Shrubs Entry garden Driveway/car turnaround Patio garden Walks/paths Deck Stairs Retaining walls - timber block Outdoor lighting Swimming pool Foundation plantings Children's play area Irrigation Lawn Shrub beds border Fencing Mail box Dog kennel Large lawn for recreation Wildlife garden Large shade trees Other____________________
Would you like planting beds mulched? Yes No
If yes, would you prefer Decorative rock Wood chips Shredded bark Compost Others_________________________________
Please use the following space to provide any other information that you feel will be useful in the development of your landscape design. Please be as specific as possible.