Personal Background
Family Name:
Street Address:
Subdivision:
City:
Zip Code:
Township:
County:
Daytime Phone:   Evening Phone:   Cell Phone:   Fax Number:
E-Mail:
Can you provide a plot plan of your property?	Yes No
List family members names and ages:
Your Occupation:
Your Spouse's Occupation:
Please list the names of your service providers and their telephone numbers, if applicable.	Telephone: Cable: Underground Dog Fence:
How did you hear about Second Nature Landscapes?	Referral Angie's List Yellow Pages Trucks Yard Sign Web Site Other
Are you allergic to any plant material?	Yes If yes, please specify: No
Site Information
How long do you plan on living at your residence?	less than 2 years 2 - 3 years 3-5 years 5 years or more
How long have you lived at your residence?
Do you have future building plans?	Yes If so, please specify: No
Do you have a patio or deck?	Yes No
If you currently have a patio or deck, do you plan on enlarging the existing structure?	Yes No
Do you currently have a pool?	Yes No
If you do not currently have a pool, do you have plans to install one?	Yes No Not Applicable
Do you currently have a hot tub or spa?	Yes No
If you do not currently have a hot tub or spa, do you have plans on installing one?	Yes No Not Applicable
Do you currently have a gazebo?	Yes No Not Applicable
Do you currently have a water garden?	Yes No
Are you interested in landscape lighting?	Yes No
Is your lawn irrigated?	Yes No
Are your planting beds irrigated?	Yes No
If you currently don't have one, would you be interested in installing an irrigation system?	Yes Maybe No Not applicable
Do you have a drainage problem in your yard?	Yes If yes, please erase this text and explain your drainage problem here. No
Are there wind pattern problems in your yard?	Yes If yes, please erase this text and explain your wind pattern problem here. No
Are there areas you have trouble accessing because of sloping ground?	Yes No If yes, please describe:
Are you interested in installing a walk to allow easier access to your backyard?	Yes No
Outdoor Activity Survey
Please estimate the amount of time you spend in your yard, excluding gardening or maintenance.	Front Yard: Back Yard:
Are there areas needed for children playing or sports activities?	Yes If yes, please specify here. No
Do you entertain?	Frequently Occasionally Very Seldom Never
Do you entertain outdoors?	Frequently Occasionally Very Seldom Never
Do you cook outdoors?	Yes No
How many people on the average will you entertain at one time including yourself?	2-4 4-8 8-12 12 or more
Do you plan on having a vegetable garden?	Yes If yes, please type here size and location. No
Do you have pets?     If yes, please check all that apply:	Yes No Cat(s) Dog(s) If you have dogs, please specify the breed below:
Are your pets outside?                     Do you have an underground pet fence?	Occasionally Always Please specify the outside areas your pets have access to here, if applicable. Yes No Please specify the location of your underground pet fence here.
Landscape Criteria
What do you imagine seeing in your front landscape as you arrive home?
What do you imagine seeing as you look out at your back landscape?
Please indicate your priorities from the following.  Check all that apply.	Curb appeal of the house Privacy in the back of the yard Privacy on the sides of the yard Seasonal color Winter Interest Low maintenance
Are there views you wish to accent?	Yes Please describe any views you wish to accent here. No
Are there views you wish to screen?	Yes Please describe any views you wish to screen here, and indicate if you would like them screened all year. No
Do you want sun or shade on your patio or deck?	Lots of sun Lots of shade A mixture of sun and shade Not applicable
Plant Selection Criteria
Please check your favorite color(s).  Check all that apply.	Yellow Blue Purple Red Pink Orange White
Please check any colors that you DO NOT like.  Check all that apply.	Yellow Blue Purple Red Pink Orange White
Please list your favorite trees and shrubs.
Please list your LEAST favorite trees and shrubs.
Are you interested in perennial flowers?	Yes If yes, please list any favorites here. No
Do you like ornamental grasses?	Yes If yes, please list your favorite ornamental grasses. No
Do you like to plant bulbs or annual flowers?	Yes If yes, please list annuals/bulbs that you like here. No
Are you interested in plants that attract the following? Please check all that apply:	Birds Hummingbirds Butterflies
Are you going to maintain your landscaping?	Yes No
On average, how much time will you allow for maintenance on your landscape per week?	0 hrs. 1-3 hrs. 3-5 hrs. 5-10 hrs.
Do you wish to reduce, increase, or maintain the time you currently spend working in your yard and garden, and why?
Final Question
Thank you for filling out this questionnaire.  Please write down any other information you feel is important in the additional comments section to the right.