Groundswell Landscape Questionnaire Name First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email PhonePreferred contact days- times: 2. How did you find out about us? Personal Referral Professional Referral Houzz Google Other 3. Desired Landscape Amenities (check all that apply) Patio (Concrete) Patio (Natural Stone) Patio (Brick) Patio (Pavers) Patio (Sand set flagstone) Patio (Decomposed granite or gravel) Paths Lighting Patio cover Site walls Natural stone walls Dry river bed Retaining walls Boulders Fire Feature Barbecue (Built in) Barbecue (Portable) Outdoor dining area Outdoor kitchen Built in furniture Children's play area Vegetable Garden Herb Garden Container Plantings Privacy planting Fencing Other (please specify) 4. Do you have children under the age of 18? Yes No If yes, then what are their ages? 5. Style Cues (check all that apply) Modern Casual Cottage Mediterranean Asian Tropical Desert Native Informal-Naturalistic Formal-Controlled Symmetrical Other (please specify) 6. What are the primary problems you'd like us to solve?7. What do you like about your landscape now?8. What uses would you like to develop?9. Are there specific plants that you are fond of?10. Are there specific plants you dislike?11. When would you like to get started on the installation of your landscape?12. Will your project require review by a homeowners association? Yes No 13. Budget is an important planning tool that affects all aspects of design and construction. We are interested in putting together a proposal that suits your needs and budget. Please check the figure that most closely represents your planned investment. Under $7,000 $7,000-$15,000 $15,000-$30,000 $30,000-$60,000 $60,000-$100,000 $100,000 + Send up to 15 pictures of the area(s) to be addressed (.jpg, .png or .pdf) Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 60 MB, Max. files: 15. CAPTCHA
