New Customer Questionnaire

Here is a new customer questionnaire. This questionnaire enables us to understand your landscape needs, likes and dislikes.  Please consider each question carefully to enable us to build your outdoor environment to your liking.

* Your information will remain confidential and will not be sold or given away in any way.

Customer Contact Information:

Name:                        

Email Address:          

Address 1:                 

Address 2:                 

City, State, Zip:         

Phone Number:         

Convenient time to contact you:

Your position in landscape decision (owner, contractor ...)

Design Description 

Please check the type of property to be landscaped: (check 1)

Residential        Commercial building        Park        Industry     

Design Preferences

Purpose of Landscape Project: (check all that apply)

Provide more shade                            Provide more privacy

Provide a noise filter                           Provide a windbreak

Provide for more sunlight                  Add more fragrance                              

Growing fruits/vegetables                Attract birds

Attract butterflies                                 Attract wildlife

Solve parking problems naturally    Improve landscape through windows

Solve a drainage problem

Other: (Please specify below)

                        

 

Landscape Mood: (check all that apply)

 

Relaxing          Private          Bright/Cheerful        Green

          Social             Structured/organized          Meditative

Other: (Please specify below)

           

 

Goals for the landscape project: (5-7 lines)

 

 

Enter your favorite colors: 

 

Enter your favorite plants/shrubs:  

 

 

Time(s) of day the area would be appreciated/used:

 

Favorite season(s):

 

Landscape Theme: (check all that apply)

Year round interest          Ornamental          Woody     Colorful

          Perennials          Simple          Symmetrical          Bordered

  Symbolic          Sculpture        Fen shui          Lawn beauty

Other: (Please specify below)

       

 

Landscape Style: (check one)

  Formal          Informal          Natural          Geometric       Curves

        Uniqueness        Strait lines        

 

Landscape Area prospected uses: (check all that apply)

  Relaxing                                                Reading area 

  Casual dining                                       Play area

  Hanging laundry                               Growing Fruits/Vegetables

  Formal entertainment                         Social gathering

  Compost soil area                               Sunbathing

Other(s): (Please specify below)

       

 

 

Hardscape Elements/Materials available now: (Check all that apply)

 

patio            hot tub          planters              parking           shed

 

arbor           concrete      stairs/steps        garden walls   gazebo

 

  gravel        boulders     fence                    clothesline    stones

 

pond             stream          fountain           statues           greenhouse

 

pool              barbecue    compost              deck              rockscape

 

trelace           swing set     outdoor play equipment

 

other: (Please specify below)      

                               

 

Hardscape Elements/Materials you wish to add to your project :

                                                (Check all that apply)

 

patio            hot tub          planters              parking           shed

 

arbor           concrete      stairs/steps        garden walls   gazebo

 

  gravel        boulders     fence                    clothesline    stones

 

pond             stream          fountain           statues           greenhouse

 

pool              barbecue    compost              deck              rockscape

 

trelace           swing set     outdoor play equipment

 

other: (Please specify below)      

                               

 

Users of the landscaped area: (check all that apply)

 

Children 0 - 12 years old          Teenagers        Adults          Dogs

 

Number of people viewing landscaped area on a daily basis:   

 

Time that will be spent in the landscaped area:

 

Less than an hour/week      1 - 5 hours/week    5 - 10 hours/week

                 

11 - 24 hours/week               25 + hours

 

Drainage Solution

Does your property have a drainage problem?  Yes          No


If applicable, the problem with drainage on the property is: 

   

                    

Actual Landscape Installation

 

Who are you planning on installing your landscape?

Jurgens Landscape    Owner    Outside contractor  N/A

 

What is the approximate budget for this project: $

 

When is a good time to start designing the project:

 

 

When is a good time to start construction on the project:

 

 

Maintenance  Preferences

 

Amount of time worked in the yard:

           Off season:  hours/week          Peak Season:  hours/week

 

How often are the grounds maintained?

           

 

Final Comments/Questions

Please include any comments you have regarding your landscape design/construction that was not discussed in this survey.  Also feel free to include any questions you have.   Please tell us what your needs are and how you envision your project at completion.

 

How did you find out about Jurgens Designed Landscapes?

Please press submit to submit the survey, but CAUTION: pressing reset will clear the form blank.