Permaculture Client Questionnaire

Permaculture Client Questionnaire
This questionnaire is divided into several sections:
 Preliminary Goals
 Your Property
 About You
 Your Home
 Garden Design Considerations
 Design Relationships
 Goals & Motivations Breakdown
 Budget for project
 To be assessed during site visit
 Next Steps

This questionnaire will help you to clarify what you want to achieve and will help me develop a realistic plan for you. Please complete to the best of your ability. If you have any questions, contact Josh Reynolds via text 832-692-1290 or at Josh@ThisTinyFarm.com

* Required
Name: *
Primary Contact
Your answer
Address: *
Please give full address, with City, State, Zip.
Your answer
Phone Number: *
Your answer
Best time to call: *
Your answer
Email address: *
Your answer
Which service are you interested in? *
Preliminary Goal(s): Please describe in a couple of sentences what your goals are for the property? Try to include not only “functional” goals but also what specific “benefits” you expect to gain from those functions/features (i.e. more food, more enjoyment, less work, peace and security, joy, etc.) *
Your answer
Size of property / lot: *
Your answer
Do you have a copy of the tax map, plot plan or survey map of the property? If so, please have handy. If not, please see if you can get it. *
Are you aware of any historic uses of this land such as farming, logging, etc.? *
Your answer
What kind of property surrounds your property? (residential, business, etc.) *
Your answer
Please describe the number and type of buildings on this land (including any outbuildings). *
Your answer
Does your property have any desirable views? *
Your answer
Does your property have anyundesirable views? *
Your answer
Are there any special privacy or “screening” needs? *
Your answer
Do you know what type of soil you have? (Clay, Sandy, Loamy, Rocky). Include PH if you have it. *
Your answer
Have you had your soil tested? *
Have you observed any drainage problems (wet ground, standing water, water in your basement etc.) on your property? *
Your answer
Have you noticed any areas of soil loss or erosion? *
Your answer
Any areas that are too hot/dry in the summer? If so, where? *
Your answer
Describe elevation changes on your property. Where is the low spot, the high spot and are there any sloped areas? *
Your answer
Describe any unique features of the landscape. *
Your answer
Do you know where your septic system & leech field are located? Or where your sewer lines cross your property? *
Any specific site “challenges” or problems that you really want to solve or minimize? (Noise, privacy, drainage, maintenance, poor soil, erosion, etc.) *
Your answer
Who lives in the home? Ages & hobbies/interests? *
Your answer
Do you need (now or in the future) to make your property accessible/usable by persons with disabilities or limited mobility? *
Does anyone living here have allergies (to plants, bee stings, etc.) that you’re aware of? If so, please explain. *
Your answer
How much time do you currently spend maintaining your yard or landscape? *
Your answer
In the future, how much time would you like to spend maintaining your yard or landscape? *
Your answer
Do you employ a landscape or yard maintenance company or do you do this work yourself? How often? *
Your answer
What are some of your favorite outdoor activities that you currently enjoy on your property? *
Your answer
What types of company do you entertain? Adults/Children/Mixed? Friends/Family/Co-workers?Neighbors? *
Your answer
Please describe any pets that you allow outside. *
Your answer
How long have you lived in this home? *
Your answer
How long do you anticipate living here beyond today? Is the decision to stay or leave contingent upon any property or landscape-related issues? *
Your answer
If this is a part-time residence, what times of the year will you be here regularly? *
Your answer
To what degree are you interested ingrowing some of your own food? *
Do you conduct business from home? From a home office? Retail? Other? *
Your answer
During which seasons of the year do you spend time in your yard? *
Required
Does your lifestyle incorporate any particular spiritual or religious practice that you would like to mention? *
Your answer
What is your budget for implementing this permaculture design project? *
Your answer
Do you plan on implementing the entire design all at once or over time? *
How old is your home? *
Your answer
How is it primarily heated and cooled? *
Your answer
Do you have a backup heat source in the event of an outage or fuel delivery problem? *
Your answer
How is your hot water heated? *
Do you know how much electricity you use, on average, per day (see your electric bill for average kilowatt-hours/day - or your monthly Kw usage and we can divide that by 30).
Your answer
How old are your windows? *
Your answer
Do you feel that your home is well- insulated?
Where does your drinking water come from? *
Does your neighborhood/town have any special covenants or regulations governing how you can use your property/home for gardening, etc.? *
Your answer
Are you interested in renewable energy for you home? (solar hot water, solar electric, wind, etc.) *
Are you interested in an energy audit to determine how best to reduce energy consumption and become more efficient?
Are you interested in learning about state/federal incentives for energy efficiency work or for renewable energy? *
Any known structural problems with your house? *
Your answer
Do you have favorite styles or types of gardens? *
Required
What “moods” or tones do you wantyour landscape to convey? *
Required
If you said ‘yes’ to edible plantings, what varieties are you most interested in? (apple, peach, berries, nuts, etc.) *
Your answer
Do you have any particular types of plants that you really love?
Your answer
How much “lawn” do you want in your landscape and what activities will the lawn be used for? *
Your answer
Do you have color schemes that you envision in your landscape? *
Your answer
Which shapes/themes do you prefer ingarden designs? *
Required
What type of hardscape materials appeal to you (rock, wood, etc.)? *
Required
Landscape structures / special features. Which of these would youlike to incorporate into the design? *
Required
Which “utility” features do you needto have incorporated in your design tosupport your lifestyle/landscape? *
Use other to explain what type of animals you have or want.
Required
Is there a smooth flow for foot traffic from inside the home to outside the home? *
Are parts of the home “too exposed” to cold winds or hot sun? *
Your answer
Are you planning renovations to the home either now or in the future? *
Your answer
Is there anyplace in the landscape that you (or anyone living here) would consider “special” or even “sacred?” *
Your answer
How important is it to you to create an overall permaculture design for your property. *
Very Important!
No interest at all.
How important is it to you to live more sustainably. *
Very Important!
No interest at all.
How important is it to you to create a landscape that requires fewer inputs of time, money and effort in terms of ongoing maintenance. *
Very Interested!
No interest at all.
How important is it to you to have an edible landscape. *
Very Interested!
No interest at all.
How important is it to you to create an aesthetically/visually pleasing environment. *
Very Interested!
No interest at all.
How important is it to you to more easily entertain in my home/yard. *
Very Interested!
No interest at all.
How important is it to you to have a more energy-efficient or “greener”home. *
Very Interested!
No interest at all.
How important is it to you to increase the value of my property. *
Very Interested!
No interest at all.
How important is it to you to reduce the operating costs (i.e. energy,water, etc.) of my home. *
Very Important!
No interest at all.
Any final Comments? *
Your answer
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