Getting Started Questionnaire

Name: Address: City: State: Zip: Phone: E-mail: Hardiness Zone : (see map) Areas to be Landscaped: (Front Yard / Back Yard / Side Yard / All) Front of House Faces: (North/South/East/West) Number of Family Members: Ages: (Separate with commas) List of favorite plants: List of favorite colors: List of plants or colors you do not like: Will you maintain the yard yourself? Yes No Do you like maintaining the yard? Yes No Amount of time you have to maintain the yard per week: Hours Percentage of yard work you will be doing yourself: % How long do you plan on living in this house? Years Do you have any allergies to plants or bees? Soil Type: What do you want to keep in your current landscape? What do you want to take out? Will you install landscape yourself? Yes No How much do you plan to spend on the landscape? $ .00 Do you entertain? Yes No How many people would you like the patio or deck to seat comfortably? Location of septic tank drainage field if applicable: Drainage Problems (where): Considerations & Co: Low Maintenance Yes No Flower Garden Yes No Fruit Trees Yes No Fragrance Garden Yes No Butterfly/Birds Garden Yes No Vegetable Garden Yes No Evergreen Trees or Shrubs Yes No Flowering Trees or Shrubs Yes No Shade Yes No Privacy Yes No Windbreak Yes No Berm Yes No Play Area for Kids Yes No Run Area for Dogs Yes No Fence Yes No Lighting Yes No Waterfalls Yes No Ponds Yes No Dry Creek Beds Yes No Pool Yes No Deck Yes No Patio Yes No Unsightly View to Block Yes No Storage Area Yes No Boulders Yes No Hot Tubs Yes No Gazebo Yes No Curves Lines Yes No Geometric Lines Yes No Staight Lines Yes No Walkways or Paths Yes No Too Much Shade Yes No Too Much Sunlight Yes No Steep Slopes Yes No Driveway Concerns Yes No Private Area Yes No Woodland Area Yes No Play Area for Kids Yes No Run Area for Dogs Yes No Storage Area Yes No         Considering your lifestyle, and the architecture of your home, what type of landscape would you like? Formal (trimmed and sculptured edges. symmetrical beds, classic stutuary) Oriental (simple, meditative, symbolic, limited number of plant types) Modern (grasses, ornamental shrubs, perennial drifts, multi-seasonal interest) Cottage (Many perennials in large beds and borders) Natural (Using more native plants and with more of a woodland feel) Other Additional comments on items checked yes:     Payment Information: (all information is private and will not be sold or used for any other purposes) I will pay by: Check/Money Order Credit Card Note: Credit Card information will be processed over the phone, you may call or we will contact you when form is received. Billing Address : Name: Address: (Address has to match credit card to be processed) City: State: Zip: Phone: E-Mail: (E-Mail needed to confirm ordering confirmation)     Shipping and Billing address are the same?: Yes No Name: Address: City: State: Zip: Phone: email:     If you would like to submit your images electronically, please attach them to a separate email and send them to info@harmonylandscape.com. Harmony Landscape Design 9620 Greenview St. Louis, MO. 63126 Phone/FAX: (314) 962-7853