Client Interest Form

Client Interest Form

Complete the following form if you are interested in hiring Back to Natives to design your native plant landscape.
Full Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
This is my:*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Yes.No.
Yes.No.I plan to install the garden myself.
By homeowner.By professional gardener.By maintenance company.I'm not sure yet.
On a scale of 1 to 10, how much input do you want to have in the creative aspects of your design?*
Country: colorful, mixed borders, perennials, informal layout with winding rustic pathsAsian: simple; mixed shrubs and groundcover, serene, shady, lots of greenFormal: symmetrical, clipped hedges, lawns, pathsContemporary: architectural foliage, strong color contrasts, mass plantingsMediterranean: low water plants, flagstone or decomposed granite paths, stone or stucco wallsOther
Do you have children that will play in your garden? Do you have pets that will utilize your garden? How many? What kind?*
What do you like about your existing garden? What do you dislike?
What is the single most important thing you would change about your existing garden?
What existing landscape will remain? (plants, paving, fencing, irrigation, etc.)*
Are any home remodeling changes planned?*
Does a neighbor have any changes planned that might affect you?*
How long do you intend to stay in your home?*
Noise issuesPrivacy issuesSecurity issuesWater issuesErosion or drainage issuesPest problems (gophers, etc.)Allergy issuesUnderground utilities, etc.Other
Entertainment/diningRecreation (play area for children, pool, spa)ReadingBird/wildlife watchingYoga/meditationGardening (potting bench, vegetable bed, composting, etc.)Cooking (outdoor kitchen, BBQ, firepit)Other
Instant gratification: I want large shrubs and trees for immediate effect, and I don't mind spending the extra money.Delayed gratification: I like to watch them grow and change and want to watch my budget.
Desired completion date:*

MonthDayYear
What flower colors are you fond of?*
Please list any plants that you absolutely DO NOT WANT in yor garden.*
Please list any plants that you MUST HAVE in your garden.
PrivateSerene/CalmingRelaxingCasual/InformalFragrantVerdant/LushFormalSymmetricalBoldFun/WhimsicalSpiritualTropicalWoodlandAsian/OrientalRusticComfortableOpen/ExpansiveShelteredExoticFlowing/GrassesPracticalCoolWarmNatural/WildOther
Most people don’t want to think about this, but your budget will determine whether your garden can be installed all at once or phased in over time; it will also determine whether or not you can hire a professional landscape contractor to install and/or maintain the garden. The selection of paving materials and the size of the plant material specified in the final plans will also be determined by your budgetary constraints.*

Less than $5000$5000 - $10,000$10,000 - $20,000$20,000 - $50,000$50,000 - $100,000Whatever it takes
Thanks for taking the time to complete this survey! We will be in touch.
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