Resilience Hub Permaculture Design Questionnaire
We start all our design projects and consultations by asking you to fill out this questionnaire. Please involve all members of the household, especially in the creation of your goal statement!

PLEASE ALLOW 20-40 MINUTES TO FILL THIS OUT. You can also submit it partially completed and then edit it later.

The Resilience Hub designers will be looking at all of the following things when we get to your property:

*Solar orientation/obstructions *Altitude/Latitude *Prevailing Winds *Features/vegetation to retain *Special species * Vehicle/Materials access * Climate * Min/Max Temperature * USDA Zone * Rainfall/Surface water * Days Sun/Clouds * Microclimates/Topography

When you complete this questionnaire, we will receive an email alert and will contact you to schedule something!

Type of Design Service *
Check out this page for more details on Design Options: http://resiliencehub.org/services/maine-permaculture-design/
How did you hear about The Resilience Hub?
Your answer
What is your experience with Permaculture as a design process, set of skills, strategies or principles?
Your Contact Information
Your Name *
First and Last
Your answer
Your Email Address *
Your answer
Your Physical Address *
Your answer
Mailing Address (if different)
Your answer
City/State/Zip Code *
Your answer
Phone number *
Your answer
Preliminary Design Goals
Household Goals *
Describe in a couple of sentences what your goals are for your property. Try to include not only functional goals ("I want a garden") but also specific benefits you would like to gain from those functions or features in your space (i.e. more food, less work, peace and security, joy economic security ect. ) Keep in mind that these goals be short and long term in nature. Note: it is really important that all members of the family be involved in this discussion, even the children.
Your answer
Motivations *
Please give some specific reasons WHY this goal or set of outcomes is important to you. What are the underlying reasons for this goal to have risen to the surface for you? Why now?
Your answer
Initial Desired Features, Functions & Yields *
What are some of the features that interest you? Think in terms of physical features and elements, “functions” that need to be served and for whom, and any yields or actual “products” you’d like from the site (food, medicine, beauty, salad!).
Yes, definitely
Yes, if possible
Sounds interesting, need more info
Probably not
Definitely not
Don't Know/Not Sure
Vegetable Production
Fruit Production (tree/shrub)
Nut Production
Rainwater collection
Energy Efficiency Elements
Renewable Energy Elements
Water Feature Elements
Animals or Livestock
Minimize Lawn
Minimize Fossil Fuel Consumption
Site Challenges or Problems to Solve
What are some of the physical site challenges or things you wish could be different about how the physical site is or "works?"
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service