Self Reporting Pollinator Habitat

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Do you have pollinator habitat in your yard? Self report your habitat to help our group keep track of the pollinator friendly sites in Ames!

Pollinator habitat is an area that has any blooming flowers, whether on fruit trees, veggie gardens, or flower gardens!

*Note that we are ONLY wanting habitat within the Ames City limits

Email *

What is your street address?

(This is only to mark your habitat on a map)

What is your name? *

What is the size of your habitat? (in feet) *

Check all that apply to your habitat *

Native Flowers (Purple Coneflower, Golden Alexander, etc.)

Fruit Trees (Apple, Pear, Peach, etc.)

Flowering Shrubs (Elderberries, Redbud, Snowball Bush, etc.)

Nonnative Flowers (Tulips, Lilies, Carnations, etc.)

Other:

Required

Do you use any additives on your habitat? *

Fertilizer

Insecticides

Herbicides

Fungicides

Rodenticides

None

Other:

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

This form was created inside of Prairie Rivers of Iowa.

Does this form look suspicious? Report