Client Questionnaire

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To best fit your personal lifestyle to the pattern of your landscape, we need to better understand you and your goals. This will enable us to provide you with a list of options and quotes for designing your location into a resilient, productive property! Please complete to the best of your ability and return to blackflowerpermaculture@proton.me.

Questionnaire developed by Portland Maine Permaculture

Email *

Primary Contact Person(s):
*

Street Address:
Mailing Address:
City / State / Zip Code:

Phone Number:

Email:

Property Owner's Name (if different)

Preliminary Goal(s):

Can you 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.)

Initial Budget

Size of property / lot: *

Do you have a copy of the tax map,
plot plan or survey map of the
property? If so, please attach in email to us. *

yes

Are you aware of any historic uses of
this land such as farming, logging, etc.?

What kind of property surrounds
your property? (residential, business,
etc.)

Please describe the number and type of
buildings on this land (including any
outbuildings).

Does your property have any desirable
views?

Does your property have any
undesirable views?

Are there any special privacy or
“screening” needs?

Do you know what type of soil you

have? (Clay, Sandy, Loamy, Rocky)

Have you had your soil tested?

Yes

Clear selection

Have you observed any drainage
problems (wet ground, standing water,
water in your basement etc.) on your
property?

Have you noticed any areas of soil loss
or erosion?

Any areas that are too hot/dry in the
summer?

Describe elevation changes on your
property. Where is the low spot, the
high spot and are there any sloped
areas?

Describe any unique features of the
landscape.

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.)

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