Client Questionnaire Permaculture Client Survey Client Information Name(s): Please enter a valid name. Email: Please enter a valid email address. Address: Please enter a valid address. Do you rent or own your property? Rent Own Special requirements or accessibility needs: Household Members: Number of people (updates as you add/remove members): Practical skills: Hobbies/Activities: Add Another Household Member Pets or animals (type): Pet/animal accommodations: Values or ethical considerations: Ideal lifestyle vision: Next External Factors & Site Sectors Goals & Vision Major goals: Main uses of land: Land vision: Consultant assistance areas: Site Challenges & Limitations Major challenges: Minor challenges: Personal challenges: Limiting factors: Previous Next Site Resources & Priorities Greatest resources: Desired yields: Top priority: What you like most: What you like least: What’s working well: Main economic factors: Additional resources/assets: Food Systems & Self-Sufficiency Food production level: Low Medium High Food storage preferences: Food processing needs: Previous Next Climate & Sun Exposure I’m interested in maximizing solar gain for passive heating: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in creating shaded areas to keep spaces cool: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in incorporating windbreaks to reduce strong winds: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in optimizing my site layout based on seasonal sun exposure: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A Previous Next Water & Hydrology I’m interested in managing water runoff to prevent erosion: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in incorporating rainwater harvesting: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in minimizing water waste in my site layout: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in improving drainage in areas where water pools: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in creating a pond, swale, or other water-retaining feature: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A Previous Next Soil & Landform I’m interested in improving soil health for better plant growth: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in reducing soil erosion through plantings or strategies: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in implementing no-dig or low-disturbance soil practices: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in assessing my property for the best planting locations: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A Previous Next Access & Circulation I’m interested in designing pathways to make my property more functional: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in planning driveways or vehicle access routes: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in creating clear zones for walking and workspaces: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in improving outdoor accessibility for all users: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A Previous Next Privacy & Noise I’m interested in creating privacy from neighbors or roads: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in reducing noise from traffic or neighbors: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in incorporating natural barriers like hedges or trees: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in creating quiet, secluded spaces on my site: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A Previous Next Food Production & Edible Landscaping I’m interested in planning a kitchen garden for fresh herbs and vegetables: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in creating a food forest or perennial edible landscape: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in integrating fruit or nut trees into my site: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in exploring options for poultry, bees, or small livestock: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in designing a greenhouse or cold frame for season extension: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A Previous Next Wildlife & Habitat Support I’m interested in attracting beneficial wildlife like pollinators and birds: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in creating habitat for native species on my property: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in reducing pest species through ecological methods: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in including native plants to support local ecosystems: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A Previous Next Energy & Resource Use I’m interested in incorporating renewable energy options like solar or wind: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in reducing energy use through passive design strategies: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in repurposing or recycling materials on-site: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in reducing my household’s dependency on external utilities: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A Previous Next Shelter & Structures I’m interested in siting and designing a greenhouse or hoop house: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in planning an outdoor kitchen or gathering space: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in incorporating natural or sustainable building methods: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in designing functional storage for tools or supplies: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A Previous Next Community & Social Connection I’m interested in creating spaces for gathering and socializing outdoors: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in incorporating shared or cooperative spaces on my site: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in aligning permaculture with community values: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A I’m interested in planning for community food production or barter systems: Highly Disagree Somewhat Disagree Neutral Somewhat Agree Highly Agree N/A Previous Submit Survey Survey submitted successfully! 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