Roy T. Dufreche & Associates

Landscape Architects & Planners

Client Questionnaire

The purpose of this questionnaire is to obtain information that will be helpful in preparing a design for your project. All information you provide will be held in strict confidence and will aid in creating a design that fits your special needs and the conditions of your site.


Getting To Know You

Name:

Phone number:

Email:

Tell us how we can improve your home:

How many are in your family?

Ages? (check all that apply) 0-3 | 4-9 | 10-14 | 15-18 | 19+

What kind of outdoor pets do you have? Dog(s) | Cat(s) | Other

How did you hear about us? Web site | Magazine | Phone book | Referral

Information About Your Home

I. Family Characteristics Please list the names of all family members and identify each person's age, place of employment or school, and hobbies, especially as they relate to the outdoors:

II. Existing Site Conditions

A. Front yard Problems Please list the current problems in the front yard which you think should be minimized or overcome in the design:

1. Visual:

2. Functional:

B. Back yard Problems: Please list the current problems in the back yard which you think should be minimized or overcome in the design:

1. Visual:

2. Functional:

C. Front yard Potentials: Please list all the positive elements and qualities of the front yard which should be retained or enhanced in the design.

1. Visual:

2. Functional:

D. Back yard Potentials: Please list all the positive elements and qualities of the back yard which should be retained or enhanced in the design.

1. Visual:

2. Functional:

III. Desired Outdoor Activities: Place a check mark next to those activities in which you want to participate on your site.

Barbecuing | Sitting/Relaxing/Reading | Sunbathing | Bird watching

Entertaining --

4-6 guests | 7-10 guests | 11 + guests

Gardening --

Annuals | Perennials | Vegetables | Fruit trees | Woody shrubs

Recreation --

Badminton | Volleyball | Croquet | Swimming | Basketball | Baseball | Football | Frisbee

Other

IV. Desired Site Character: Please describe how you think your site should look (formal/informal, open/wooded, etc.)

V. Materials:

A. List the types of materials you like most for pavements, fences, walls, etc.

B. List your favorite plant materials:

C. List the plant materials you do not want used on your site:

VI. Budget: Identify the budget you would be willing to spend annually on your site for the next five years: