Herbal Design Questionnaire

Name

First Name

Last Name

Phone Number

(###)

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Existing Conditions

Do you have an existing herbal garden? If yes, what do you like most about it.

What single most important thing would you change and why?

Describe your growing ability.

Herbal Healing Garden

What are the measurements of your space?

Describe your dream herbal garden

What is your budget range?

Include plants, soil, containers, etc.

Sun Exposure of Potential Garden Location

Type of garden bed you desire

Types of Herbs you want in your garden

Check all that apply

Medicinal (Echinacea, Chamomile, etc.)

Culinary (Basil, Oregano, etc.)

Health Issues

Describe/List any health concerns you would love to grow herbal supplements for. (ie, Anxiety, blood pressure issues, menopause, etc.)

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Healing Gardens