City of Peoria Landscape Consultation

City of Peoria

Sustainability & Water Conservation
Landscape Consultation

Limit one per year
Water Billing Account Number (XXXXX-X)*
Name*

First NameLast Name
Address*

Street Address

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Which days work best for a landscape consultation (please select all that apply)?*

MondayTuesdayWednesdayThursday
Which times work best for a landscape consultation (please select all that apply)?*

8:00 AM - 9:00 AM9:15 AM - 10:15 AM10:30 AM - 11:30 AMOther
What is your main reason for requesting a consultation?*

Irrigation ControllerLeak ConcernPlant WateringWater Usage
Have you previously participated in a City of Peoria Sustainability & Water Conservation Program?*

YesNo
How would you describe your current level of familiarity with water conservation practices?*

Extremely FamiliarModerately FamiliarSomewhat FamiliarSlightly FamiliarNot At All Familiar
How did you first hear about this program?*
Choose the option that fits best.
I understand these are general water-saving suggestions and results may vary depending on my property and irrigation system.*

Clear
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