City of Peoria
Sustainability & Water Conservation
Landscape Consultation
Limit one per year
Water Billing Account Number (XXXXX-X)
*
Name
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First Name
Last Name
Address
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Street Address
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Which days work best for a landscape consultation (please select all that apply)?
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Monday
Tuesday
Wednesday
Thursday
Which times work best for a landscape consultation (please select all that apply)?
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8:00 AM - 9:00 AM
9:15 AM - 10:15 AM
10:30 AM - 11:30 AM
Other
What is your main reason for requesting a consultation?
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Irrigation Controller
Leak Concern
Plant Watering
Water Usage
Have you previously participated in a City of Peoria Sustainability & Water Conservation Program?
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Yes
No
How would you describe your current level of familiarity with water conservation practices?
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Extremely Familiar
Moderately Familiar
Somewhat Familiar
Slightly Familiar
Not At All Familiar
How did you first hear about this program?
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Please Select
Bill Insert (PeoriaNOW)
City Building (Library, etc.)
City Employee
City Event
City Mail (Sustain & Gain, etc.)
City Website
New Customer Email
Email/Newsletter
Family/Friends/Neighbor
HOA/Community Org
Internet Search
Landscaper/Contractor
News Outlet
Peoria School
Social Media
Store/Business
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.
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