COMMUNITY GARDEN SURVEY
Name:
*
Phone Number:
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you a member of a Federally Recognized Tribe?
*
Yes
No
If yes, please list Tribe:
How do you feel about a community garden?
*
It's a great idea
I don't like the idea
I'm not enthusiastic about a garden but it is ok with me
Other
If you answered "Other" please specify:
What type of vegetables would you like to see growing in a Community Garden? (Check all that apply)
*
Potatoes
Onions
Tomatoes
Squash
Carrots
Kale
Eggplant
Cabbage
Brussels sprouts
Strawberry
Corn
Pumpkin
Peppers
How would you envision the Community Garden? (Choose all that apply)
*
A place to grow healthy food for myself and family
A place to grow food for our community
A place to learn about gardening
A place for community involvement
A place for events
A place to meet and make new friends
What type of things would you be interested in doing in a Community Garden? (Choose all that apply)
*
Mentoring another gardener
Caring for borders and common areas of the garden
Watering the garden
Helping organize the garden
Other
If you answered "Other" please specify:
I am currently involved in some scale of gardening (Choose all that apply):
*
Home garden
School garden
Community garden
Demonstration garden
None
Other
If you answered "Other" please specify:
Would you be interested in volunteering in a Community Garden?
*
Yes
No
Would you be interested in being a Community Garden Committee Member?
*
Yes
No
What is your age range?
*
18-24
25-34
35-44
45-54
55-64
65-74
75 years or older
Date
*
-
Month
-
Day
Year
Date
Thank you for completing our survey.
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