Consultation Questionnaire - Aquaponics
At Aqua Gardening, we can help you with the right products that are customised for you and your needs. If you decide to proceed with purchasing the products with us, the consultation charge will be deducted from the products you purchase, making it a free consultation.
Steps to Complete
Completing this questionaire will help us get the most out of the consultation
Provide a picture of where the system will go
Payment is requested at the bottom of the form
Select the most suitable time for a 1 hour in-store or phone consultation to discuss the details, and form a quote for the products we sell that will suit your system.
Your Details
Contact
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Consultation Location
*
In store - Stafford Shop
Phone call
Video call - Google Meet
Project Information
Goals for the system (for example, to "Feed My Family of 4" or "Grow All My Herbs"):
*
Location (Suburb / State):
*
Property Type
Rental (cannot make changes)
Owned (changes to property can be made)
Size of Project Area (i.e. 5 metres x 2 metres):
*
Please upload a photo of the area where the system will go:
Any further files/pictures to upload?
Upload a File
Cancel
of
A website that inspired you to start with Aquaponics / Link to your ideal system:
Quantity of Fish Wanted:
List of plants you would like to grow:
Existing Location & Equipment Details
Help get an idea of what you already have or want to use
Is there 240V Power Available?
*
Yes
No
Type of Water Available
*
Rainwater
Tap or Mains
Bore Water
Existing tanks / equipment including pumps, grow media, etc:
Water Volume Sump:
Water Volume Fish Tank:
Other relevant information:
Contact Information & Payment
Payment of the Consultation Fee (to be refunded with the Purchase of Goods from Aqua Gardening or Partners):
prev
next
( X )
Consultation Fee
$
100.00
AUD
Total
$
0.00
AUD
Preferred Consultation Date - 1st choice
*
-
Month
-
Day
Year
Date Picker Icon
Preferred Time (if flexible leave blank)
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Preferred Consultation Date - 2nd choice
-
Month
-
Day
Year
Date Picker Icon
Preferred Time (if flexible leave blank)
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Save
Submit Form and Make Payment
Clear Form
Print Form
Should be Empty: