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Landscape Design Checklist
Please complete this form so we can deliver excellent service.
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1
Full Name
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Full name
First Name
Last Name
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2
Mobile Number
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For SMS confirmations, etc.
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3
Email
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for calendar invitations.
example@example.com
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4
Location Address
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Please confirm the location of job.
Street Address
Street Address Line 2
City
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VIC
NSW
QLD
SA
WA
NT
TAS
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VIC
NSW
QLD
SA
WA
NT
TAS
State
Postcode
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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5
Luxescape Territory
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This field is required.
Pick the area nearest to you
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Central Gippsland
Geelong
Melbourne (Victoria Main)
New South Wales
Port Stephens
Queensland
West Gippsland
Wyndham
Please Select
Please Select
Central Gippsland
Geelong
Melbourne (Victoria Main)
New South Wales
Port Stephens
Queensland
West Gippsland
Wyndham
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6
How did you hear about us?
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Please select the source.
Google Search
Google Ads
Facebook Ads
Youtube Ads
Other social media advertising
Facebook post/group
Twitter post
Instagram post/story
Other social media
Email
Radio
TV
Newspaper/Magazine
Word of mouth
Other
Google Search
Google Ads
Facebook Ads
Youtube Ads
Other social media advertising
Facebook post/group
Twitter post
Instagram post/story
Other social media
Email
Radio
TV
Newspaper/Magazine
Word of mouth
Other
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7
Spouse / Partner Living at Home?
YES
NO
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8
Children Living at Home?
YES
NO
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9
How Many Children at Home?
1
2
3
4
5+
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10
Any other Household Members?
If Yes, Please let us know who
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11
Do You Have Pets?
YES
NO
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12
How Many and What Kind of Pets?
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quote
Created with Sketch.
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13
Any Special Needs or Accessibility Requirements?
YES
NO
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14
Please Detail any Special Needs or Accessibility Requirements:
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15
HOW WILL YOU USE YOUR SPACE:
Please check the intended uses / aspects that you would like to include within your Design:
Outdoor Dining / Entertaining
Swimming Pool
Fireplace / Firepit
Spa
Pergola / Gazebo / Cabana Hut
Sauna
Children's Play Space
Outdoor Kitchen
Water Feature
Greenhouse
Vegetable Garden
Sports Court
Sculpture / Art included?
Other
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16
Other Uses of your Space:
Please let us know what else you would like us to be aware of and consider for your design:
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17
Outdoor Dining / Entertainment:
How many people should we design for:
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18
Are Retaining Walls or Earth Modelling required on Site?
YES
NO
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19
Are you considering Garden Lighting for your Yard?
YES
NO
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20
BUILDING MATERIALS:
Please check any which you definitely would like to see within your Design.
Concrete
Exposed Aggregate Concrete
Timber Decking
Timber Sleepers
Timber Panelling
Sandstone
Limestone
Travertine Paving
Slate
Marble
Gravel / Crushed Rock
Brick / Recycled Brick
Corten Steel
Steel
Wrought Iron
Glass
Bark / Garden Mulch
Feature wall
Other
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21
Please Specify any Other Building Materials?
Please let us know below:
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Created with Sketch.
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22
GARDEN STYLE & INSPIRATION
Is there a Style of Garden which appeals to you? (Selecting Multiple is Possible)
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23
Are there Plants that you Dislike or are Allergic to?
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24
Are there any particular Trees / Shrubs / Plants that you would like included in the Design?
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Created with Sketch.
Ok
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25
Fruit Trees or Veggie Garden?
Fruit Trees
Vegetable Garden
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26
Are You Considering Ongoing Maintenance of Your Garden as Well?
YES
NO
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27
Please use the space below to upload some of your favourite garden images for inspiration.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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28
Please upload any Architectural, Site Survey, or Measured Drawings / Plans that you have.
This is to assist us with an accurate representation.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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29
What is your budget range estimate?
*
This field is required.
You don't have to stick to it. Please work with us here, we’re on the same side and want the best results for your hard-earned dollars
Up to $20k
$20-40k
$40-60k
$60-100k
$100k+
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30
Do you agree to allow Luxescape Design and its franchise partners to use your design in social media?
*
This field is required.
We won’t disclose your details or address, we just like to share our work. Thank you in advance!
Yes, I agree
No, I do not agree
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31
Are there any other things that are important to you that were not listed?
Is there anything else we should know or anything else you can provide to help us through the design process?
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