Survey : Questions

1.	Enter the name of your garden:
	50 characters left.

2.	Enter the garden address:
	50 characters left.

3.	Enter the city/town/neighborhood of the garden:
	50 characters left.

4.	Enter zip code:
	50 characters left.

5.

Please enter your garden contact information/mailing address: (enter n/a if information is not available):

First Name:
Last Name:
Company Name:
Work Phone:
Email Address:	emailaddress@xyz.com
Address 1:
City:
Postal Code:

6.

Check all information that is okay to publish:

Garden address

Mailing address

Phone number

Email address

7.

Type of garden:

Community garden

Individual plots

Shared gardens

Educational

Combined School/Community garden

Other

8.	Number of plots:
	50 characters left.

9.	Size of plots:
	50 characters left.

10.	Cost per month/year:
	50 characters left.

11.

Eligibility requirements such as senior only, residents only, etc. (Please specify in comment area below):

Yes

No

Comment:
500 characters left.

12.

Are you currently taking applications for new members?

Yes

No

Wait list

Comment:
500 characters left.

13.	How many people on your wait list?
	50 characters left.

14.	What is the average time to clear the waitlist?
	50 characters left.

15.

Is your garden open to visits?

Routinely

For special events

By appointment

Hours/special event information:

Other

Comment:
500 characters left.

16.

Would you or your garden members be interested in any of the following? (check all that apply)

Providing sample forms/community garden guidelines/resource materials

Attending a community garden forum

Having volunteers work in the garden

Opening the garden to the public as part of a tour

Joining the San Diego Community Garden Network

Attending educational programs relevant to community gardens

Attending social events with other community gardens

Other

Comment:
500 characters left.