Questionnaire - Timotay Playscapes

Name*

First Last

Job Title/Position*

Name of Setting*

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Country of Setting*

Email*

Phone*

What is the best way for us to contact you?*

How did you hear about us?

Your Existing Setting

Please describe your existing setting*

Please describe the existing feel and use of the area / areas you wish us to look at.

What is the age range of users?*

Please describe any individual special needs / disabilities if any?

What elements do you like and wish to keep in the existing area / areas:*

What elements do you dislike and wish to be removed from the existing area/areas:*

Any other information about your existing setting that you may wish to add.:

Please describe the overall use of the area.*

Please describe the overall feel / look that you want to achieve:*

How many people will be using it?*

Estimated Budget?*

Is the budget available now or are you applying for funding?*

Please specify a completion date for the project (if required)

DD

MM

YYYY

Any other information that you feel will help with the design process.

Please contact me with selected news and special offers using the following methods (select all that apply)

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Phone

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