RiverWise Watershed Protection Pre-Assessment Questionnaire & Registration Form

Please complete this questionnaire to Sign Up for a RiverWise Watershed Protection Assessment. Questions are related in some way to watershed protection and water quality. This information will help us determine how you can best reduce your impact on your watershed. By submitting this form you are agreeing to have a RiverWise Assessor contact you to schedule an assessment, visit your property during the scheduled assessment, and take pictures of your yard and downspouts to complete the assessment.

	Lawn	Garden	Landscaped Areas
I water on a regular schedule
I water only when the weather is very hot and very dry
I water when it has not rained for a couple of weeks
I water frequently, but for a short time
I water infrequently, but for a long time
I use a sprinkler to water
I use a soaker hose to water
I water by hand with a garden hose
I water by hand with a watering can
I have an automatic sprinkler system to water
I use tap water to water
I use rain water from a rain barrel (other collection device) to water

	Lawn	Garden	Landscaped Areas
I use chemical fertilizers if indicated by soil testing
I use chemical fertilizers on a regular basis
I use "Weed & Feed" products
I use chemical fertilizers for certain plants
I do not use fertilizers
I use only organic materials (manure, compost, leaves mowed in)

	Lawn	Garden	Landscaped Areas
I use pesticides/fungicides occasionally
I use pesticides/fungicides only when there is a significant problem
I use pesticides/fungicides to keep plants looking their best
I use pesticides/fungicides only after the problem has been identified
I use pesticides/fungicides regularly to prevent potential problems
I use herbicides only to eliminate invasive plants
I never use pesticides/fungicides on my...
I never use herbicides on my...

RiverWise Watershed Protection Pre-Assessment Questionnaire & Registration Form

Watering

FERTILIZERS, HERBICIDES, PESTICIDES, and FUNGICIDES

Purchasing Habits

Dog Feces

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