Client Intake Contact Form – Green Terra Alliance

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Client Intake Form

Welcome to our client intake form, please provide your information to enable us customize your protocol.

Name of Individual /Business

Email

Phone Number

Please Select Following

Farm Greenhouse Lawn Forestry

Do you have an ESG policy you can share?

Yes No

Upload ESG Policy

If Farm and Greenhouses, What Crops?

What specie of Grass?

What specie of Trees?

Size of your Farm / Greenhouse / Lawn / Forestry (Sq. Ft.)

Can you provide the Latitude/Longitude values for the corners representing the area (s) where the lawns are located?

What is the current Frequency of cutting/clipping grasses?

What do you do with the grass clippings?

Discard Feed To The Animals

What is the current frequency of irrigation? (Hours)

How do you currently apply your fertilizer?

Via Irrigation (fertigation) Broadcasting Both

What is your total water consumption?

What is your average water consumption?

Flow rate of irrigation system (Litres/Minute or Hour)

Do you currently have a flow meter installed in your fertigation system?

Select an Option Yes No

Can you provide the specification (including electrical specifications) for all your fertigation equipment

What is the current frequency for:

Liquid fertilizer application

Select Duration

Dry fertilizer application

Select Duration

What is the current application rates for:

Liquid fertilizer application (L/sqm)

Dry fertilizer application (kg/sqm)

How much water do you use per week? (In Litres)

Do you have the ability to spread granular fertiliser accurately at a rate of 40-100grms/SQM?

Do you have a recent soil test report and Tissue sample reports that you can share?

Yes No

Please upload a picture or pdf file

What is the brand name of the liquid and dry fertilizer you have used in the past?

Do you have the ability to dilute a water-soluble dry fertilizer on site? Using our protocol, we aim to reduce your current water consumption by 35%.

Yes No

Can you share you water bill for three months in the hottest months in the summer and three months in the coolest months in the winter?

Water bill for 1st hottest month in summer

Water bill for 2nd hottest month in summer

Water bill for 3rd hottest month in summer

Water bill for 1st coolest month in winter

Water bill for 2nd coolest month in winter

Water bill for 3rd coolest month in winter

What Insects, pests and fungi causes nuisance?

How much do you currently spend on fertilizer and other grass protection chemicals (Insecticide, pesticides and fungicides) per quarter?

How much fertilizer do you use per week? (In Kg.)

What is your current cost of fertilizers per 25 kg? (In AED)

Do you have a team that applies your fertilizers?

What is the height of trees?

What is the diameter of trees?

Please upload a current picture of your lawn / trees

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