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Thank you for visiting The Pond People™.

Please complete the form below. We will contact you, after reviewing, to schedule a telephone conference to discuss.

You can also reach us by phone at (920) 788-0829 or by fax at (920) 788-5618.

Thank you!

Client Data

* required
Name *
Address *
City *
State *
Zip * 5 or 9 digits, only numbers.  Example: 123451234
Phone * 10 digits, only numbers.  Example: 1231231234
Email *
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Comments

Pond Data

Size

Approximate surface area (in acres):
Approximate dimensions (in feet):
Maximum depth of pond (in feet):
Average depth of pond (in feet):
Shape of pond:

Pond Facts

Pond location (city, state)?
How many months is the pond covered with ice?
Year pond was built?
Is the pond lined with a commercial liner? Yes   No
Does the pond have a clay bottom? Yes   No
If No, what is the bottom composed of?
What is the depth of the sludge/muck in the bottom of the pond (in inches)?
What is the main source of the water?
Is there an overflow or outlet? Yes   No
If Yes, how often does water leave the overflow/outlet?
Comments about specific problems you are experiencing

Pond Equipment

Are you using any type of filtration system? Yes   No
Do you have an aerator in the pond? Yes   No
If Yes, how many?
If Yes, is it at or below the water surface?
If Yes, how many months, per year, do you operate the aerator(s)?
Do you have a decorative fountain in the pond? Yes   No
Is electricity at or near the pond? Yes   No
If No, what is the distance to the nearest electrical source (in feet)?

Outside the Pond

Is there a buffer zone/natural vegetation around the pond? Yes   No
Is there a berm around any portion of the pond? Yes   No
If Yes, what percentage of the pond has a berm at its shoreline?
Do you have a beach? Yes   No
Is there erosion of the shoreline? Yes   No
Is there runoff into the pond? Yes   No
Is there debris (leaves, grass clippings) entering the pond? Yes   No
Are there trees near the pond? Yes   No
If Yes, what type?
Is there a boat access point on the pond? Yes   No

Water Quality

Has a water chemistry analysis previously been completed? Yes   No
If a water chemistry analysis was performed, are the results available? Yes   No
Is the water clear? Yes   No
What is the approximate depth that you can see clearly into the pond (in feet)?
Has the water ever had a foul odor? Yes   No
If Yes, how often?

Plants

Are there filamentous/string algae? Yes   No
Are there planktonic algae (green water)? Yes   No
Does the surface ever become covered with algae? Yes   No
What other aquatic vegetation is in the pond?
Is the vegetation excessive? Yes   No

Fish

Are there fish in the pond? Yes   No
If Yes, what types?
If Yes, approximately how many?
If Yes, are they healthy? Yes   No
Do you feed the fish? Yes   No
If Yes, what type of food?
Do the fish have adequate habitat? Yes   No
Do you desire to change your fish situation? Yes   No

Prior Treatment

Describe the history of prior treatments of the pond
What specific products were used?

Priorities (1 is low, 10 is high)

Clear water 10 
Fishing 10 
Swimming 10 
Attract wildlife 10 
Boating 10 
Irrigation 10 
Landscape value/beauty 10 

Financial

What is your current, annual pond maintenance budget

May we use you as a reference after you are satisfied with our service?
Yes   No

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Copyright © 2002-2010 The Pond People™, a division of Schara & Associates, Inc.  All rights reserved.
Revised: 07/30/09.