<%@ Language="VBScript" %> <% '**************************************** ' Capture User Info & Time '**************************************** sv1 = request.servervariables("HTTP_USER_AGENT") sv2 = request.servervariables("REMOTE_ADDR") mydate = (FormatDateTime(Now(),1) & " " ) mytime = (FormatDateTime(Now(),3) & " " ) '**************************************** ' Capture URL '**************************************** t1 = request.servervariables("SERVER_NAME") t2 = request.servervariables("SCRIPT_NAME") t3 = "http://" & t1 & t2 set rsinfo = Request.form 'Following line must contain "Name" (B1) AND "Value" (Submit Form) of the Submit button If request("submit") = "Submit Survey" then '**************************************** ' Create Mailer Object '**************************************** set mailer = server.createobject("SMTPsvg.mailer") mailer.fromname = rsinfo("email") mailer.ReplyTo = rsinfo("email") mailer.fromaddress = "forms@koamedia.com" mailer.subject = "Land Design Survey" mailer.remotehost = "mail.koamedia.com" '**************************************** ' Change the following to the recipient's mailing address '**************************************** 'mailer.addrecipient "Land Design", "info@landdesigncc.com" mailer.addrecipient "David Fontes", "dfontes@koamedia.com" strMsgHeader = "Form Information Follows: " & vbCrLf for i = 1 to Request.Form.Count strMsgInfo = strMsgInfo & Request.Form.Key(i) & ": " & Request.Form.Item(i) & vbCrLf next strMsgFooter = vbCrLf & "End of form information" Mailer.BodyText = strMsgHeader & strMsgInfo & strMsgFooter Mailer.BodyText = " " Mailer.BodyText = " " Mailer.BodyText = " " Mailer.BodyText = " " Mailer.BodyText = t3 'Mailer.SendMail if Mailer.SendMail then response.redirect "survey_thanks.html" else msg = "

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Take our Survey

Thank you for taking our survey. So we can better understand your needs, please fill out the survey and email to us.

Lawn
What would you like to improve about your landscape?
lawn perennial beds patio walkway
other:

Are you looking for a
makeover new garden

For maintenance, are you looking for a lawn/landscape that
you can maintain yourself 
want LandDesign to mow
want a full service contract

Gardens
What style garden would you like to have?
Cape & Islands plants Zen/Japanese Water Formal 
Kitchen/Herb flowers for cutting attract birds & butterflies 
other:

What plant types do you prefer?
Flowers: perennial flowers annual flowers
What flower colors do you prefer?
white yellow orange red pink blue purple
Specifically want:
Already have:

Bushes: flowering evergreen variegated foliage
Specifically want:
Already have:

Trees: flowering trees evergreen deciduous fruit trees
Specifically want:
Already have:

Water features you’d like to add:
water garden waterfall fountain
irrigation system swimming pool
other:

Hardscape features you’d like to add:
patio driveway walkway rock wall retaining wall
raised beds stairway ramp for wheelchair access
other: ____________________

Do you prefer: straight lines curved lines
combination of both either one

Architectural features you’d like to add:
pergola statuary garden ornamentation
other:

What do you need for outdoor lighting?
entertaining safety/security highlighting architectural feature
highlighting planting feature

About your lifestyle:
What you use your yard for?
entertaining relaxation gardening sports
other:

What is the most important improvement you’d like to make to your landscape?

What is your timeframe?