Landscape Assessment Form

Landscape Assessment Form
Date: _________________
Location/Area of Concern: ____________________________________________________________
List: Plant type(s), Cultivar(s)/Varieties__________________________________________________
Plant (height/width) __________________________________________________________
I. Site History
New: Date of planting(approx.)___________ 0-12 months _____1-3 years ______ 4+ years ______
Amendments during planting? Y _____ N _____What? _________________________________
Any recent disturbance/renovation to planting area? _____Y _____N
Near Foundation or structure? Y______ N_______ Type: _________________
Near Walkway? Y _____ N ______
De-icers used? Y _____ N_____ Type: ______________________________
Near Downspout? Y ______ N ______
In lawn area? Y______ N______
II. Cultural Management
Full Sun(≥6) _____ Sun/Shade(5-2) _____ Full Shade(≤2) _____ Hours of Direct Sunlight _____
Direction facing N _____ S _____ E _____W _____
Windy Y _____ N ______
Soil:
Date of last soil test _____________
Soil Type/Texture: ______________
Depth of Loam in planting: 0-2 inches _____3-4 inches ______ 5+ inches ______
Irrigation:
Y______ N_______
Hand water as needed _____ Scheduled _____ Rate: _______ Frequency ______
Mulch:
Y______ N______
Type: _______________________ Depth _______
Freq. of Application: Yearly _____ 2-3 years ______
Fertilization:
Compost:
Date of application(s) _____________________
Date of application: _________________
Rate: ___________________________________
Rate: ________________
Analysis: ________________________________
Type: ________________
Compost tested: _____________
Weed Management/Types Evident:
Broadleaf Weeds: _________________________________________________________
Control Treatment: ___________________________________________________
Grassy Weeds: ____________________________________________________________
Control Treatment: ___________________________________________________
Invasive(s): (list) __________________________________________________________
Control Methods: ___________________________________________________
Insect:
Problem pest(s): __________________________________________________________
Scouting frequency: Never _____ Seasonal ______ Monthly ______ Weekly _____ Daily _____
Control Method: Hand pick _____ Bio control _____ Rate/frequency: ____________________
No Control
Other ________________________________
Annual/seasonal pest(s)? Y _____ N ______
Has this pest posed a problem for more than 1 growing season? Y_____ N _____
Diseases:
Plant(s) affected: _______________________________________________________________
Damage location on plant: Entire _____ leaf _____ bud ______ flower/fruit ______ stem/trunk _____ root _____
Symptoms: ___________________________________________________________________
Is this a repeated ongoing concern? Y _____ N _____
Affects more than one plant species in the landscape bed? Y _____ N ______
Key
Host Plant
Location
of Plant in
Landscape
<1ft=1
1-3ft=2
4-6ft=3
7-9ft=4
>10ft=5
Host
Plant
Size (Ht.)
seedling=2
budding=3
flowering=4
fruiting=8
leafing
out=9
mature=10
dormant=11
Host Plant
Stage
Pest
egg=1
early instar=2
late instar=3
pupa=4
adult=5
past damage=6
Pest Stage
Landscape Diagram (include building and landscape area into grid)
Comments
bark=1
bud=2
flower=3
fruit=4
foliage=5
miner=6
borer=7
roots=8
dieback=9
Damage
Site
none=0
trace=<5%=1
6-10%=2
11-39%=3
40-89%=4
90-100%=5
Damage Level
no action=1
mechanical=2
cultural=3
biological=4
chemical=5
Action
Treatment/Application Date