MY FED Farm Garden Intake Form Survey

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Try creating your own with the world’s leading platform.


Being the start of the growing season, we look to support families and laid off workers by providing home-based start up food gardens using simple and affordable supplies. We will drop off and set up these starter gardens to homes each Friday throughout Greater Victoria beginning in late April for 5 months and will also provide a food-growing consultation to ensure each home has the necessary information to get started. Stay in touch through FED’s video series to learn practical tips on how to grow these plants, cook with them, preserve them and so much more .

This is an opportunity for us to increase residential food gardens and come together as a community. If you would like a home garden, please fill out the questions below and we will be in touch!

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2.

Have you been laid off work because of COVID-19?

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3.

How has COVID-19 impacted your life and how will a garden help you?
(1-2 sentences)

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4.

Do you rent or own your home?

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5.

How many people live with you?

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We adjusted the number you entered based on the slider’s scale.

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6.

What kind of dwelling do you live in?
(Pick the answer that best fits)

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7.

Our planters are circular (18″ width x 14″ height) Where do you envision these planters being placed? Please provide the following information:

  1. Type of location (porch, yard, balcony)
  2. Rough size estimate of the space
  3. Whether it is a sunny or shady area or combo

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8.

How many circular garden planters would you like to request?

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We adjusted the number you entered based on the slider’s scale.

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9.

Will our garden volunteers be able to get to your designated gardening spot without entering your house? (Example: by walking around your home or going through a gate). Please note that as a safety precaution our volunteers will not be entering your home, if needed our volunteers will talk you through the process of setting up your My FED Farm when they drop off the supplies.

The value of each gardening package is $120 a includes the following items:

  • 2-5 circular garden planters
  • soil
  • 3 starter plants 
  • a variety of seeds
  • delivery of materials 
  • installation of materials *if accessible outdoors

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10.

For those who are struggling through this challenging time, we will happily provide the gardening package free of charge. If however, you feel you can contribute towards this initiative there are 2 ways to do so:

  1. Via online donation to My FED Farm – no minimum donation required
  2. Buy one, give one – purchase your garden and sponsor another garden for a resident in your community ($240)

Please let us know if you are able to contribute towards your garden package. We will follow up with details on donations and the buy one, give one program in a follow up email.

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