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Plant Problem Intake Form
Wasco County Master Gardeners
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* Indicates required question
Name
*
Your answer
Address
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your phone number is requested because we may need to follow up on your issue ( for example, to request additional detail). It WILL NOT BE SHARED. If you still prefer not to provide your phone number, just enter text in this field - like N/A.
Your answer
Please Describe Your Question or Problem
*
Your answer
Plant Type
Known
Plant ID Question
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Plant Type if Known
Your answer
When did the problem appear?
Your answer
How old is the plant
Your answer
Was the plant transplanted?
Yes
No
Unsure
What parts of the plant are affected?
Your answer
Has this happened before? When?
Your answer
Is the issue spreading or changing?
Yes
No
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Are other plants affected?
Yes
No
Maybe
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Please describe irrigation or water sources (Quantity, frequency)
Your answer
Have you applied fertilizer or compost? What and When?
Your answer
Have you applied chemicals? What and When?
Please be include product name, description, and EPA registration number if applicable.
Your answer
Please describe sunlight conditions
e.g., sun, shade, part-shade
Your answer
Are there any other notes, comments, or observations you would like to add?
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Will you email photos of the issue?
Please send them to
wasco.mastergardener@oregonstate.edu
Yes
No
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