Your name: Your address: Your City, Prov., Postal Code: Email address: Your Phone number: Are you over 18 years of age? Yes No If not, does your parent or guardian support your acquisition of an Aussie? Yes No Do you own or rent your home? Own Rent If renting, do you have your landlord’s permission to keep a dog? Yes No Do you have a fenced yard? Yes No Fence Height and Type Does fencing completely enclose a yard for the dog? Do you have a pool? Yes No If so, is is separately fenced? Yes No Have you owned an Australian Shepherd before? Yes No What made you decide to purchase an Australian Shepherd?
If you are looking for a performance/show prospect, have you ever competed/titled dogs in any area before (obedience, conformation, agility, herding, etc)? If yes what titles?
What other breed of dog have you owned? (If you haven't owned a dog before, please state.) Do you still own the dog(s) mentioned above? If not, what happened to the dog(s)? Have you ever surrendered an animal to the pound, SPCA, Rescue org. or returned one to it's breeder? If so, please explain the circumstances. Have you ever euthanized an animal? If so please explain the circumstances. Will you be willing to keep in touch with the breeder throughout your dog's life? Do you currently own any other animals (non-canine) If Yes, please list them below: If you currently do not own any dogs, can you tell me about your past exposure to dogs and dog ownership? Do you have children? Yes No If Yes, please list their names and ages below and give me a brief idea of their exposure to dogs: On average, what do you plan to spend per year on food, veterinary care, etc. for your Australian Shepherd? How much do you expect to pay for an Australian Shepherd puppy? Have you spoken with any other Australian Shepherd breeders? If Yes, please list them below: Are you currently on the waiting list for any other litters? Yes No If yes from where? Please list at least two references (Veterinarian, Trainer, person active in dogs or close acquaintance preferred). Please include a phone number for each reference and e-mail address if possible: ~About the Puppy~ Do you prefer a male or a female? Male Female No preferance Why? Do you have a colour preference? Yes No If yes what colour? Black tri Blue Merle Red Tri Red Merle Would you consider a puppy of another color or sex if your preferences are not available? Yes No If you are not planning on breeding or showing, would you be willing to have your Australian Shepherd Spayed or Neutered? Yes No All of our pet/companion puppies are sold on Limited Registration and spay/neuter agreements. Do you have a problem with this? If Yes, why?: What characteristics are critical to you in your selection of your new puppy? What characteristics are important but not absolute? What type of personality are you looking for in your dog? What is the time frame you would like to get your new Aussie in? Do you plan to participate on any of the following activities with your Australian Shepherd? (Check all that apply) Conformation Obedience Herding Agility Tracking Flyball Therapy Breeding Other: Are you at all interested in being contacted about Rescue dogs or older dogs needing placement if we should come across a dog that we feel would suit your needs? Yes No Maybe How many hours on the average will the dog spend alone? Where will this dog spend the day (Check all that applies) Loose indoors Crate Basement Garage Fenced Yard Kennel Run Loose outdoors Other: Where will this dog spend the night (Check all that applies) Loose indoors Crate Basement Garage Fenced Yard Kennel Run Loose outdoors Other: Are you aware of the excersise, grooming, and training requirements of this breed? Yes No What are your plans for training and exercising your Australian Shepherd? How will you housetrain your puppy? How will you obedience train you puppy? Are you prepared to commit to a minimum of basic obedience training under the supervision of a professional? Yes No
Any additional comments?
Thank you very much, we will get in touch with you in a few days. If you have not heard from us in 5 days, please contact us to make sure we received it. Thank you. *Please Note: Filling out our Puppy Questionnaire in no way guarantees you a puppy. It is only the beginning of the interview process. Puppies will not be placed into any home, when all communication has been done via email. Please be prepared to come to our home, to meet ourselves, and our dogs, or, if you are a far distance from us, be prepared to have a home check done by a fellow breeder or rescue personnel in your area.