Australian Shepherd Puppy Questionnaire

The Australian Shepherd is a wonderful breed and we want to make sure your new family member lives up to all of your expectations. Like people, each puppy is an individual. This questionnaire will help us select the most suitable puppy for you while allowing you to clarify your thoughts about dog ownership. It also lets you see what things are important to us in placing our precious puppies into their new homes.
 

• Tell us about yourself and how we can reach you.
  Name:
  
  Adddress: City/State:
  
  Home Phone:
  
  Work Phone:
  
  Fax:
  
  E-Mail:
  
  Occupation:

• How did you hear about us?
  




• The Australian Shepherd is not a breed for everyone.
  Have you ever seen an Australian Shepherd? Yes No
  Do you know someone who owns one? Yes No
  How did you become interested in the breed?
  



• If you own or have owned an Aussie in the past, please let us know from whom you obtained your dog and the name of the dog.
  



• Have you read any books about the breed?
  Yes No
  If so, which ones?
  
  



• What are your expectations for your dog? Check all that apply
  (Hold down the Ctrl Key for multiple selections)

Personal Companion Show/Breeding Obedience Competition Agility Competition Tracking Rescue Work Animal Assisted Therapy



• Do you have a preference for a male or a female puppy?
  Male Female
  
  Would you take a puppy of the opposite sex should your first choice not be available?
  Yes No



• Would you be interested in an older puppy or adult?
  Yes No



• Tell us a little about the makeup of your household.
  Spouse Partner Roommate Significant Other Single
  Children? Yes No
  ages? Under 5 5 to 10 Over 10



• Please describe those pets that are currently with you (type, age, sex, altered status)
  



• Please describe those pets that are no longer with you (type, age, sex, altered status)
  



• What happened to the pets who are no longer with you?
  



• Who will be responsible for the care and training of your pet?
  



• Would you call your family more "active outdoors" or "quiet at home"?
  Active Outdoors Quiet at Home



• In what family activities would you include your dog?
  



• Do you have a veterinarian your family uses or has used?
  Yes No
  If yes, please provide the name, address and telephone number.
  Veterinarian:
  
  Address:
  
  Phone:



• Do you live in a house or townhouse? If so, how large is your yard and what type of fencing do you have? Please describe, including height.
  



• In what rooms of your home will your dog be permitted? Do you have any ideas about how you will keep your dog out of certain parts of your home, if necessary?



• Have you thought about housebreaking a puppy and handling an adult dog? What about potty needs? Where will your dog go to eliminate? How will you clean up?



• How many hours each day during the "work week" will your dog be left alone?
  Some of the Day Normal Work Hours More than Average
  Do you have a secure place to leave your pet while you are away from home? Where will your pet sleep at night? NOTE: Most Aussies do not do well confined alone in a pen or yard for long periods of time!
  
  
  
• If travel plans took you away from home, what arrangements would you make for your dog?
  Boarding Kennel Pet Sitter Neighbor/Relative Take With You



• Training and proper socialization are important to a puppy's development into a secure and happy companion. Can you devote the time needed during the critical first few months to teach manners and expose your puppy to many new experiences? Do you have any ideas about where you would go for obedience training or socilaization?
  Yes No



• Additional comments
  

**A technical note: Providing that your email server is set up correctly... when you click the send button, this form will be sent via your e-mail server.  Once correctly sent, the form may remain displayed.  Be certain that you are connected to your e-mail server when submitting the form. If you do not hear from us within 3-10 days, try contacting us again by email.  Although we prefer using this form, you may also contact us at sherbilskennel@q.com to answer these questions by email.   Thank you!