* PLACEMENT QUESTIONNAIRE *
Name(s):
Address:
Phone
1:
Phone 2:
Email:
Kennel (if
applicable):
Website (if applicable):
Best way to contact you:
Your Age: Occupation:
What
particular dog/litter/puppy are you interested in?
Please tell us about any animals you currently own or have
owned in the past, including why they are no longer with
you.
Tell us
about your home and facilities
(house/apartment/location/fenced/kennel).
If interested in a pup, have you raised a puppy before? If
so, what breed?
Will
this dog/puppy live inside or outside?
If you work outside of the home, where will this dog spend
the day?
How many hours per day will
this dog spend alone?
Where
will this dog go if you leave on vacation or become suddenly
ill?
What
are your plans for this dog?
(pet/stockdog/conformation/performance)
Have you ever shown or titled a dog before? If yes, please
explain.
Are you
a member of any dog clubs or associations? If yes, please list them. Have you
ever been in bad standing with any of them?
Have you ever been turned in to animal control? If yes, please
explain.
Are you or have you ever been in direct association with North American Australian Shepherds, Miniature Australian Shepherds and/or Toy Australian Shepherds? If yes, please explain.
Have you ever participated
in a dog auction? If yes, please explain your involvement.
Have you ever returned a dog to its breeder? If yes, please
explain why.
Do you
have any dog/puppy preferences? (age/color/gender)
What price do you expect to pay?
How much do you expect to spend on vet care for this dog
per year?
Do you
plan to breed this dog? If not, are you prepared to spay/neuter this dog at the
proper age?
Have
you ever bred dogs before? If yes, what steps were taken to prevent hereditary
diseases? Do you sell on contract? Do you breed before 2 years of age or after
12 years of age? Any accidental breedings?
Do you own livestock?
Please explain your family situation (number of immediate
members/ages/lifestyle).
If you
have children, what steps will be taken to ensure that they have a healthy
relationship with this dog/puppy?
Who is this dog/puppy primarily for?
Why did you choose an Australian
Shepherd?
What
kind of research have you done on this breed? Please list
resources.
How do
you plan to handle or channel this dog’s energy?
How did you find out about us?
Please give 2 references (include name, address, phone
number, email if known, and relationship to you, i.e.
family/veterinarian/breeder, etc.)
Are you willing to allow a representative of
our kennel to come visit your facilities?
Do you have any additional information you would like to
share with us?
THANK YOU for your interest in our Aussies and for completing our questionnaire!
Please copy questionnaire to an email or print and send to us via fax or regular mail.
Chris & Esther Ivey * P.O Box 1216, Bloomfield, NM 87413 * fax: (505)333-2662 * estabe@hotmail.com
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