First and Last Name:
Address, City, State, Zip:
E-mail:
Best phone number to reach you:
What are your current living conditions?
Do you own or rent your home?
No
Yes
If you rent do you have your landlord's permission?
No
Yes
If no, please explain:
Do you have a fenced in yard?
No
Yes
If yes, how big is the area and how high is the
fence?  Is it chain link or privacy?
If no, please explain how you
will handle potty duties:
In any living condition & regardless of a fenced in yard or
not, what are your plans to channel your Aussies energy?
Where will this puppy stay while you are away from the home,
such as when you are working, running errands, etc?  Will
puppy be in a crate in the house, left free in the house, in an
outdoor kennel, garage, or other?
Please list first names of every member in the
household along with ages of children who are
under the age of 18.
Who will be the primary caretaker of this puppy?
Does every member of the household agree
to adding a puppy to the family?
Yes
No
If no, please explain:
Do you currently own any other pets?
Yes
No
If yes, please list species, breed(s), age(s),
and sex(es) of each animal.  If applicable,
are they intact or spayed/neutered?:
If you have owned dog(s) that are not
currently living with you, what happened to
them?  Please explain in detail.
Have you ever returned a dog/puppy to
it's breeder or placed a dog in a
shelter/humane society?
No
Yes
If yes, please explain the situation:
What made you decide on adding an
Australian Shepherd to your home?  What
type of research did you do on the breed?
Do you have plans to take your
puppy to formal training classes, in
particular puppy classes
No
Yes
If no, please explain:
If you are already established with a training school,
can you please provide name, phone number, email
address & website:
What arrangements will be made for this
puppy when you go on vacation?
If you are already established with a
Veterinarian, can you please provide
name, phone number & email address:
What is/are your main purposes for acquiring an
Aussie? Pet/companion, Conformation,
Obedience, Agility, Herding, Tracking (Please
write all that apply).
If you are acquiring an Aussie for
pet/companion, do you have any
objections to spaying or neutering?
Yes
If yes, please explain:
If you are acquiring a puppy for conformation, are
you willing to co-own this puppy with the breeder
until a Championship is acquired?
Yes
No
If no, please explain:
If you are acquiring a puppy for conformation,
or other competitive
venues, have you trained a dog for this before?
No
Yes
If yes, to what training levels have you
reached & what titles have you achieved?
What is your preference for
color? (Select all that apply)
If your color preference is not available,
are you willing to take a different color?
No
Yes
What is your preference for gender?
If your preference for gender is not
available, are you willing to take the
opposite sex?
Yes
No
If you are new to the concept of raw feeding &
minimal vaccines, are you open to learning more
about this & following the protocol with your new
puppy?
Please list any additional questions or concerns:
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Puppy Questionnaire