PURCHASER QUESTIONNAIRE

The following questionnaire is designed to help us determine if one of our Aussies is the right choice for you and which temperament would best be suited to your situation. If you need more room to answer questions, just attach a sheet to this questionnaire.

NAME: ______________
ADDRESS: ___________________
____________________
PHONE: ____________________ Please answer the following questions:
1. Who referred you to us to purchase an AUSTRALIAN SHEPHERD?
2. Do you have references? (Please list names and phone numbers)


3. Have you previously owned an AUSSIE? Yes No
If no, is this your first puppy/dog? Yes No
If no, what breed of dog did you have? __________________________

4. Are there any dogs, cats, or other pets in your home presently? ________ How many? ______

5. Do you have children? _____ If so, how many and what ages? ______________

6. What is your primary reason for purchasing a puppy/dog? (mark desired choices)

COMPANION DOG 4H DOG/JR. HANDLER DOG
FAMILY DOG OBEDIENCE DOG
COMFORMATION DOG WORKING DOG (HERDING)
AGILITY TRACKING
OTHER (please explain) _______________


7. Do you have a fenced yard that is secure, or an area where your puppy/dog can be safe and protected while you are away?

8. Do you have a veterinarian? Name:______________________

9. Have you read any books on raising puppies or training dogs?


10. Will you have your dog spayed or neutered?


11. Please comment on how you envision living with your new puppy/dog.