Questionnaire For Prospective Puppy Purchasers

The answers that you give on this questionnaire will help to determine the best possible match between you and a possible puppy. The questions below help me to understand your lifestyle, experience and commitment to a purchase of a new (German Shepherd Dog or Pembroke Welsh Corgi) circle one.   I hope you understand that this is necessary for my emotional well being in placing all my puppies.    Filling out this questionnaire, does not guarantee you will be able to purchase a puppy from Mari Shepherd's/Corgi's,   This is in Word format.    Thank You Kathy

What attracted you to a German Shepherd or Pembroke Welsh Corgi?______________________________________________________________

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Have you ever owned a German Shepherd or Pembroke Welsh Corgi before? Breeders name address and phone __________________________

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How did you become interested in this breed?_________________________________________________________________________________

What is the primary reason you would like a dog? _____________________________________________________________________________

For spouse -  Companion -  Showing -  Obedience - Agility -  Breeding

 For the Children  - Companion for other pet

If breeding tell me why?  _________________________________________________________________________________________________

Have you owned a dog before?     YES   NO   What Breed _____________________________________________________________________

Where did you obtain this dog? ___________________________________________________________________________________________

    What age? _________________________________________________________________________________________________________

What happened to this dog? _____________________________________________________________________________________________

If put down, Why  _____________________________________________________________________________________________________

What Animals do you currently own? list type and ages and sex________________________________________________________________

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What kind of Dog experience do you have ?_________________________________________________________________________________

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YOUR YARD:

Is your yard fenced? ______________________ Height of fence?_________________

Do you plan on fencing?__________________________________________________

Do you have a Run?_______________________ Size___________________________

If no fence or run who will be responsible for exercising and toilet duties of this dog?

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Which sex do you prefer and why?_______________________________________________________________________________________

What color preference?_________________________________________________________________________________________________

Will you spay or neuter this puppy /dog?___________________________________________________________________________________

You and your spouses occupations?_______________________________________________________________________________________

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What is the families work schedule?_______________________________________________________________________________________

How many hours gone each day?_________________________________________________________________________________________

Will someone come home to let the puppy/ dog out during the day?____________________________________________________________

Where will the puppy/dog be kept during the day when family members are at work? ______________________________________________

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Where will the  puppy/dog spend the night?_________________________________________________________________________________

When the family travels where will the puppy / dog be? _______________________________________________________________________

What arrangement if puppy does not house break real fast? ___________________________________________________________________

Will you crate train the puppy?____________________________________________________________________________________________

Who will be the primary care giver of this puppy/dog?_________________________________________________________________________

Is there anyone in your family allergic to dog or dog hair? and whom_____________________________________________________________

Will there be regular veterinary care for this puppy/dog?_______________________________________________________________________

Do you agree to obey all dog laws for you state county and city? _______________________________________________________________

Do you agree to contact breeder (myself) if you can no longer keep this puppy/dog?  ______________________________________________

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What would you do if there was a :

divorce? _______________________________________________________________________________________________________________

loss of job? _____________________________________________________________________________________________________________

new baby in the family? __________________________________________________________________________________________________ 

moving? _______________________________________________________________________________________________________________

Would you be willing for me or my representative to visit your home ?_____________________________________________________________

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Name  address and phone number of veterinarian? _____________________________________________________________________________

Please contact your vet and give permission to him or her for me to make a reference call ____________________________________________

2 personal References  Name address and phone: ______________________________________________________________________________

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How were you referred to me   ________________________________________________

If by a person who?_________________________________________________________

Do you agree that the statements in this questionnaire are true and complete

Please sign and date __________________________________________________________