Puppy Questionnaire
Name
Address
Address 2
City
State/Province
Zip/Postal Code
Phone
Email
Occupation
Do you Rent or Own your home
------- Select -------
Own
Rent
How long have your lived at this address?
How large is your yard/or how many acres?
Do you have a fenced yard?
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Yes
No
If so, what type of fence?
How many people in household?
Ages of children?
Do you own other dogs?
------- Select -------
Yes
No
If so, Name and phone number of your veterinarian:?
Have you owned an Australian Shepherd before?
------- Select -------
Yes
No
Why did you choose this breed?
How many dogs have you owned in the last ten years?
Will the puppy reside in the house?
------- Select -------
Yes
No
How will the puppy spend the night?
------- Select -------
Crated
Uncrated
How many hours on the average will the dog spend alone per day?
List all plans for this dog
Agility
Pet
Guard
Herding
Obedience
Breeding
Conformation
Other Comments?
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