Puppy Questionnaire

If you are interested in being considered for a puppy, please fill out the following questionnaire. The purpose of this questionnaire is to help me decide if an Aussie is a good fit for your situation. As a breeder, my responsibility is first and foremost to my puppies.


Your E-Mail:
Your Name:
Address:
City, State & Zip
Phone:



  1. Have you ever owned an Australian Terrier? Yes No

  2. What made you decide to purchase an Australian Terrier?

  3. Do you prefer a male or a female? Male Female

    Why?

  4. Which color do you prefer? Blue Red

  5. Which of the following activities are of interest to you?
    (check all that apply)
    Conformation Obedience Earthdog Agility
    Family Pet Other:

  6. Have you ever earned a title on a dog? Yes No

    If Yes, please list below what types:

  7. Are you planning on attending training classes? Yes No

  8. If you are not planning on breeding or showing, would you be willing to have your Australian Terrier Spayed or Neutered? Yes No

  9. Do you currently own any other dogs? Yes No

    If Yes, please list them below along with breed, age, sex and spay/neuter status:

  10. If you currently do not own any dogs, can you tell me about your past experience with dogs and terriers specifically?

  11. Do you have young children? Yes No

    If Yes, please list their names and ages below and give me a brief idea of their exposure to dogs:

  12. Is your yard fenced? If not what are your plans for exercising your dog?

  13. Does anyone in your family have allergies to dogs? No Yes Don't know

  14. Who will be the primary care giver?

  15. How many hours per day will this dog be left alone? 1-3 3-6 6-9

  16. Where will the dog be when no one