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. To return to the Home Page

Your E-Mail:
Your Name:
Address:

City, State & Zip
Phone:

Have you ever owned an Australian Terrier? Yes No
What made you decide to purchase an Australian Terrier?
Do you prefer a male or a female? Male Female
Why?
Which color do you prefer? Blue Red

Which of the following activities are of interest to you?
(check all that apply)

Conformation	Obedience	Earthdog	Agility
Family Pet	Other:

Have you ever earned a title on a dog? Yes No
If Yes, please list below what types:
Are you planning on attending training classes? Yes No
If you are not planning on breeding or showing, would you be willing to have your Australian Terrier Spayed or Neutered? Yes No
Do you currently own any other dogs? Yes No
If Yes, please list them below along with breed, age, sex and spay/neuter status:
If you currently do not own any dogs, can you tell me about your past experience with dogs and terriers specifically?
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:
Is your yard fenced? If not what are your plans for exercising your dog?
Does anyone in your family have allergies to dogs? No Yes Don't know
Who will be the primary care giver?
How many hours per day will this dog be left alone? 1-3 3-6 6-9
Where will the dog be when no one is home - loose, crated, confined to kitchen, garage,yard,kennel or other?
Where will the dog sleep at night? - on the bed loose crated confined to kitchen,basement,garage,yard,kennel or other?
Aussie coats are generally stripped a process where the top wiry dead coat is pulled out. Do you already know or plan to learn how? Or do you plan to take your dog to a professional groomer?
Have you ever given a dog up to a shelter, pound or rescue group, if yes please explain?
Have you ever returned a dog to its breeder, if yes please explain?
Are you willing to stay in regular contact with us for the life of the dog and provide updates? No Yes
How much do you expect to pay for a puppy?
Do you plan to pick up or have your puppy shipped or delivered to you?
Have you spoken with any other breeders? Yes No
If Yes, please list them below:
Have they added you to their waiting list? Yes No
How did you learn about my Australian Terriers?
Are you at all interested in being contacted about an older dogs needing placement? Yes No