* • Where do you live (city and state)?

* • Do you live in a house or apartment?

* • Do you own or rent?

• If renting, please give the name, address, and phone number of your landlord?

• If renting, does your landlord approve of pets of this size?
Yes llllllll No

* • How long have you lived at this address?

* • What size is your yard or how many acres of land do you have?

* • Is your yard completely fenced in or do you have a secure kennel run?
Yes llllllll No

* • How many adults and children live in the household?

* • Ages/sexes of children?

* • Does anyone in the household have allergies to dogs? If yes, how severe?

* • What type of personality does the household have in general? (ie., quiet, noisy, structured, chaotic, etc)

* • What type of personalities do each of the individual adults have? (ie., soft spoken, loud, submissive, dominant, etc).

* • What type of personalities do each of the individual children have? (ie., soft spoken, loud, submissive, dominant, etc).

* • Who will be the primary caregiver of the dog?

* • Is anyone home during the day?

* • Will there be someone available to feed and exercise the dog during the day?

* • How many hours on the average will the dog be left alone?

* • Will the dog mainly live indoors or outdoors?

* • Do you plan to crate train the puppy/dog? If no, why not?

* • How do you plan to exercise the dog?

* • How many hours a day do you plan to exercise/play/train the dog?

* • Have you ever owned a dog before?
Yes llllllll No

* • Do you currently own any other animals? If so, what type?

* • If you own other dogs, what is their ages, sexes, and breeds?

• Are they spayed or neutered?
Yes llllllll No

* • What is the name, address, and phone number of your veterinarian?

• If you currently do not have any dogs, how long did your last dog live? What were the circumstances of its’ death?

* • Have you ever returned a pet to the breeder? If so, what were the circumstances?

* • Have you ever given a pet away? If so, what were the circumstances?

* • Have you ever takes a pet to a pound or shelter? If so, what were the circumstances?

* • Have you owned an Australian Shepherd before?
Yes llllllll No

* • Why did you choose this breed as right for you?

* • What reference materials have you read pertaining to Aussies or dogs in general?

* • How many individuals of this breed are you acquainted with?

* • What type of temperament are you looking for in relation to strangers?

* • What type of temperament are you looking for in relation to friends and family?

* • What type of temperament are you looking for in relation to strange dogs?

* • What type of temperament are you looking for in relation to strange situations?

* • What type of energy level are you looking for: very high, high, moderate, below average?

* • Do you know if there is a training facility in your area?

* • Do you plan to attend any training classes? If no, why not?

* • Is this dog going to be a companion only?
Yes llllllll No

* • Are you interested in showing the dog in the conformation ring?
Yes llllllll No

* • If yes, have you ever shown a dog to it’s championship?
Yes llllllll No

* • Are you interested in competition in performance events such as obedience, agility, herding, tracking, etc?
Yes llllllll No

• If so, what areas are you interested in?

* • Have you shown a dog to any performance titles?
Yes llllllll No

• If yes, what titles have you received?

* • Do you intend to breed this dog?
Yes llllllll No

* • Have you ever bred a litter before?
Yes llllllll No

• What types of homes did the puppies go to?

* • Have you ever owned a stud dog before?
Yes llllllll No

• What are your main concerns when breeding dogs?

• How do you choose potential mates?

* • Do you understand the difference between a limited registration and a full registration?
Yes llllllll No

* • How old do you want the puppy/dog to be when you bring it home?

* • If you want a puppy, have you consider an older puppy or adult?

* • Are you looking for a male, female, or either?

* • What color would be your first preference?

* • Would you accept another color?
Yes llllllll No

• If so, what would be your second color preference?

Please provide any additional comments you would like to make: