Rocknberry Australian Shepherds
 
         


Puppy Questionnaire

We try to place every puppy with the right home. To do this, we feel we need more information on the prospective buyer, not only for the puppy's best interest but also yours.

Our puppies are raised in our house with our family which includes a young child. We try to provide a environment that will promote confident, outgoing puppies. We do our best to match prospective buyers with puppies with temperaments to fit their lifestyles.

If you are interested in a puppy, please fill out the following questionnaire.

Your Name

Your Address

Your City, State, and Zip :

Your E-Mail Address:

Your Phone Number :


Have you ever owned an Australian Shepherd before?


What made you decide to purchase an Australian Shepherd?

Do you prefer a male or a female?
Why?



Do you have a color preference?

Would you consider a puppy of another color or sex if your preferences are not available?
What is the time frame you would like to get your new aussie in?
What kind of temperament are you looking for?
Do you plan to participate on any of the following activities with your Australian Shepherd?
(Check all that apply)
Conformation
Obedience
Herding
Agility
Tracking
Flyball
Therapy
Breeding
None of the above
Other:

If you are not planning on breeding or showing, would you be willing to have yourAustralian Shepherd Spayed or Neutered?
Yes No
All of our pet/companion puppies are sold on ASCA Limited Registration and spay/neuter agreements. Do you have a problem with this? If Yes, why?:

What other breed of dog have you owned? (If you haven't owned a dog before, please state.)

Do you still own the dog(s) mentioned above? If not, what happened to the dog(s)?

Do you currently own any other animals (non-canine If Yes, please list them below):

If you currently do not own any dogs, can you tell me about your past exposure to dogs and dog ownership?

Do you have children?
Yes No

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

What are your plans for housing and exercising your Australian Shepherd?

Are you at all interested in being contacted about Rescue dogs or older dogs needing placement if we should come across a dog that we feel would suit your needs? Yes No

Do you own or rent your home?
If renting, do you have your landlords permission to keep a dog?
Do you have a fenced yard?

Fence Height and Type
Does fencing completely enclose a yard for the dog?
Where will this dog spend the day (Check what applies)
Loose indoors
Crate
Basement
Garage
Fenced Yard
Kennel Run
Loose outdoors
Other:
How many hours on the average will the dog spend alone each day?
Where will dog spend the night (Check all that applies)
Loose indoors
Tied up outside
Crate
Basement
Garage
Fenced Yard
Kennel Run
Loose Outdoors
Other:

Have you ever given up a dog to a shelter or pound? If so, why?

What puppy/dog traits are most important to you as an owner?

Please list two references (Veterinarian, person active in dogs or close acquaintance preferred). Please include a phone number for each reference (and e-mail address if possible):
Thank you very much, we will get in touch with you shortly.