Puppy Questionnaire

Name::

Address::

City::

State::

Zip code::

Email::

Phone::

Cell Phone (optional)::

Best time to call::
Day
Evening

Are you a breeder?:
yes
no

Have you ever owned a dog before?:
yes
no

If yes,how many and for how long? If they are no longer with you, please explain why?:

Have you had experience with this breed?:

Do you have children?:
yes
no

If yes, what ages?:
0-5
12 or older
5-12

What personality traits do you look for in a dog?:

Do you prefer male or female?:
female
male
No preference

If you have a preference,Why?:

how many hours a day will your puppy be alone?:

Where will the puppy be kept when alone?:

Where will your puppy sleep at night?:

Are you aware of the financial costs of having a dog?:
yes
no

Would you be interested in joing a breed club?:
yes
no

If a puppy is sold as a companion/pet, would you accept limited registration?:
yes
no

If no, please explain why?:

Do all members want a new puppy?:
yes
no

Do you have a color and coat preference?:
yes
no

please check all that apply::
Rough- Blue Merle
Rough- Sable Merle
Rough- Sable/white
Rough- tri color
Rough-Color Headed white
Smooth - sable/white
Smooth -Tri color
Smooth- blue Merle
Smooth- color headed white
Smooth-sable merle

Do you own or rent?:

Please check one::
Apartment
Condo
Duplex
House

If renting do you have permission to own a dog from your land lord?:
yes
no

Do you have a secure yard?:
yes
no

If yes, please discribe how big?:

please describe type of fencing:

Where will your puppy be when you are at home?:

Please describe why you want a collie: Select all that apply::
Agility
family companion
Herding
Obedience
Other
search and rescue
Show/ conformation
Therapy
Tracking

Are you aware of the amount of grooming a rough collie needs?:
yes
no

If other,please explain:

Have you read our policies?:
yes
no

Are you willing to take your new puppy to obedience or beginning puppy school?:
yes
no

Are you willing to sign a show or pet contract:
yes
no

If no, please explain why:

Additional questions or comments:

please type the text below:

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