Questionnaire

If you are interested in one of our puppies, please fill these questions out to the best of your ability. This questionnaire is a simple way for me to get some of the "getting to know you" questions out of the way before we talk further about Australian Cattle Dogs and the purchase/adoption of one of my puppies or other dogs. There is no "right" or "wrong" answers to these questions.
Please note that references will not be contacted for any reason until after we have personally spoken about the possibility of your purchasing one of my puppies. Rest assured that none of this information will EVER be passed along to any other parties (other breeders or rescue organizations) without your prior consent.

Your Name: *

Household Members (human)

Your E-Mail: *

Street Adress: *

City, State, Zip: *

Home Phone: *

Best time to get a hold of you: *

1. Have you ever owned an Australian Cattle Dog? *
Yes
No

2. What made you decide to purchase an Australian Cattle Dog? *

3. Do you prefer a male or a female? *
Male
Female
No preference

3a. Why?

4. Do you have a color preference? *
Red
Blue
No preference

5. Do you plan on participating on certain activities such as agility, breeding, obedience, confirmation, etc. with your Australian Cattle Dog? *

6. If you are not planning on breeding or showing, would you be willing to have your Australian Cattle Dog Spayed or Neutered? *
Yes
No

7. Do you currently own any other dogs? *
Yes
No

7a. If yes, please list them below along with breed, age, sex and spay/neuter status:

8. Do you currently own any other animals (non-canine)? *
Yes
No

8a. If yes, please list them below:

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

10. Do you have children? *
Yes
No

10a. If yes, please tell me their age(s) give me a brief idea of their exposure to dogs:

11. What are your plans for housing and exercising your Australian Cattle Dog? *

12. Is your yard fenced? *
Yes
No

12a. Please describe dogs exercise area: *

13. How much do you expect to pay for an ACD puppy? *

14. Have you spoken with any other ACD breeders? *
Yes
No

15. Are you currently on the waiting list for any other litters? *
Yes
No

16. What are your plans for transporting this puppy/dog to you? *

17. Were you referred to me by anybody in particular? *
Yes
No

17a. If yes, please list them below:

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

19. Please list several (at LEAST 3) references (veterinarian, person active in dogs or close acquaintance preferred). Kindly note their relationship to you in the reference area below with their contact information. Please include an evening phone number for each reference (and e-mail address if possible). Veterinary reference should have work/office phone number.

20. Other comments: