Please fill out the questionnaire only if you want to be put on our list for available puppies from the current or next litter. If you are going to continue to shop with other breeders please do not take up a place on my waiting list! The completed questionnaire will become part of the contract and must be completed before a puppy is purchased. Feel free to e-mail me first and find out when we have a litter due if you are looking for a puppy in a certain time frame.
In order to place
our puppies in homes where they are loved, permanent family members we would
like you to answer the following questions.
You may copy and paste this information into a word file and add your answers or do so by e-mail or even just give me a call to talk about purchasing a puppy. Once I receive your information I will get back to you to see if you have any questions. Approved people are then added to my waiting list. So please fill this out of you are serious about adopting a Shiba. If you are still researching other breeds you may e-mail email@example.com for information about the breed, our current litters and availability. If you find a puppy from another breeder after being approved just let me know so I can take your name off the list.
- Your name, address, e-mail and phone # _________________________________ _________________________________ _________________________________ _________________________________
- Family members names and ages. _______________________________________________________________
- Do you own or rent your home? __________________
- Do you currently own any other pets that this dog will be expected to get along with? ___________________________________________________________
- Are any of your current dogs NOT spayed or neutered?____________
- Have you owned a dog in the past? ___________________________________
- What happened to it? ______________________________________________
- Do you have a vet reference we may contact? __________________________
- If yes, Vets name and phone #. ______________________________________
- Why do you feel this breed is right for you family? (check all that apply)
· The size of the breed
· The look of the breed
· The health of the breed?
· The maintenance and exercise requirements.
· The personality of the breed.
- Please explain your knowledge of the breed and desire about acquiring a puppy. _________________________________________________________________ _________________________________________________________________ _________________________________________________________________
- Do you plan on registering your puppy with AKC or UKC?___________________________________________________________________
- Are you interested in showing or breeding?
- Not at all, my dog will be spayed/neutered
- Possibly, but I still have a lot to learn
- Definitely! I would love to show & have a litter of puppies.
- When are you looking to ad a pup to your home?
- Will the puppy need to be shipped by air or will you pick up in MN?
- Do you have a color preference? ____________________________Are you looking for a male or female?______________
- Would you consider an adult or do you prefer a puppy?
- What circumstances would cause you to return the puppy or be unhappy with your purchase?
- Health & Medical issues
- Registration issues
- Behavioral issues, Please explain (
i.e. Shyness, aggressiveness, biting, housetraining, destructiveness)
- Explain how you plan to train to
prevent behaviorial issues. (I.e. obedience classes, previous dog
experience, hire a trainer etc…)________________
- Any other