Loyal Spirit Aussie's Puppy Questionnaire 
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Name *
Address *
City/State/Zip *
Mobile Phone *
Email Address *
Occupation and Weekly Work Schedule *
Other Adults in the Household *
Children and Age in the house *
Type pf Home (ex. house, apartment, ect) *
Type of Yard
Approximate Size:

Is the yard completely fenced?

If so, please describe the type and height of fencing. 

If no fence, how do you plan to adequately exercise the puppy?

*
Do you have other dogs? Please list them, including breed, age, sex, and if spayed/neutered. 

How do your dogs get along with new dogs/puppies?
*

Other than these dogs, please tell us about any other dogs that you have had in the last 10 years that are no longer with you. (what happened to them)

*

Do you have any cats? If so, are they inside or outside?

*

Do you have any other pets?

*

Do you have a regular Veterinarian? Would you mind if we called them for a reference? If so, please provide their name and number:

*

Who will be taking care of your Aussie pup? (exercise, feed, train)

*

If you work, how will the puppy spend the day? (crate, etc)

*

How many hours will the puppy spend alone during the day?

*

Where will the puppy live?

When you’re home?

When you’re gone? 

When sleeping at night?

*

Are you willing to be on spay/neuter contract?

*

If you have competed with dogs before, please tell us about those dogs and titles earned. 

*

How did you learn about us? Are there any references you would like to supply?

*

Why did you choose an Australian Shepherd?

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What is your intention for your Aussie? 

Companion

Show

Performance

Breeding

Other? 

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What activities are you planning to participate in(if any) with the puppy.

 Agility

Conformation(Showing)

Flyball

Frisbee

Farm work

Herding

Hiking/jogging

Junior Handling

Obedience/Rally

Tracking

Therapy Dog

Other? 

*

Do you have a puppy gender preference?

*

Do you have a color preference? List any preferences in order (ex: Red tri, black tri, red merle, blue merle).

*
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