Your Name (Required):

Your Street Address (Required):

Your City, Province/State, and Postal Code/Zip (Required):

Your E-Mail Address (Required):

Phone # (Required): Business #:

How did you find us? (Referral from another buyer, Breeder Directory, etc.)

Age 18-40 41-60 60+

Other adults in your home:

Do you have any children? Yes No

If so, what are their ages, and have they been exposed to dogs in the past?

Were there ever any problems with your children & dogs?

Do all family members agree on the addition of an Aussie to the family? Yes No

If not, who is not in favour of getting an Aussie and why?

Who will care for this dog if you should become incapacitated, temporarily or permanently?

Do you agree that, if for some reason you are unable to care for this dog, we will be contacted about its relocation and will have first right of refusal? Yes No

Do you Own or Rent your home?

If your home is a rental will your landlord be willing to sign a statement allowing you to keep an Aussie? Yes No

How many hours will this dog be left alone per day?

Where will the dog be when no one is at home?

Does your family have enough "quality" time to devote to a dog? Yes No

Are you willing to take responsibility for this dog for the next 10 or more years? Yes No

How long did your last pet live and what were the circumstances of its death?

Have you ever returned a pet to the breeder? Yes No

If so, what were the circumstances?

Have you ever given a pet away? Yes No

If so, what were the circumstances?

Have you ever given up a dog to a shelter or pound? Yes No

If so, what were the circumstances?

How many dogs do you have now?

What breeds?

Have you owned Australian Shepherds before? Yes No

How recently?

What are your reasons for choosing one now?

Are you aware of the socialization needs of an Aussie puppy and do you feel you are capable of providing for these needs? Yes No

Do you have pets other than dogs? Yes No

What are they?

Is your yard fenced or do you have a fenced enclosure for the dog? Yes No

If you answered "No" to the last question, how to you intend to exercise this puppy?

How large and of what type is the enclosure?

Do you let your dogs run loose? Yes No

Do you intend to house your dog:

Have you ever used a crate to confine your dog? Yes No

Are you willing to have the puppy OFA'd after the age of 24 months, and have the puppy's eyes checked on a yearly basis whether or not you plan to breed? Yes No

What area(s) of interest would you like to pursue with your Aussie? Working stock, conformation, obedience, agility, pet/companion, gift, watch dog,, breeding, 4-H project, trick dog (please list all applicable)

Other (please explain):

If you plan to work your Aussie, what type(s) of livestock will be used?

What sort of working drive do you feel would mesh with your personality, i.e. hard, sharp, moderate, low…and why?

Have you ever trained a dog for livestock before? Yes No

Have you ever worked or handled a dog on livestock before? Yes No

Have you ever shown in:

conformation? Yes No agility? Yes No

obedience? Yes No herding? Yes No

If yes, where and to what extent?

If you are interested in breeding this dog, what are your reasons for breeding?

Are you willing to enroll this dog in at least one structured obedience class? Yes No

Colour - please indicate your preference(s)

Would you consider an older dog? Yes No

Would you consider a rescue, or abandoned dog? Yes No

If so, what is the maximum age you would accept

Are you willing to travel to Alberta to meet the dam of the puppies? Yes No

If travel is impossible (and we do understand that it is in some cases) would you be willing to allow a home visit from one of our friends in your area? Yes No

Please give us two references of people that know or have known you and your pets.

Please give us the number of the local agency in your area that handles dog complaints.

Unless we are selling a puppy with full registration (which is rare!) registration applications for all Australian Shepherds placed as pets will be held by us until we have been provided proof of spaying or neutering. Do you have any reservations about this policy? Yes No

If yes, please tell us about your reservations

Are you aware of some of the health problem which can appear in some Aussies today such as medication sensitivities? Yes No

Are you aware that Australian Shepherds are medium sized and very active dogs that shed (sometimes quite profusely)? Yes No

Are you willing to deal with these attributes that are so much a part of an Aussie? Yes No

Please provide the name, address and telephone number of your veterinarian (or one who has worked with you in the past) as a reference:

Have you been in contact with any other Aussie breeders concerning purchase of a puppy and if so would you tell us who they are?

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

If you had to choose between two puppies, one with perfect conformation, but low-moderate drive, and one with so-so conformation (but not pet quality) and high drive, which one would you choose and why?

Further comments: Please feel free to add anything that you think would help us in choosing the right individual for you.

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Thank you for taking the time to fill in this questionnaire. The idea behind these questions is that, knowing the pups' temperament from day one, we may see different things in them than you would  in attempting to pick the right one. In this way, we may be better able to guide you toward a puppy which realistically suits your experience, needs, and goals.