Mile High Klee Kai Questionnaire
Date Questionnaire Completed:
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AM/PM Option
PLEASE NOTE: It is the responsibility of the interested buyer(s) to advise Mile High Klee Kai in writing of any changes of name, mailing address, telephone number and email address. This questionnaire becomes null and void IF Mile High Klee Kai is unsuccessful in attempts to contact interested buyer(s).
Potential Owner/Co-Owners Names:
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Potential Owner's Phone Number:
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Potential Owner's Email Address:
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Fax Number:
Potential Co-Owner's Phone Number:
Potential Co-Owner's email address:
Street Address:
City, State, Zip
How long have you lived at the address listed above?
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Do you own or rent your home?
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Own
Rent
Other
If you rent, have you expressed your interest in obtaining a dog with your landlord? If so, you will need to provide a letter on company letter head stating this information and we will verify
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Potential Owner's Occupation
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Employer's Name & Address
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How long have you been employed here?
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Potential Co-Owner's Occupation
Employer's Name & Address:
How long have you been employed here?
Are you 21 years of age or older?
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Yes
No
PLEASE NOTE: If you are under 21, you will not be considered and if you are over 21, we will not place an AKK with you if you are in college, still live with your parents, or don't have a job.
1. How did you hear about the Alaskan Klee Kai breed?
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2. What attracts you to the Alaskan Klee Kai?
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3. Why do you think you will be a good owner to an Alaskan Klee Kai?
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4. Have you ever had the privilege of seeing an Alaskan Klee Kai in person?
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Yes
No
5. How did you hear about Mile High Klee Kai Kennel?
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6. Do you have any interest in breeding your Alaskan Klee Kai?
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Yes
No
PLEASE NOTE: All puppies from our litters are sold on a “pet only” contract, which means you will not be allowed to breed for any reason.
7. Will you agree to have the AKK taken to your vet at 12-months-old to have an adult exam conducted on him/her?
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Yes
No
8. What will be the primary living quarters for your Alaskan Klee Kai?
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9. Do you have a securely fenced yard for your Alaskan Klee Kai and if so, please specify type, height, etc
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10. Are you willing to take your Alaskan Klee Kai to professional basic dog obedience training classes to assist you in raising your pup to be an obedient and well adjusted member of your family?
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Yes
No
11. Would you consider an "older" puppy or maybe a young adult?
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Yes
No
Maybe
12. How many animals do you presently own? Please provide their breed and age.
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13. Are you aware that an AKK can NEVER be left off a leash to run around your front yard without a fence?
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Yes
No
These little critters are quick and will bolt at any given moment if the perfect opportunity arises, so it is strongly advisable to NEVER let your AKK be off a leash even in a fenced dog park. The AKK is very brave too and will stand up to any size dog, so the owner has to be cautious in every situation during outings and socialization.
14. What dog breeds have you previously owned and what happened to the dogs you no longer own?
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15. Which breeds were you quite happy with?
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16. Which breeds were you not pleased with and why?
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17. Are you presently a dog breeder?
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Yes
No
If yes: Please list all breeds that you own or co-own. Annually, how many litters do you have?
18. Have you been a dog breeder in the past?
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Yes
No
If yes: What breeds were you involved with? Annually, how many litters did you have?
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19. If you have children, what are their ages?
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20. Have your children, or will your children be trained on proper treatment of a pet?
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21. Do you have any objections to us visiting your home prior to placing a puppy?
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Yes
No
22. Do you agree with the philosophy of spay/neuter of family pets?
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Yes
No
23. Are you willing to work with the Alaskan Klee Kai community to educate people about the Breed; honestly answering anyone’s question or by telling them where they can get answers?
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Yes
No
24. Have you had any experience in showing dogs in competition?
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Yes
No
25. Do you have any interest in showing your Alaskan Klee Kai in competition?
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Yes
No
Please mark the area or areas you would be interested in competing:
Conformation Shows
Obedience Shows
Agility
26. Have you ever been convicted of animal abuse or neglect?
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Yes
No
If yes, please explain:
27. Have you ever been suspended/barred from UKC/AKC privileges?
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Yes
No
If yes, please explain:
28. Are you aware of the known health risks within the AKK breed?
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Yes
No
Possible health risks include: Patella Luxation, Heart Murmurs, Ingrown Eyelashes, Cleft Pallets, Open Fontanel’s, Tear Duct problems, Retained Testicles, etc.
29. Any person reserving or adopting any Alaskan Klee Kai from us is required to provide two personal references that we may contact in order for you to be considered for an AKK. Please specify, if listing a friend, how long you have been acquainted. If you have been acquainted less than 5 years, please do not provide. Please provide someone with whom you have been acquainted with over 5+ years.
REFERENCE #1:
Name:
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Street Address:
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City, State, & Zip:
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Phone Number:
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Years known:
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REFERENCE #2:
Name:
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Street Address:
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City, State, & Zip:
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Phone Number:
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Years Known:
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30. Do you currently have a veterinarian that you see?
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Yes
No
Veterinarian's Name:
Veterinarian's Street Address:
Veterinarian's City, State, & Zip:
Veterinarian's Phone Number:
31. If we do not have litters available can we provide your information to another breeder?
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Yes
No
What puppy gender do you prefer?
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Male
Female
Either
Puppy color - 1st choice
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Black & white
Gray & white
All white (must be spayed or neutered and UKC registration papers will not be available)
Any color
Puppy color - 2nd choice
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Black & white
Gray & white
All white (must be spayed or neutered and UKC registration papers will not be available)
Any color
Eye Color Preference:
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Blue
Brown
Bi-eyed
Any color
Adult size when puppy is grown:
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Possible Toy
Possible Minature
Possible Standard
Any Size
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