New Puppy Questionaire
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
A LITTLE BIT ABOUT YOURSELF
What made you decide on owning a Shiba?
Have you done any research on the breed?
No, I just like the way they look.
Somewhat, but I would love to talk to you more about it.
Yes, research is what brought me to this breed.
Yes, I have done so much research I could write a book.
My living situation
I own a house and land
I own a house, no land
I rent a house
I rent an apartment / condo
I live with my parents
Where is your home?
In an urban setting
In the country
On an acreage
In a suburban setting
If renting, do you have permission from the landlord to obtain a dog?
Yes
No
Not yet
Does your landlord have any size / breed restrictions?
Yes
No
Not sure
What is your yard like?
Yard is fully fenced.
A portion is fully fenced off.
There is only a partial fence.
There is no fence.
We are planning to build a fence.
We do not have a yard.
How long have you lived at your current address?
How many adults live in your home?
How many minor children live in your home?
How many children under the age of 2 live in your home?
Are all the adults in the home in agreement in obtaining a dog?
Yes
No
Not sure
Does anyone living in your home have allergies of dogs or other animals?
Yes
No
Do you currently have other dogs/ animals in your home? Please list
Have you ever had to re-home or turn a dog over to a shelter? Please describe the circumstances.
Have you ever owned this breed before?
Yes
No
Will this be the first time raising a puppy?
Yes
No
Do you currently have a veterinarian? If so, please provide the name and number of the clinic.
Have you ever completed a dog related training before?
Yes
No
Have you ever house trained a puppy before?
Yes
No
If you have Facebook, would you be interested in connecting with us for support and to watch as the puppies mature??
Yes
No
ABOUT YOUR PUPPY
What color are you most interested in?
Red
Black and tan
Cream
No preference
What sex are you most interested in?
Male
Female
No preference
What kind of personality are you looking for in a puppy? List all applicable traits
When are you thinking of adding a puppy to your family?
As soon as possible
In a few months
Some time in the next year
Are you interested in:
Show prospect
Pet only
Not sure at this time
Are you interested in showing your puppy in conformation shows?
Yes
No
Do you intend to breed your puppy?
Yes
No
Have you ever bred a dog and / or had puppies? If yes, please describe circumstances.
Do you plan on spaying / neutering this puppy?
Yes
No
How do you plan on getting your new puppy?
I will fly in to pick up the puppy.
I will drive to pick up the puppy.
I will use a nanny service to transport the puppy.
Where will the puppy spend most of it's time?
How will the puppy be trained?
I will train the puppy myself.
I will attend puppy classes.
I will hire a private trainer.
Are you going to crate train your puppy?
Yes
No
I am not sure, I need more information
How many hours a day will the puppy be left alone?
Do you have any questions for me?
Thank You
I appreciate you taking the time to answer my questionnaire as it better helps me to determine the best possible forever homes for my pups. We have very limited litters and typically small litters so the perfect pup for you may take awhile. I generally have a litter to keep one for my breeding program so pick of your puppy would happen after i have made my selection.
Reservation Fee
Once a puppy matches your preferences and you have completed the selection process, I will request a non-refundable reservation fee when the pups are 2-3 weeks old.
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