Puppy Questionnaire
Your Contact Information
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone number (optional)
Format: (000) 000-0000.
Cell Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
About Puppy's New Home
What type of home do you reside?
Single Family Home
Condominium/Townhome
Apartment
Modular/Trailer
Other
Do you...
Own
Rent
Live with Family/Friends
Other
If renting, does your landlord allow pets?
What type of yard enclosure does your home provide?
4 foot chainlink
6 foot chainlink
4 foot privacy
6 foot privacy
Not fenced
Other
Please list all adults residing in the home.
Do you have any children who will live with the puppy? Please list ages.
Do you have other pets?
Yes
No
Please list other pets: breeds, species, ages.
On average how many hours per day will your puppy be left alone?
Where will your puppy be kept while you are away from the home?
Will you be crate training your Puppy?
Please Select
Yes
No
Unsure
I would like more information on this
Will your Puppy be an inside or outside dog?
Please Select
Inside
Outside
Both
Unsure
Is this puppy being purchases as a surprise or gift for anyone?
Please Select
Yes
No
Have you or anyone in your household ever been arrested, charged, or convicted for animal cruelty or animal hoarding? (This will not disqualify you, but we do check)
Please Select
Yes
No
Do All the Adults in the Home Agree to a New Puppy
Please Select
Yes
No
Is any member of the household a Veteran? Is any member currently serving in the US Military?
Please Select
Yes
No
Puppy Preferences
What are you looking for in a new puppy?
Is this your first puppy?
Do you have a veterinarian?
Please Select
Yes
No
I need a recommendation
If Yes, please list your vet's name or clinic
Gender Preference
Female only
Female, but will consider a male
Male only
Male, but will consider a female
No preference
Color Preferance For Miniature American Shepherds
Please Select
Black Tri
Blue Merle
Red Tri
Red Merle
I don't care the color, but want blue eyes
I don't have a preference
Color Preferance
What is your timeline to bring home a puppy?
Now
1-3 months
3-6 months
In the next year
Other
Are you willing to consider a puppy that does not match your stated preferences?
Please Select
Yes, I want a Deuce's Den Puppy that they believe matches best
No, I must stick to my preferences
Maybe, it would depend on the puppy
What do you plan on doing with your new puppy?
Rows
Yes
NO
Interested, but haven't done before
Confirmation
Rally/Obedience
Performance Events: Agility, Dock Diving, FastCat, Fly Ball, Frisbee, etc
Herding
Sport: IGP/PSA/Bite Sports/French Ring/Mondio etc
Family Companion
Breeding
All Deuce's Den puppy owners are required to take an obedience class before the puppy is 6 months old. Where will you be taking your classes?
Pet Smart or Other Box Store Class
Work with a Trainer in home
Private Trainer one on one lesson
Local Training Group Class
I Intend to train on my own
Local Kennel Club
I don't know where I can take a class and need help locating a trainer
Other
Deuce's Den Owner Commitment
Will you be able to pick up your puppy in person in Lexington, KY?
Please Select
Yes
No
Maybe
Are you planning to have your puppy transported?
Please Select
Yes, I will arrange ground transport
Yes, I will arrange air transport
I would like Deuce's Den to arrange transport, I understand there is an additional transport fee
Do you agree to send updates and photos from time to time?
Please Select
Yes
No
Do you agree to contact us if ever the case arises that you need to rehome your puppy for any reason?
Please Select
Yes
No
Do you understand that puppies sold as companions only are placed on Limited Registration? This means that the dog is eligible to be registered, however, none of the offspring are eligible for registration. A dog with Limited Registration, as well as a spayed/neutered dog can still compete in events.
Please Select
Yes
No
Do you understand that you are contractually required to take your puppy to a basic obedience class and to continue training at home to insure that you have a well-mannered, well behaved, companion?
Please Select
Yes
No
When this puppy is purchased exclusively as a family companion, do you agree to have it spayed (females) no sooner than the first heat cycle or neutered (males) no earlier than 24 months of age and submit a Veterinarian Certificate to the Breeder as proof of surgery for their records?
Please Select
Yes
No
All puppies sold on full registration require us to be co-owner unless to an established breeder. Do you acknowledge we will remain co-owner if you are looking for a breeding or show prospect?
Please Select
Yes
No
Do you understand the price of the puppy is $2500 and includes registration, microchip, all age appropriate vaccinations/deworming, DNA Profile, ear crop (Bullies- unless agreed to leave natural) before leaving breeder’s possession and health certificate for domestic travel. There is no price difference for Limited or Full Registration and the price of airline shipping is at the expense of the puppy buyer. Personal pickup is welcome and hand delivery may be available to be arranged at buyer’s expense.
Please Select
Yes
No
Is there anything else you feel I should know about you while considering this questionnaire?
Do you have any questions for us?
Signature
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