PUPPY QUESTIONNAIRE
The following form is designed to help us determine if one of our Aussies is the right choice for you and which puppy would be best suited to your situation. It also assists in getting acquainted. Please feel free to respond with answers as long or as short as you wish. Please read our Puppy Placement Policy and Health Guarantee before continuing.
If you have questions for us or we can provide more information, please do not hesitate to contact us.
Please print this questionnaire, fill it out and send to:
Blake Osburn ~ Judhi Chopping P.O. Box 2395 Gearhart, Oregon 97138 Phone (503) 717-0536 gearhartaussies@msn.com
Name:
Mailing and physical address:
Email address: Web address:
Telephone: Cell:
Are you looking for: pet____ performance____ show____ breeding___ agility____ herding_____ 4-H ____
What is your color preference:
Red merle___ blue merle___ black tri___ red tri__
Do you prefer: male___ female___
Will you have your Aussie spayed or neutered: yes____ no____
If you are interested in breeding this dog, what are your reasons for breeding:
Registration applications for all Australian Shepherds placed as “pets” will be marked as “non-breeding”
Have you had Australian Shepherds before: Yes___ No___
Do you have other family members: Yes ___ No___
Ages of humans: ___ ___ ___ ___ ___
Types and ages of canine or other animals: _________________________
How did you find Gearhart Aussies (ie web, reference, breeders directory)
Are you in contact with any other Aussie breeder concerning purchase of a puppy: Yes____ No____
While we love Aussies, they have characteristics and requirements that some may find difficult to manage. Please read and initial the following:
“The Australian Shepherd is a medium size, active breed which sheds its coat biannually. They are curious and need to remain active and involved with their family in order to maintain a solid temperament. Aussies will show guarding behaviour, including barking to alert for changes in the environment. Because they are a herding breed, they will chase and nip at the heels of young children as well as moving objects. Prolonged confinement and neglect can produce aggression in this breed. They are a sensitive dog and do not respond well to hard handling. Positive reinforcement methods, regular training and socialization as well as a structured, loving home life are best for the Australian Shepherd”
Please initial ______________ and date _______________________
We thank you for your interest and taking the time to complete this questionnaire.
If you have questions for us or we can provide more information, please do not hesitate to contact us.
Please print this questionnaire, fill it out and send to:
Blake Osburn ~ Judhi Chopping P.O. Box 2395 Gearhart, Oregon 97138 Phone (503) 717-0536 gearhartaussies@msn.com
Name:
Mailing and physical address:
Email address: Web address:
Telephone: Cell:
Are you looking for: pet____ performance____ show____ breeding___ agility____ herding_____ 4-H ____
What is your color preference:
Red merle___ blue merle___ black tri___ red tri__
Do you prefer: male___ female___
Will you have your Aussie spayed or neutered: yes____ no____
If you are interested in breeding this dog, what are your reasons for breeding:
Registration applications for all Australian Shepherds placed as “pets” will be marked as “non-breeding”
Have you had Australian Shepherds before: Yes___ No___
Do you have other family members: Yes ___ No___
Ages of humans: ___ ___ ___ ___ ___
Types and ages of canine or other animals: _________________________
How did you find Gearhart Aussies (ie web, reference, breeders directory)
Are you in contact with any other Aussie breeder concerning purchase of a puppy: Yes____ No____
While we love Aussies, they have characteristics and requirements that some may find difficult to manage. Please read and initial the following:
“The Australian Shepherd is a medium size, active breed which sheds its coat biannually. They are curious and need to remain active and involved with their family in order to maintain a solid temperament. Aussies will show guarding behaviour, including barking to alert for changes in the environment. Because they are a herding breed, they will chase and nip at the heels of young children as well as moving objects. Prolonged confinement and neglect can produce aggression in this breed. They are a sensitive dog and do not respond well to hard handling. Positive reinforcement methods, regular training and socialization as well as a structured, loving home life are best for the Australian Shepherd”
Please initial ______________ and date _______________________
We thank you for your interest and taking the time to complete this questionnaire.