Puppy Buyer Questionnaire
Contact Information:
Name:_____________________________________________
Address:____________________________________________
____________________________________________
Phone:______________________________________________
E-Mail:______________________________________________
How many people live in your household?___________________
How many adults?_________________
What are the occupations of the adult(s)?________________________________________________________________________________________________
Do you have any children?_______________
If so, what ages__________________________________________________________________________________________________
Do you have any young children that visit frequently (list ages)?______________________________________________________________________________
Do you live in a house, condo, townhouse, or apartment?______________________________________
Do you rent or own?______________________
Do you have any other pets? If so, list their ages and what they are?_______________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
Have you ever owned a Border Collie?___________________________
Have you ever bred Border Collies or any other breed of dog?___________________________________________
Do you ever plan to breed Border Collies?______________________
Why do you want a Border Collie?_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
What books, articles, or websites have you read or seen about Border Collies?______________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
How many hours a day would the dog be left alone (circle your answer): 0-2 , 2-4 , 4-6 , 8 or more
Would the dog be spend most of its time inside, outside, or both?_____________________________
Where would the dog be when you are home?________________________________________________________________________________________________
Where will the dog sleep?_________________________________________________________________________________________________________________
Is there any shelter outisde for the dog from the sun or bad weather?_______________________________________________________________________________
Where will the dog go when you are on vacation?______________________________________________________________________________________________
Where will the dog be when riding in the car?_________________________________________________________________________________________________
Do you have a yard?_____________________
If so, what kind of surface (grass, dirt, etc)?____________________________
Is the yard fenced?___________________________
If so, what kind of fencing and how high?_____________________________________________________________________________________________________
Do either you or your neighbors have livestock?________________________________
What activities do you plan to do with your Border Collie (circle all that apply)?
Agility , Backpacking , Conformation , Flyball , Freestyle Dancing , Frisbee , Herding , Hiking , Jogging , Camping , Puppy Kindergarten , Obedience
Tracking , Junior Showmanship , Search and Rescue , Therapy Work , Guard Work , other____________________________________________________________
How do you plan to train your dog (circle)? yourself , private trainer , class/club
Choose five of the following traits that you value most (circle): structure , conformation , color , coat , versitality , health , temperment , type ,
working ability , soundness
Describe the physical characteristics you want in your Border Collie (ear set, marking, etc):_____________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
Describe the personality you want in your Border Collie:____________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
Do you prefer: male female either
List the dog clubs you are a member of and how long you have been a member:__________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
If you have dogs what activities, if any, do you participate in?_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
Do you have access to livestock?__________________________
Veterinarian Information:
Name of Office:___________________________________________________
Name of Vet:_____________________________________________________
Address:_________________________________________________________
_________________________________________________________
Phone:__________________________________________________________
Website (if applicable):_____________________________________________
Why did you choose this vet?_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
References: List three people that can act as your references. Please no family members.
Name:________________________________________________
Phone:________________________________________________
Name:________________________________________________
Phone:________________________________________________
Name:________________________________________________
Phone:________________________________________________
How did you hear about me?_______________________________________________________________________________________________________________
Are there any other questions, comments, or concerns?_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
Name:_____________________________________________
Address:____________________________________________
____________________________________________
Phone:______________________________________________
E-Mail:______________________________________________
How many people live in your household?___________________
How many adults?_________________
What are the occupations of the adult(s)?________________________________________________________________________________________________
Do you have any children?_______________
If so, what ages__________________________________________________________________________________________________
Do you have any young children that visit frequently (list ages)?______________________________________________________________________________
Do you live in a house, condo, townhouse, or apartment?______________________________________
Do you rent or own?______________________
Do you have any other pets? If so, list their ages and what they are?_______________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
Have you ever owned a Border Collie?___________________________
Have you ever bred Border Collies or any other breed of dog?___________________________________________
Do you ever plan to breed Border Collies?______________________
Why do you want a Border Collie?_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
What books, articles, or websites have you read or seen about Border Collies?______________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
How many hours a day would the dog be left alone (circle your answer): 0-2 , 2-4 , 4-6 , 8 or more
Would the dog be spend most of its time inside, outside, or both?_____________________________
Where would the dog be when you are home?________________________________________________________________________________________________
Where will the dog sleep?_________________________________________________________________________________________________________________
Is there any shelter outisde for the dog from the sun or bad weather?_______________________________________________________________________________
Where will the dog go when you are on vacation?______________________________________________________________________________________________
Where will the dog be when riding in the car?_________________________________________________________________________________________________
Do you have a yard?_____________________
If so, what kind of surface (grass, dirt, etc)?____________________________
Is the yard fenced?___________________________
If so, what kind of fencing and how high?_____________________________________________________________________________________________________
Do either you or your neighbors have livestock?________________________________
What activities do you plan to do with your Border Collie (circle all that apply)?
Agility , Backpacking , Conformation , Flyball , Freestyle Dancing , Frisbee , Herding , Hiking , Jogging , Camping , Puppy Kindergarten , Obedience
Tracking , Junior Showmanship , Search and Rescue , Therapy Work , Guard Work , other____________________________________________________________
How do you plan to train your dog (circle)? yourself , private trainer , class/club
Choose five of the following traits that you value most (circle): structure , conformation , color , coat , versitality , health , temperment , type ,
working ability , soundness
Describe the physical characteristics you want in your Border Collie (ear set, marking, etc):_____________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
Describe the personality you want in your Border Collie:____________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
Do you prefer: male female either
List the dog clubs you are a member of and how long you have been a member:__________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
If you have dogs what activities, if any, do you participate in?_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
Do you have access to livestock?__________________________
Veterinarian Information:
Name of Office:___________________________________________________
Name of Vet:_____________________________________________________
Address:_________________________________________________________
_________________________________________________________
Phone:__________________________________________________________
Website (if applicable):_____________________________________________
Why did you choose this vet?_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
References: List three people that can act as your references. Please no family members.
Name:________________________________________________
Phone:________________________________________________
Name:________________________________________________
Phone:________________________________________________
Name:________________________________________________
Phone:________________________________________________
How did you hear about me?_______________________________________________________________________________________________________________
Are there any other questions, comments, or concerns?_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
