Puppy Buyer Questionnaire
you can either mail or copy and email this questionnaire
if handwriting, please print
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?__________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
MAIL TO: Caitlin Kane
18188 Mulberry
Riverview, MI, 48193
USA