Puppy Survey

PLACEMENT SURVEY
We would like to get to know you better! Your answers to the questions below will help us to better understand your situation and what you are looking for in a dog. Your completion of this survey is the first step towards our getting acquainted, and is only part of what we consider when we decide where to place our puppies or available adults. Because we are a small kennel and anticipate only 1-2 yearly litters at most, we cannot guarantee that there will be a Border Terrier available for you.

Please be patient with us...we are moving during the months of March/April and are not always able to respond as quickly as we would like.
**If you have problems submitting the survey, please contact us. We will gladly forward a survey via email or snailmail.**

Contact Information:

First Name: Last Name:

Street Address:

City: Province: Postal Code:

Home Phone: Fax:

Email: Confirm Email:

How did you hear about us?

Your Future Dog:

How did you decide on a Border Terrier as the breed for you?

Are you looking for a puppy or an adult?
Puppy
Young Adult (1-2 years)
Adult
Undecided

Which gender do you prefer?
Male
Female
Doesn't Matter

When would you hope to have a Border Terrier?

Are you on any other Border Terrier waiting lists?
If yes, which ones?

If we do not have a suitable animal for you, would it be okay if we forward your
information to other Border Terrier breeders who may be able to help?

Is there anything else especially important to you as far as your future dog?

Your Plans:

Who will usually take care of the dog?

What is the occupation of that person?

Will you keep your dog primarily indoors or outdoors?

Will there be someone at home with the dog most of the time?

Approximately how many hours will the dog be alone daily?

Where will your dog stay while you're away?

Where will your dog sleep?

In what sorts of activities, if any, do you hope to participate with your dog?

Are you planning on attending puppy/obedience classes with your new dog? Why or why not?

Are you planning on spaying/neutering your new dog? Why or why not?

Who will care for the dog while you are away on vacation?

Your Home Environment:

What type of home.... Other:
...and community Other:are you in?

How long have you lived there?

Do you rent or own?

Do you have a fenced yard?

What type of fencing and how tall is it? (block, chain link, invisible etc.)

If you don't have a fenced yard, how do you plan to exercise your dog?

Does anyone in the household have serious allergies, physical disabilities, or other health problems that might relate to the type of dog that would be suitable?

If you have children or if there are children who often visit, please tell us about them.
(ages, genders, anything else you think might be relevant)

What other pets are currently in your home?

What other pets have you kept in the past ten years?
What was your experience like?
Where are they now?

Is there any other information you would like to share with us?

**If you have problems submitting the survey, please contact us. We will gladly forward a survey via email or snailmail.**

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