Meadowlawn Australian Shepherds
Questionnaire
**Proudly Raw
Fed & Minimally
Vaccinated**
Contact:
Kim & Sarah Patterson
Cologne, MN, USA
H: (952)467-2765
C: (612)554-2291
E-mail
First & Last Name:
Address, City, State, Zip:
E-mail:
Best Phone number to reach you:
What are your current living conditions?
Do you own or rent your home?
Own
Rent
If you rent, do you have your landlords permission?
Yes
 No
If no, please explain:
Do you have a fenced in yard?
Yes
 No
If yes, how big is the area and how high is the fence?  Is it chain link
or privacy?
If no, please explain how you will handle potty duties:
In any living condition & regardless of a fenced in yard or not, what
are your plans to channel your Aussies energy?
Where will this puppy stay while you are away from the home, such
as when you are working, running errands, etc?  Will puppy be in a
crate in the house, left free in the house, in an outdoor kennel,
garage, or other?
On average, how many hours per day will your puppy be left at
home alone?
Where will this puppy sleep at night?  In a crate in the house, left free
in the house, in an outdoor kennel, garage, or other?
Please list first names of every member in the household along with
ages of children who are under the age of 18.
Who will be the primary caretaker of this puppy?
Does every member of the household agree to adding a puppy to
the family?
Yes
 No
If no, please explain:
Do you currently own any other pets?
Yes
 No
If yes, please list species, breed(s), age(s), and sex(es) of each animal:
If you have owned dog(s) that are not currently living with you, what
happened to them?  Please explain in detail.
Have you ever returned a dog/puppy to it's breeder or placed a dog
in a shelter/humane society?
No
Yes
If yes, please explain the situation:
What made you decide on adding an Australian Shepherd to your
home?  What type of research did you do on the breed?
Do you have plans to take your puppy to formal training classes, in
particular puppy classes?
Yes
No
If no, please explain:
If you are already established with a training school, can you please
provide name, phone number, email address & website:
What arrangements will be made for this puppy when you go on
vacation?
If you are already established with a Veterinarian, can you please
provide name, phone number & email address:
What is/are your main purposes for acquiring an Aussie? (Select all that
apply).
If you are acquiring an Aussie for pet/companion, do you have any
objections to spaying or neutering?
No
Yes
If yes, please explain:
If you are acquiring a puppy for conformation, are you willing to
co-own this puppy with the breeder until a Championship is acquired?
No
Yes
If no, please explain:
If you are acquiring a puppy for conformation, or other competitive
venues, have you trained a dog for this before?
No
Yes
If yes, to what training levels have you reached & what titles have
you achieved?
What is your preference for color? (Select all that apply)
If your color preference is not available, are you willing to take a
different color?
Yes
No
What is your preference for gender?
If your preference for gender is not available, are you willing to take
the opposite sex?
Yes
No
Please list any additional questions or concerns:
Thank You!
Thank you for taking the time to fill out our questionnaire!!
Please do not be offended by the many questions -- we are only trying to
get an idea of what you are looking for and what type of puppy will be
suitable for your home & lifestyle.  You can't possibly tell us too much, so
answer with detail and please be specific! :~)