Acclaim's Puppy Questionnaire


We try to match the right dog with the right home, we need to know more about what your are looking for in your companion. The first step is to fill out the questionnaire. When we receive the completed questionnaire, we will contact you.

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

What age of dog are you interested in?

3 to 6 months
6 to 12 months

Sex

Male
Female

Color

Black Tri   Red Tri     Blue Merle  Red Merle 

Will you consider a puppy of another color or sex, if your preference is not available?

Yes
No

Please check any areas of competition that may interest you.

Conformation  Obedience     Herding       Agility     
Tracking      Flyball       Frisbee       Breeding    

All companion puppies are sold with Limited Registration papers and spay/neuter contracts. Are you comfortable with this?

Yes
No

Do you own or rent your home?

Own
Rent

Do you have a fenced yard for the dog?

Yes
No

If yes, type of fence and height


Have you ever owned a dog before?

Yes
No

Do you presently have other animals?

Yes
No

Number of adults


Number of children in home?


Will anyone be home with the puppy during the day?

Yes
No

Where will the puppy be kept during the day?


What type, and how often do you plan on exercising your puppy?


What type of socializing do you plan for your puppy?



Copyright 2004 [Acclaim Australian Shepherds]. All rights reserved.
Revised: 07/14/07