FUTURE LITTERS

PUPPY QUESTIONNAIRE

This form is designed to help us determine if one of our Aussies is the right choice for you and which puppy would be best suited for your situation. It also assists in getting acquainted. Please feel free to respond with answers as long or as short as you wish. If you have any questions for us or we can provide more information, please don't hesitate to contact us.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

How did you find Zaneca Aussies?

Ages of all human residents in your home

Vet reference

Please list the name and number of two other references that best understand your treatment of animals that we could potentially contact

Have you owned an Aussie before

Yes

Current pets in your home

Are you in contact with any other breeders?

Yes

What are you looking for in an Aussie?

Do you plan on spaying/ neutering your Aussie?

Yes

If you are interested in breeding this dog, what are your reasons for breeding?

List all plans for your puppy

Please feel free to add any additional comments or questions that you feel would help us in placing a puppy with you/ your family.

While we love Aussies, they have characteristics and requirements that some may find difficult to manage. Please read and initial the following:

"The Australian Shepherd is a medium size, active breed which sheds its coat biannually. They are curious and need to remain active and involved with their family in order to maintain a solid temperament. Aussies will show guarding behavior, including barking to alert for changes in the environment. Because they are a herding breed, they will chase and nip at the heels of young children as well as moving objects. Prolonged confinement and neglect can produce aggression in this breed. They are a sensitive dog and do not respond well to hard handling. Positive reinforcement methods, regular training and socialization as well as a structured loving home life are best for the Australian Shepherd." Thank you for your time to fill out this questionnaire.

FUTURE LITTERS

Older puppy: Sweet tempered Black tri male available. please call or e-mail for details.

Not quite ready for a puppy?

Please fill out the puppy questionnaire, located at the top of the page, to be added to the list for future litters!

Contact

Connie Dilts