You can simply copy and paste this questionnaire into an email and type in the answers after each question. Please do
not send as an attached file. Please answer ALL questions. This is important for helping us get to know you and your
household so that you may be matched with a compatible pet. Thank you for taking time to answer each question. Email
Best time to call:
Your age or age range(1-18/18-29/30-49/50-65/65+):
Are you male or female?
Do you want a specific pup or dog? If not please describe the typ of pup you are looking for:
Age of dog you would consider:
Important if it is male or female?
Coat color preference?
Are you planning to breed?
Why do you want to add a dog to your family?
Full or part time employment?
Are you a student?
Names of all members of household, ages, and relationship to you:
Do you have children or grandchildren who visit you?Please list:
Do you expect to add children to your family in the future? If so, please explain
Anyone in home who is allergic to dogs?
Do you have a securely fenced yard?
If you could no longer care for the dog due to illness or other circumstances beyond your control, what would happen to
For what reasons would you give up a pet?
If you do not have any dogs now, are you planning to get a second dog in the future as a companion for this one?
Have you ever had a herding breed before (such as collie, sheltie, etc)?
Please describe past and current pets:
What type and brand of pet food do you feed your pet? Or, if you do not have a pet now, what did you feed any
What led you to choose this brand of pet food?
If you found out there is a better quality pet food, would you be willing to switch brands?
Name of veterinarian, animal hospital, and phone number:
Are records there under your current name?
How do you plan to care for the dog's coat?
Will this dog be a family pet or a special companion for one member of the family?
Where will dog spend days?
How long will it be alone?
Where will it spend nights?
What activities do you plan to share with your new dog?
Is it important that the dog is 100% housebroken when you adopt it?
How did you find us? Google search? Puppyfind? etc.
Are you willing for us to use you as a reference?
If you live OUTSIDE the Southeast region, how would you plan to bring the dog home? (by car? air?) Would you come to Leesville SC to pick the dog up?