Riverrun Collies - QUESTIONNAIRE

Name

Address (Street, town, state)::

Phone and/or Cell Phone:

How did you hear about us?

Do you have children living with you? If so, how many and ages?:

Are there other adults living in the household? If so, what is their relationship to you? (Spouse, Roommate, etc.):

Have your children spent time around animals before? Will they be expected to participate in caring for the puppy?:

Has any member of the household experienced aggression from a dog before?:

What pets have you owned in the last ten years?:

Do you still have all pets owned in the last ten years? If not, what happened to them? If they passed away, at what age and what was the cause?:

Have you owned a Collie before? If so, may we ask where you obtained your last collie from?:

May we ask if you are on other Collie Breeder Waiting Lists? We do ask if you would please let us know if you find your new addition elsewhere, so that we can take your name off of our list.:

Are you aware of the extensive brushing required by a rough Collie, and the shedding that will occur?:

Do you live in a house, townhouse, or apartment? :

We would love to have you share pictures of your family and yard in a separate e-mail to riverrun@comcast.net.

Do you own or rent?:

Do you have a fenced yard? If not, what is your plan for exercising your Collie?:

Is there an adult home during the day, or an adult able to visit during the day? If not, how do you plan to care for the puppy during the day (daycare, dog walker, etc.)?:

Where will you keep your puppy when he or she is not being supervised and during the night?:

What sex puppy would you prefer, and would you be willing to take the opposite sex if that is the only sex available?:

What color do you prefer, and are you willing to take a different color? :

What are you looking for as to personality in a puppy? :

Is every member of the family in agreement about acquiring a Collie puppy?:

Would you like to be notified if we have a young adult available?:

At times we look for retirement homes for one of our older collies. Are you interested in being notified?:

What else would you like us to know about you and your home?:

Have you ever given a dog to a shelter or rescue before?:

Please indicate a vet reference below.:

Are you aware of the financial commitment involved in caring for a puppy for its entire adult life?:

If asked, would you be willing to allow us to visit your home?:

Please give the name and contact information for two references who can vouch for your ability and commitment to care for a puppy.:

Any other comments or questions from yourself?: