WeeRuffians Lakelands Marilyn and Shiro Koyanagi ______________________________________________________________________________________ QUESTIONNAIRE FOR PROSPECTIVE OWNERS Thank you for your interest in the Lakeland. By completing this
questionnaire, the information you provide will enable us to match you
with the puppy that is just right for your particular situation.
Name___________________________________________________________Phone_________________ Address___________________________________City________________Prov_______Code__________ 1. Purpose for acquiring a dog______________________________________________________________ 2. Are you familiar with the Lakeland and how did you come by this knowledge? _____________________ __________________________________________________________________________________ 3. What attracts you to the Lakeland? _______________________________________________________ 4. Have you investigated various breeds to determine which one best suits your lifestyle?______________ 5. What other breeds have you considered?_______________________________________________ 6. Have you ever owned a dog? _______ If yes, what breeds and what became of them? _______________ ____________________________________________________________________________________ 7. Have you ever returned a dog to a breeder? ______ If yes, what was the reason? __________________ ____________________________________________________________________________________ 8. Have you ever given away or sold a dog?_____ If yes, under what circumstances? _________________ _____________________________________________________________________________________ 9. Have you ever surrendered a dog to an SPCA, pound or animal shelter? ______ If yes, what were the circumstances? _________________________________________________________________________ 10. Have you ever bred a litter?______ If yes, how many and what breed(s)_________________________ _____________________________________________________________________________________ 11. Do you live in a house/apartment/townhome?______________________________________________ 12. Are dogs allowed where you live?____________ 13. If you have children, what are their ages? __________________________________________________ 14. Do you presently have any other pets? Describe. ____________________________________________ 15. Is anyone in your household allergic to dogs?___________________ 16. Is someone at home for all or part of the day?______________________________________________ 17. Who would be the dog's primary caretaker?________________________________________________ 18. Do you have a fully fenced yard (4 ft high or more)?_________________________________________ 19. Where would your dog be exercised outdoors and allowed to relieve himself?_____________________ _____________________________________________________________________________________ 20. In what areas of the home would your dog be allowed?_______________________________________ 21. What activities would you share with your dog?____________________________________________ 22. Do you travel often?______ If yes, what arrangements would be made for your dog while you are away? _______________________________________________________________________________ 23. Approximately how much are you willing to spend per month on pet care (food, grooming, veterinary care, boarding, etc.)? _____________________________________________________________________ 24. Are you familiar with the care of a terrier coat? ________ 25. Are you willing to take your dog to training classes? _________ 26. Are you willing to have you pet spayed/neutered and sign a CKC Non-breeding Agreement? _________ 27. Are you intending to breed this dog?_____ If yes, why?_____________________________________ 28. Are you interested in Conformation showing, Obedience trials or other dog sports? ________ Please supply one reference. ___________________________________________________________ If you have not already visited our kennel, we invite you to view our premises and meet our 'WeeRuffians' by appointment please. Approved purchasers will be placed on our waiting list and will be contacted when a breeding has taken place. Should we determine that another breed may better suit your needs, we will be happy to assist you with information and to recommend breeders. Shiro and Marilyn Koyanagi |
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