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RedEarth Australian Shepherds
Puppy Questionnaire
Please Note:
Rosie x Argus Litter is Blue Merle & Black Tris
Only!
Spirit x Derby Litter will possibly be all four
colors!
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Name:
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Address:
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City:
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State:
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Zip Code:
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Home Phone:
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Work phone:
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E-mail:
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Occupation:
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1. Do you own or rent?
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2. If renting, are you allowed dogs?
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3. Provide landlord information, if renting.
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4. How long have you lived at this address?
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5. How large is your yard?
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6. Do you have a fenced yard?
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7. If so, what type of fencing?
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8. If you do not have a fenced yard, how
will you handle the puppies exercise and
toilet duties?
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9. How many adults and children in house?
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10. Ages of children?
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11. Do you own other dogs?
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12. If yes, describe breed, sex, and age:
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13.If own other dogs are they spayed/neuterd ?
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14. If you own other dog(s)/Pet(s), please
provide the name, address and phone
number of your vet.
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15. How many dogs have you owned in the past
10 years.
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16. If you have owned dogs in the past 10
years that are no longer living with you,
what happened to dog(s)? Be specific.
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17.Have you owned an australian
shepherd before?
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18. If so, provide name and contact
information of the breeder you
purchased your dog from.
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19. What dog clubs are you affiliated with?
List them all or say none.
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20. Why did you choose this breed?
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21. Which litter are you interested in?
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22. WWhat color do you prefer?
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23. Do you want a male or female?
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24. Will the puppy reside in the house?
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25. If you work, how will the puppy spend
it's days ?
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26.How will the puppy spend it's night?
Crated or un-crated.
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27. How many hours a day on average will
the puppy spend alone?
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28. List all plans for this dog: Pet,
obedience, agility, herding,
conformation, guard, breeding, other.
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29. Have you put any titles on any of your
previous dog(s)? If Yes, list the titles and
the registered name of the dog.
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30. Please provide any additional
comments you would like to make:
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