Lndi's Border Terriers
Puppy Questionnaire

Name/Address/City/State/Zip

Home/Work/Cell

EMail Address

Referred by?

What reference materials have you read?

How many Border Terriers are you acquainted with?

Type of dwelling

If renting, please give name, address, and phone number of landlord

Name, address and phone number of your veterinarian

Who will be the primary caregiver?

Where will the puppy be kept during the night?

Is anyone home during the day?

Yes

No

How many hours per day on average will the puppy be left alone?

Will there be someone available to feed and exercise the puppy during the day?

Yes

No

Have you ever owned a dog before?

Yes

No

Do you have any other animals? If so, please list type(s) and number(s)

Does anyone in your household have allergies to animals? If So, Who And How Severe?

Do you have a sex and color preference?

How many hours per day will the puppy be kept outside?

How will he be confined when he is outside?

Do you have a fenced yard or suitable pen?

Will you be attending any training classes?

Yes

No

Undecided

How long did your last pet live? What were the circumstances of it's death?

Have you ever returned a pet to the breeder? If so, what were the circumstances?

Have you ever given a pet away or taken a pet to a pound or shelter? If so, what were the circumstances?

Are you interested in competition or performance events such as conformation, obedience, agility, therapy dog work, etc.? Have you ever competed in any events?

All companion pups are placed on a limited registration. Do you understand the difference between a limited registration and a full registration?

Lndi's Border Terriers Puppy Questionnaire

Lndi's Border Terriers
Puppy Questionnaire