Puppy Inquirer's Questionnaire

Montage
Puppy Inquirer's Questionnaire

Please note that this questionnaire was not designed to be filled out online.
Simply copy and paste the contents into an email back to me and add your answers. Or, just type the answers without copying the questions. Thank you very much!

DATE:__________________________

NAME:____________________________________________________________

ADDRESS:_________________________________________________________

__________________________________________________________________

HOME PHONE:_______________________________________________________

WORK PHONE:_______________________________________________________

CELL PHONE:_______________________________________________________

EMAIL:____________________________________________________________

Please introduce yourself by answering the following questions. The information you share about yourself, family, home, lifestyle, and most especially your goals for a dog, will help me get to know you and match you with the right litter/puppy. Even if you are a long-time dog person with lots of experience it will still be helpful to me to have the information in this questionnaire. Thank you very much.

(1) Why do you want a Belgian Shepherd?

(2) I am interested in a Male/Female for the purpose of Show, Performance, Pet-Companion or Other - please describe what best applies to you and your goals:

(3) Describe any physical or character attributes that are especially important to you in the puppy you are seeking:

(4) Would you be interested in an older puppy or an adult?

(5) What is your time frame for getting a puppy?

(6) Have you ever owned a Belgian before?

Please list the registered names including any titles of Belgians you have owned or now own:

From whom did you purchase your Belgians?

Where are the dogs now? If deceased please give age and cause of death:

(7) Have you owned other types of dogs?

(8) Has your significant other ever owned a Belgian or other breeds of dogs before?

(9) Do you intend to eventually participate in any of the following activities with your puppy?

Conformation: Obedience: Agility: Herding:

Tracking: SAR: Schutzhund: Other:

(10) How do you intend to train your puppy with basic obedience? On your own? With a club/trainer?

Please list the name of the club and/or trainer if you have one:

(11) Do you hope to breed Belgians? If yes, please explain:

(12) Please list any family members living in your home along with their names. Do you have children at home or visiting at regular intervals? If yes, please list sexes and ages:

(13) Do you have other pets now? If yes, please list types and numbers and whether other dogs are spayed/neutered.

(14) How do you think your other pets will be with a new puppy?

(15) How are your current dogs with strangers who come to the house? How about out of the house?

(16) How are your current dogs with dogs they don't know when out of the house?

(17) How are your current dogs with thunderstorms?

(18) Do you or your neighbors have livestock? If yes, how close to your home? Please list types and approximate numbers:

(19) How do you envision a puppy fitting into your home (schedule, indoor/outdoor, activities, exercise)?

(20) Where will the puppy be while you are away during the day? How long each day will the puppy be alone?

(21) Do you have wall to wall carpeting? Is there an area of your house that can be made "puppy safe" where it's okay for accidents to happen?

(22) Where will the puppy sleep?

(23) Do you use dog crates, xpens or dog runs in your home? Do your adult dogs spend time in them? If yes, when is that? How about puppies?

(24) Who in your family will be primarily responsible for daily care, clean up, exercise?

Who will be the person doing the training?

(25) What will you do with your puppy when you go on a vacation?

(26) When you travel with the puppy, where will it ride?

(27) Do you have a fenced yard? If yes, please describe size, height, type and location:

(28) Do you have neighbors with dogs? If yes, do they bark at your dogs?

(29) How do you plan to house train your puppy? What would you do if your puppy had an accident in front of you in the house?

(30) Have you ever used a clicker or marker word positive motivational method to train your dogs?

(31) Do you have a veterinarian you will be using for your puppy?

      Veterinarian:

      Clinic:

      Address:

      Phone:

(32) Do you belong to any dog clubs? Please list:

(33) Do you have any favorite dog training books?

(34) What do you expect of your Belgian Tervuren?

(35) What do you expect of your dog breeder?

(36) May I, or my representative visit your home?

(37) Please describe your occupation (so that I can get to know you better):

(38) In the event that you purchase a Montage Belgian, please print the exact spelling of owner's name(s) as it should appear on the registration papers:

Owner(s):

(39) How did you hear about Montage Belgians?

REFERENCES: (required before a deposit will be accepted, otherwise not needed as part of an introductory email)

Please provide names, addresses, phone numbers and email addresses of at least three references.
These may include dog trainers, Belgian owners, veterinarian, friends or neighbors who would be able to recommend you as a home for a Montage puppy/dog.

Name:____________________________________________________________

Address:_________________________________________________________

__________________________________________________________________

Phone:____________________________________________________________

Email:____________________________________________________________

Relationship to you:_______________________________________________