Thendara Questionnaire

Your E-Mail:
Your Name:
Address:
City, State & Zip
Phone:



  1. Have you ever owned an Australian Shepherd?             Yes     No

  2. What made you decide to purchase an Australian Shepherd?

  3. Do you prefer a male or a female?            Male    Female

    Why?

  4. Do you have a color prefence?            Blue Merle    Black Tri   Red Merle   Red

  5. Do you plan on participating on any of the following activities with your Aussie?
    (check all that apply)
    Conformation Obedience Herding Agility
    Tracking Flyball Therapy Breeding
    Family Pet Other:

  6. If you are not planning on breeding or showing, would you have your Australian Shepherd Spayed or Neutered?            Yes    No

  7. Do you currently own any other dogs?            Yes    No

    If Yes, please list them below along with breed, age, sex and spay/neuter status:

  8. Do you currently own any other animals (non-canine)?            Yes    No

    If Yes, please list them below:

  9. If you currently do not own any dogs, can you tell me about your past experience with dogs and dog ownership?

  10. Do you have children?            Yes    No

    If Yes, please list their names and ages below and give me a brief idea of their experience with dogs:

  11. What are your plans for housing and exercising your Australian Shepherd (do you have a fenced in yard)?

  12. Was I refered to you by someone else?            Yes    No

    If Yes, please list them below:

  13. Are you at all interested in being contacted about Rescue dogs or older dogs needing placement if we should come
    across a dog that we feel would suit your needs?            Yes    No





    Please list several (at LEAST 3) references. One should be your current vet if possible.
    (veterinarian, person active in dogs or close acquaintance prefered).
    Please include a phone number for each reference (and e-mail address if possible):

    Reference 1:

    Reference 2:

    Reference 3:

    Reference 4: