Prospective Owner Questionnaire


Please fill out this questionnaire and return it by:

E-mail to addiron@eastlink.ca

Or mail to:

W. Addison White and Ron Dunn

248 Truro Heights Road

Truro Heights, Nova Scotia

B6L 1X3

CANADA


Note : Addiron Kennels reserve the right to decline a prospective owner with no reason given

All Sections with an * is required



*Your Name: __________________________________________________________________

*Street Address: ________________________________________________________________

*City: _________________________________ *Province/State: ________________________

*Postal/Zip Code: _______________________ *Country: _____________________________

*Telephone Number: ____________________ *E-Mail Address: _______________________

*References: You are required to provide two (2) personal references not related to you. Please include their name, relation, address, and contact information including *e-mail address.

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  1. *Who is your current vet and contact information? _______________________________

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  1. Do you have experience with Parson Russell Terriers? ____________________________

  2. *Have you owned other breeds, if yes which ones? ______________________________

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  1. *What pets do you own (please list): __________________________________________

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  1. Have you ever euthanized a dog? If yes why? ___________________________________

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  1. *Have you ever surrendered a pet to an animal shelter or the SPCA? ________________

If yes, why? _____________________________________________________________

  1. *Are you a member of the Canadian Kennel Club? _____ If yes, have you ever been disciplined? ______ If yes, why? _____________________________________________

  2. Do you belong to any other dog clubs, if yes which one(s)? ________________________

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  1. *Are you willing to keep in contact with us over the lifetime of you dog and keep us updated? ________

  2. *Do you have children? _______ If yes, how many and what ages? _________________

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Do any of your children have special needs? _______ If yes describe: _________________

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  1. How long will your dog be alone each day? ____________________________________

  2. Where will your dog stay during the day? ______________________________________

  3. Where will your dog sleep? _________________________________________________

  4. *Do you have a fenced yard or dog run? ______________________________________

If yes, how high (in feet or centimeters)? _________________________________________

  1. Do you have shelter for your dog outside? ______ Will you tie your dog with a rope or chain? _____ Will your dog be an indoor dog or outdoor dog? _____________________

  2. If you travel, where will your dog stay? ______________________________________

  3. What do you like about Parson Russell Terriers? ________________________________

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  1. Do you understand this is a shedding breed? _____________

  2. Do you understand this is a breed not tolerant of extreme cold or hot weather? ________

  3. Do you understand this is a high maintenance breed with grooming and is a very high-energy breed? _________

  4. Where and who will be grooming your dog? ___________________________________

  5. *What are three characteristics you desire in a puppy/dog? ________________________
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  1. *What sex do you prefer in a puppy/dog? Male or female? __________ If unavailable would you consider another sex? ___________

  2. *Do you prefer a puppy or an older dog? ___________ If your choice is not available would you consider another choice? __________

  3. What coat type would you desire? Rough, broken or smooth? ____________________

If your choice was not available, would you take another pup with a different coat type? _______

  1. What colour do you prefer? White ____ White/Tan ____ White/Black ___

White/Tan/Black ____ If not available would you consider another colour? _______

  1. Do you have other dogs at home? _____ If yes what sex(es) and are they spay or

neutered? __________________________________________________________

  1. *Do you intend to spay/neuter your puppy/dog? ________ If no why? __________

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  1. Will you follow the vaccination schedule set out by your vet? ________________

  2. How will you socialize your puppy/dog? (To get used to people, noises or other dogs):

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  1. *Do you plan to show your dog at dog shows? ________________________________

  2. *Do you plan to take your dog to obedience classes? ___________________________

  3. *When are you expecting to buy a pup? _____________________________________

We only have may be once a year, are you willing to be put on a waiting list? ______

  1. *Are you willing to pay a non-refundable deposit to reserve a puppy? _____________

(Note: prospective buyers paying a deposit go to the first of the waiting list)

  1. Why are you purchasing a puppy/dog? _____________________________________

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  1. After answering this questionnaire, are you still interested in buying a puppy from us?

Yes? _____ No? _______ (Feel free to say why if the answer is no.) ­­­­­­­­_______________

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  1. Any questions or comments? _____________________________________________

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Thanks for answering our questionnaire. We will contact you shortly! Addiron Kennels