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Titan Akitas Questionnaire
Please answer ALL questions. A completed questionnaire doesn't guarantee a response though all applications are reviewed within a week.
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* Indicates required question
Name
*
Your answer
Phone Number
*
Your answer
City AND State AND Country (Required)
*
Your answer
Email Address:
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Your answer
Have you ever owned an Akita?
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Yes
No
Do you own any Akitas now?
*
Choose
Yes
No
If yes: Male or Female? How many? Are they altered or intact?
Please answer thoroughly.
Your answer
If you have never owned an Akita, why do you want one now?
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Your answer
What are you looking for in an Akita?
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Show/Breeding Rights
Companionship/Pet
Required
If you are looking to acquire a Companion Akita, will you spay or neuter your puppy if required?
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Yes
No
What puppy gender do you prefer?
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Male
Female
Rent or Own?
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Rent
Own
Residence Type:
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House
Condo
Apartment
If you rent, does your landlord approve of an Akita? Or if you own do you have an association in your neighborhood and do they have any issues with Akitas?
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Your answer
Some homeowners insurance companies will not insure a home with an Akita; do you know what your
insurance company's stance is?
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Yes
No
Not Sure
What are the ages of the adults in your home?
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Your answer
Do you have children or regular visitors below the age of 12?
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Yes
No
If yes, how many? (Include grandchildren)
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1
2
3
4
5
5+
Do you have any other pets?
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Yes
No
If yes, what types? If you have other dogs, what sex? Intact or not? Please answer completely.
*
Your answer
Have you ever returned a pet to the place where you acquired it? What was the reason? (Answering yes truthfully doesn't eliminate you from the process)
*
Your answer
Where will your Akita spend most of its time? Outside, inside the home, a run etc?
*
Your answer
Do you have a fenced dog run or yard?
How tall is the fence?
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Your answer
Will you allow an in home visit or can provide pictures before a puppy is placed with you?
*
Yes
No
What dog food do you feed or plan to feed?
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Brand, protein base, etc.
Your answer
Do you have a veterinarian or vet clinic or an Akita owner or mentor to provide for a reference?
*
Yes
No
Name and phone number of reference.
*
Your answer
What type of research have you done on the Akita? What have you learned about the breed through your research or experience? Please thoroughly answer:
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Your answer
E-Signature
*
Your answer
Date
*
Your answer
Thank you for your answers! Please know that I take each and every application seriously and the answers are thoroughly reviewed as quickly as possible. Also know that there is usually a waiting list and it can be fairly long at times. I usually will not respond to applications where it's obvious that it wasn't taken seriously. Feel free to contact me via email to check on the status of your application if you have any questions. This process is necessary to make sure the hard work and care that was put into my bloodlines are preserved and well taken care of. If you get a puppy from Titan Akitas, I am trusting you with our legacy and that is taken very seriously.
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