Moodreaux's Puppy Questionnaire
To help determine if our puppy is the perfect fit for you and your lifestyle please fill out this form.
Email address *
Todays Date: *
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FULL NAME & PHONE #: *
Your answer
FULL ADDRESS: *
Your answer
DATE OF BIRTH:(must be at least 18 years old) *
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How did you hear about us? *
Required
Housing: *
Do you currently follow us on Facebook or other Social Media platforms? *
Current Employer: *
Your answer
Length of Work Days: *
Required
If long work days, who will help care for your new puppy during those hours? *
Your answer
WHY are you Interested in purchasing an Aussie? *
Your answer
Have you owned or currently own an Australian Shepherd? *
Which Moody's Aussie puppy are you interested in? *
Your answer
Are you looking for a male or female companion? *
Are you Interested in *
“When” are you looking to bring a new puppy home? *
Your answer
Do you have children in your home? If so, please list how many and their ages. *
Your answer
Does anyone in your household have pet allergies? *
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