Your assistance in completing this questionnaire will help us to place the right dog/puppy in your home. All information will be kept confidential and used only by us. If a question does not apply to you then just leave them blank. Please do not skip any questions. Thank you for your cooperation and interest in our dogs.
How did you hear about us?
What interests you about our dogs in particular?
Name:
Home Phone #:
Best time to call?:
Work Phone #:
Best time to call?:
E-mail:
Address:
City, State & Zip Code:
Occupation(s):
Are you at least 18 years of age?:
Yes____ No____
1) Why have you decided that the American Staffordshire Terrier (AmStaff) is the breed you wish to own?
2) Have you ever owned an American Staffordshire Terrier (AmStaff) before?
Yes____ No____
Please list any other breed's of dog that you have owned other than an American Staffordshire Terrierr:
3) Are you looking for a young puppy or an older dog, and why?
4) Is your preference a male or a female, and why?
5) What is the most important reason for purchasing an American Staffordshire Terrier/American Pit Bull Terrier (please check all that apply):
Companionship:____ Show: ____ Breeding Prospect: ____ Obedience/Agility: ____ Therapy Work: ____ Other: ____
If other, please explain:
6) Are all members of the family ready for a new dog/puppy?
Yes: ____ No: ____
7) Do any members of your family have any types of allergies to dogs?
Yes: ____ No: ____
8) Do you live in a: House:___ Apartment:___ Condo:___ Other:___
If other, please specify:
9) Do you own or rent where you presently reside?
Own___ Rent____
If you rent have you discussed having a dog with your current landlord?
Yes: ____ No: ____
10) Is your yard completely fenced with secure fencing?
Yes: ____ No: ____
If not would you be willing to do so before bringing home a new dog/puppy or build a secure run for the dog/puppy to be in when not being safely supervised?
Yes: ____ No: ____
11) Do you currently own any other pets?
Yes: ____ No: ____
Please list all animals currently in your residence (include age, gender & species):
12) Ages of children in the home (if any)?
13) Would someone be home with this dog/puppy during the day?
Yes: ____ No: ____
If no one is going to be home during the day when the dog/puppy requires extra attention and feedings, would someone be able to come home to feed the dog/puppy and let it out for exercise, to keep it on a regular routine?
Yes: ____ No: ____
14) Have you ever completed an AKC/UKC title in conformation, obedience, or agility, or any other titles before?
Yes: ____ No: ____
If yes, please list all titles achieved:
15) Do you agree not to let this dog/puppy ride in the back of an open vehicle? Do you agree never to let this dog/ puppy run loose in an unfenced area unsupervised where harm may come to it? Do you agree never to chain this dog/puppy up as a means of confinement? Do you agree to never allow this dog/puppy to run off leash in a dog park or to attend public "doggie day care"?
Yes: ____ No: ____
16) Would you be willing to let the breeder or a friend of the breeders come to visit the dog/puppy to see how it is working out in it's new home?
Yes: ____ No: ____
17) Do you have any intentions on breeding this dog/puppy?
Yes: ____ No: ____
What would your reason's be for breeding?
18) If you decide to purchase a show quality dog/puppy are you willing to show it or have the breeder show it to his or her Championship?
Yes: ____ No: ____
Would there be other titles that you would be willing to achieve with this dog/puppy?
Yes: ____ No: ____
19) Are you aware that early socialization (starting at 8 weeks) to strange people, places and pets is VITAL to a sound temperament and a great family companion? Do you understand that leaving your puppy at home without socializing him/her to the outside world will lead to shyness/fear and a poor temperament all around? Are you willing to take your new puppy out to public places such as Petsmart, Petco, the park, shopping areas etc. to socialize appropriately with friendly people, children and dogs?
Yes____No____
What sort of socialization and training do you plan to do with the dog/puppy once you have him/her? (Please be very specific):
20) Do you agree to never leave this dog unattended with other dogs or pets?
Yes____ No____
21) Are you willing to commit to at least 2 basic obedience training classes and will you attempt to attain a Canine Good Citizen (CGC) award with the dog?
Yes____ No____
22) What qualities are you looking for in an American Staffordshire Terrier (activity level, temperament, drive, working ability etc.)?
23) Where will you house the dog?
Inside____ Outside____ Both____ Other_____
If other, please explain:
24) Are you aware that some AmStaffs may or may not become dog aggressive (or same sex aggressive) once they reach maturity at 2-3 years old? Though this is not always the case with every AmStaff, you must be aware that not all AmStaffs can get along with every dog they meet (this is not a Golden Retriever afterall!).
Yes___ No____
25) When, where and how often do you plan to exercise the dog/puppy?
26) If you are unable to pick up a dog/puppy in person, what would be your nearest International Airport (include the name, city and state):
If you have any more additional info that would be helpful in placing the right puppy or dog with you, please feel free to add it below:
Thank you for taking the time to fill out this questionnaire to help us in finding the right dog/ puppy for you.
Please feel free to contact us if you wish more information or have any questions.
*NOTE* If you are e-mailing us your Puppy Questionnaire, please send it to mountbrierfarms@yahoo.com. The easiest way to select all text, copy and paste this Puppy Questionnaire into an e-mail is to use the following keys: Select All (Ctrl + A), Copy (Ctrl + C), and paste (Ctrl + V) into e-mail. Thank you!