PLACEMENT QUESTIONAIRE

YOUR NAME:___________________________________________________DATE:_____________________________

ADDRESS:___________________________________________________________________________________

CITY: _____________________________________ STATE:______________ ZIP:_________________________

PHONE: HOME:______________________________ WORK:__________________________________________

CELL:______________________________FAX:____________________________________________

EMAIL?:______________________________________BEST TIME TO CALL?___________________________

REFERRED BY/HOW DID YOU FIND US ?

PLEASE LIST ALL THE PEOPLE IN YOUR HOME, THEIR AGES AND OCCUPATIONS:

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ARE YOU INTERESTED IN A PUPPY?______ADULT?_____MALE …… FEMALE…….N/A

SIZE/STRUCTURE PREFERENCE? LARGE…..MEDIUM……SMALL……..N/A

WHAT do you want your AIREDALE to be/do? PET/FAMILY COMPANION….PROTECTION..OBEDIENCE/AGILITY/TRACKING….HUNTING….

CONFORMATION…OTHER?______________________________________________________________

ARE YOU CONSIDERING BREEDING?_____________________________________

WHAT QUALITIES ABOUT THE AIREDALE DO YOU LIKE?_______________________________________

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WHAT DON’T YOU WANT YOUR AIREDALE TO BE?____________________________________________

ARE YOU AWARE OF THE GROOMING AND EXERCISE REQUIREMENTS OF THE AIREDALE AND THOUGHT ABOUT HOW TO PROVIDE THESE?________

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HAVE YOU OWNED OTHER AIREDALES OR OTHER DOGS?______________________________________

WHAT HAPPENED TO THEM?_________________________________________________________________

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WILL YOU BE COMITTED TO YOUR NEW AIREDALE FOR IT’S LIFETIME?____

ARE YOU WILLING TO SPAY/NEUTER THIS DOG?___________IF NOT, WHY?_______________________

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WHO WILL BE PRIMARY CARETAKER OF THIS DOG?___________________________________________

ARE YOU PLANNING ON OBEDIENCE TRAINING FOR THIS DOG?_________________________________

ARE YOU AWARE OF THE ADVANTAGES OF CRATE TRAINING YOUR DOG?_______________________

HAVE YOU READ BOOKS ABOUT THE AIREDALE?_____________________________________________

OTHER BOOKS ON DOG CARE AND TRAINING?_________________________________________________

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DO YOU AGREE TO RETURN THE DOG, OR CONSULT WITH US, IF YOU MUST GIVE UP THE DOG FOR ANY REASON?____________________________________

HOW DO ANY OTHER PEOPLE IN THE HOUSEHOLD FEEL ABOUT HAVING AN AIREDALE?

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HOW LONG WILL THE DOG BE LEFT HOME ALONE?__________________________________________________________________________________________________________________________________________________________________________________

WHERE WILL THE DOG STAY DURING THE DAY?_______________________________________________

AT NIGHT?___________________________________________________________________________________

WHAT WILL YOU DO WITH YOUR DOG WHEN YOU ARE TRAVELLING/VACATIONING, ETC?________________________________________________________________________________________

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DO YOU HAVE A FENCED YARD OR KENNEL ENCLOSURE FOR THE DOG’S SAFETY?

DO YOU ….OWN……or……. RENT…...YOUR HOME?

URBAN……………….SUBURBAN…………………………RURAL?………………..

REFERENCES:

VETERINARIAN______________________________________________________________________________

OTHER: (NAME, ADDRESS, TELEPHONE #)

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THANK YOU!…please feel free to use back or add other sheets for additional information you would like to provide