KERSTONE SHEPHERDS
Alicia Lips, Abilene, KS 67410
Phone: 785-632-0792, Email: kerstone_shepherds@yahoo.com
Website: www.kerstoneshepherds.net

Puppy Buyer Questionnaire

Note: Fill out the name, address, and phone number as you would like it to appear on all legal documents such as the
Contract & Guarantee, AKC registration papers, and puppy shipping information for the airlines.

Your name ____________________________________________________________________________

Address ______________________________________________________________________________

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Phone Number ________________________________ Fax _____________________________________

Your Age _____________________ Email __________________________________________________

Occupation ____________________________________________________________________________

Names, ages, sexes, and occupations of anyone living in your home _______________________________

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How many hours per day will the dog be left alone? ___________________________________________

Where will the dog be kept during this time? _________________________________________________

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Have you ever owned a White Shepherd or German Shepherd before? _____________________________

If yes, where or how did you get it (ex. Gift, pet shop, rescue, breeder, etc.) _________________________

If from a breeder, what was the breeder’s name, where are they located, and how did you come into contact with

that breeder? ________________________________________________________________

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Number of dogs previously owned ________ Breed(s) _________________________________________

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Why do you no longer have them (sold, given away, death, etc.) _________________________________

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If death, what was the cause of death? ______________________________________________________

Have you ever taken an animal to a shelter, pound, or humane society? If yes, why? __________________

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Number of dogs presently living with you __________ List breeds, sexes, whether they are spayed/neutered,

and ages: _______________________________________________________________

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Number of other animals living in your home and on your property ____________ What types of animals and

how many of each? __________________________________________________________________

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Are you experienced in and willing to potty train a young puppy? ________________________________

How did you find/hear about Kerstone Shepherds? ____________________________________________

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Why are you interested in owning a Kerstone puppy and what are your future plans for it? ____________

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Will this puppy live only in your home? _____________________________________________________

Do you live in a house or an apartment? _______________________ Own or rent? __________________

If rent, please supply your landlord’s name, phone number, and address: ___________________________

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Do you have a fenced yard? ___________ If yes, describe the size of yard and type of fence: ___________

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How much time with the pup spend in each of these places? Home ______________ Yard ____________

Crate _____________ Other ______________________________________________________________

How and where will the dog be cared for when you are on vacation? ______________________________

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Do you plan to use a pet carrier or crate with your puppy? __________ If yes, in what situations and for

what periods of time? ___________________________________________________________________

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Where will the puppy sleep at night (check all that apply)? In a crate in the house ____, On our bed ____,

On a dog bed in the house ____, Outdoors in the yard ____, Anywhere it wants ____, In an outdoor building

or dog house ____, In a confined room or area in the house ____, Other (describe) ___________

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Do you plan on attending an obedience class with your puppy? __________________________________

What other types of training do you plan on doing with your pup? ________________________________

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Briefly explain why you have chosen to bring a new dog into your home at this time and how ALL family

members living in the home feel about it: ____________________________________________________

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Preferences

Male ____ Female ____ Why? ____________________________________________________________

Pet Quality ____ Breeding Quality ____ Why? _______________________________________________

Color

White ____ Sable ____ Black ____ Black & Tan ____ Other ____________________________________

I want a Shepherd for: (Check all that apply)

Companion ____ Family pet ____ Protection/Schutzhund ____ Obedience ____ Show ____

Breeding ____ Agility ____ Tracking ____ Herding ____ Other (explain) _________________________

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If this dog is not going to be used for show or breeding will you have it spayed/neutered? _____________

If no, why not? _________________________________________________________________________

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