Whispawillow Reg’d German Shepherds Maria Fabrik PO Box #218 * LeRoy, SK. * S0K-2P0 * (306) 287-3418 If you are interested in purchasing a puppy from Whispawillow Kennels, please fill out the following form in its entirety. This questionnaire is designed to help us screen potential buyers, to ensure our puppies' end up in the loving, forever homes they deserve. It also helps us to determine your needs so that we can help you choose the best puppy to suit your lifestyle. Once you have completed the questionnaire, please copy and paste it into the body of an email and send it to: whispawillow@sasktel.net Questionnaire for Potential Purchasers 1. Tell us how to get in touch with you Name: E-mail: Phone: Cellular: Website: 2. Mailing address Street: City: Prov/State: Post/Zip Code: Country: 3. Physical address if different than mailing address Street: City: Prov/State: Post/Zip Code: Country: 4. Do you work outside the home? 5. Do you have children living with you? 6. If you have children what are their ages? 7. If you have children are they good with animals? 8. Type of Dwelling? (apartment,condo,house,farm) 9. How long at this address? 10. Is your yard fenced? 11. Name and phone number of your veterinarian? 12. If you don't have a veterinarian will you find one soon? 13. Who will be the primary care giver of the puppy? 14. Is someone home during the day to care for the puppy? 15. Where will the puppy spend the day if left alone? 16. How many hours on the average will the puppy be left alone? 17. Where will the puppy spend its evenings? 18. Will this puppy have regular contact with its family during the Evenings? 19. Where will this puppy sleep? 20. What form of discipline do you use to correct an inappropriate behavior? 21. Are you aware that it takes positive reinforcement and several weeks before the puppy is house trained and able to go the entire night without an accident? 22. How will you deal with house breaking or the occasional accident in the home? 23. What are your feelings about crate training? 24. Have you ever owned a dog before? 25. Where is that pet now and why? 26. Have you ever surrendered a dog to the SPCA/Humane Society? If yes, why? 27. If you have surrendered a dog please explain Why? 28. Are you aware German Shepherds can live to be 15 years old? 29. Are you prepared to live with this dog for its entire life time? 30. Please describe any other animals/pets you may have? 31. Are your current pets good with other animals? 32. Have your current pets been around puppies? 33. Does anyone in your household have allergies to dogs? 34. Do all household members agree to the addition of a dog? 35. What is your knowledge of the German Shepherd Dog? 36. What do you expect the activity level of the GSD to be? 37. Are you aware that the GSD can shed a lot and may require daily brushing to keep shedding to a minimum? 38. For what purpose are you interested in a GSD? 39. Do you prefer a male or female? (no preference will make it easier for us to select a great pup for your life style) 40. Would you consider a "Long" coat puppy? (typically longer than normal, with extra fur around the ears, back of the legs and tail, by about 3 inches) 41. Do you have a preference to type and color? 42. If you have a preference to type and color please describe? 43. Are you willing to attend puppy socialization and basic training classes with an emphases on positive reinforcement? (The social/temperament stability of a puppy is greatly influenced by the amount of contact it has with the rest of the world) 44. If yes, Where would you attend classes? 45. Are you interested in competitive dog sports such as obedience, fly ball, rally-o, agility, herding, conformation, CGN, etc.? 46. Have you trialed or shown a dog to any performance titles in the past? 47. Are you currently on a waiting list for any other breeder? 48. Please list 2 references that we can contact if we choose. Reference One Name: E-mail: Phone: Reference Two Name: E-mail: Phone: 49. How did you hear about Whispawillow Kennels? 50. Have you read and agree to our sales contract and health guarantee? If you have any additional information you feel would help us pick the correct puppy for you, please tell us now: This document is the property of Whispawillow Kennels®. All Rights Reserved ©