Questionnaire

Name:

Email Address:

Address:

City:

State:

Zip Code:

Phone Number:

Occupation:

Name & Age of Household Members:

Who will be responsible for care of dog:

Is someone home during the day:

Yes
No

If no, how is this handled:

Do all family members want a dog:

Yes
No

Does anyone have allergies to dogs:

Yes
No

What is your living situation:

Own Rent

House Apartment TownHouse

Yard Size & Fencing Type

Have you ever owned a dog:

Yes
No

If yes, When: What happened to the dog:

What other pets do you presently own:

When/ how did you become acquainted with Boerboels:

Do you understand Boerboels shed:

Yes
No

Do you understand Boerboels are a dominant breed:

Yes
No

Have you met a Boerboel in person:

Yes
No

What makes you think a Boerboel is right for you:.

Dog will be housed:

Indoors
Outdoors

Do you plan on crate training:

Yes
No

Who will take care of the dog when you are gone for extended periods or vacations:

How will the dog be confined in your absence:

Veterinarian’s name: Address: Phone:

Local Animal Shelter name: Address: Phone:

Your puppy will require housetraining, socialization, training, and daily exercise. It will be much like having a new baby in the way it disrupts your life. Do you understand the time, energy & commitment required to get a puppy through its first year?

Yes
No

How will you do this:

Will you take the puppy to socialization and obedience classes:

Yes
No

Would you have the hips & elbows evaluated by PENHIP/OFA at 2 years of age:

Yes
No

Will you allow for a home inspection by either Utah Boerboels or one of its friends prior to the sale of the puppy:

Yes
No

In placing dogs with buyers, I consider this agreement a pact between parties to secure the dog’s welfare for its lifetime. In this agreement, I offer lifetime refuge for any dog I produce which buyer cannot keep. Will you promise to return the dog to me should some unforeseen circumstance prevent you from keeping the dog any longer with little or no monetary refund?

Yes
No

Age:

Would you spay/neuter:

Yes
No

Preferred gender:

Male
Female

Preferred Color:

Red
Fawn (Beige)
Brindle

Would you consider co-ownership?

Yes
No

What do you want to do with your dog?

agility
confirmation
protection
obedience
therapy
tracking
companion
other

If other please specify:

Initial here to say that you answered the questions above honestly.