Prospective Puppy Buyer Survey

There are two options to submit this survey: 
copy and paste it to an email, fill it out, and e-mail it to little@littletreebandb.com  
or print this page, fill it out and mail it to: Maggie & Gordon Johnston, PO Box 509, Arroyo Hondo, NM, 87513. 
**See the bottom of the survey for directions on how to copy and paste this form to an email.**

Date: 

Name:

Address:

Phone (home):                                  (work):                                  (cell):    
                                        
Email address:                                                                                

    Thank you for your interest in adopting a puppy from BraveHeart Belgians. Getting a puppy is a very important decision in your life. The choices that you make now will determine how satisfied you'll be with your canine friend for the many years to come. After all, a Belgian Sheepdog can live to 15 years of age or more.
    At this point, we will assume that you already have chosen Belgian Sheepdogs as your breed and you have made the decision to adopt your puppy from a reputable breeder. If we discuss and agree that you would benefit from not adopting a puppy from us, we will be happy to refer you to another reputable breeder. If we both feel a puppy from our litter is the best decision for you, you will get lifetime support and experienced advice from us as your breeder. 
    Please understand our concern in placing our "kids" in the most appropriate homes. We have signed the BSCA Code of Ethics and strongly believe that the first step to a successful owner/dog relationship is getting the right dog for the right owner. Therefore, we will try our best to match you with the best puppy for you. 
    Please complete this survey to help us to get to know each other better. Feel free to elaborate. Additional pages are fine, if necessary. Please feel free to attach pictures. The more information you can give us about yourself, your family, your home, your lifestyle, the better. No answers are right, just as no answers are wrong. Complete openness is fundamental - remember, we're trusting you for the lifetime of our puppy.

Your occupation:

Your favorite hobbies and past-times:

If you have a partner, partner's name & occupation:

Your partner's favorite hobbies and past-times:

Do you have children at home? Planning? Please list gender and ages.

Does anyone in your home have special needs? (elderly, physically or mentally challenged, wheelchair-assisted, etc.) Please explain. (Yes, this is helpful information that will allow us to help you both in placement with the best pup and in training that pup for those special circumstances.)

Is anyone in your home allergic to animals? How is it handled? 

Type of dwelling (house, condo, apartment, mobile home, boat, etc.,):

Do you rent or own?

If renting, we will need to have documentation from your landlord that states their "pet policy". (A copy of your lease usually provides this information.)

What caused you to choose a Belgian Sheepdog (Groenendael)?

Have you owned a Belgian Sheepdog before? 

Any dog? If so, please elaborate. Where did you get it/them? 

Where is/are this/these dog (s) now? (If deceased, please give age and cause of death.)

Have you ever had to find a new home for a pet? Please explain.

Have you ever taken a pet to an animal shelter? Please explain.

Have you ever euthanized a pet? Please explain.

Do you have other pets? Please list types, sex and ages.

Do you intend to complete a puppy kindergarten class with your Belgian? 

Do you intend to Obedience train your Belgian Sheepdog?
          on your own
          with _____________________________ Club/Trainer
          undecided

Are you familiar with the AKC Canine Good Citizen program?

Do you see this as something you'd be willing to attain with your Belgian?


Have you visited any AKC, UKC or CKC dog shows, events and/or other dog sport events? Describe your experiences.

Do you intend to participate in any of the following activities with your Belgian? (place an "X" beside all interested activities)
         Conformation shows
         Obedience trials
         Agility Trials
         Herding trials
         Tracking/Search & Rescue
         Schutzhund
         Ring/other protection sports
         Sledding/Ski-touring
         Therapy
         Other, explain:

Have you ever titled a dog (s)? If yes, please list the dog's (s) name, breed and titles.

What are your thoughts on breeding your prospective Belgian Sheepdog?

Do you plan to spay/neuter your Belgian? At what age?

How do you envision a puppy/dog fitting into your home? (Schedule, indoor/outdoor, activities, exercise, etc.)

Do you intend to use a crate for housetraining your puppy?

Have you ever used a crate to housebreak a puppy or a dog? Please elaborate.

Is anyone at home during the day? Whom?


How many hours on average will the puppy be left alone?


Are you planning on crate training your puppy?


Where will the puppy/dog be when you're not at home?
       In the crate
       In the house loose
       Outside
       Other, explain:

Who in your family will be primarily responsible for the daily care of your puppy/dog?
                                    walking
                                    feeding
                                    grooming
                                    exercising
                                    training
                                    showing/participating in sanctioned dog events

What will you do with your puppy/dog when you go on a vacation/business trip?

Do you have a fenced yard? If yes, please describe (size, height, type, how secured). If no, would you be willing to fence or how do you plan to exercise your Belgian?

Do you belong to any dog or dog sports clubs? If so, please list.

Do you subscribe to or regularly read any dog magazines? If so, please list.

During your research into this breed, what books have been helpful or stand out in your mind as favorites?

What do you expect your Belgian to be like?

What do you expect of your dog's breeder?

Will you commit to having your Belgian OFA'd for hips, elbows and thyroid at the age of two?   
    
Will you commit to having your Belgian CERF'd every three years of his or her lifetime?        
(CERF recommends that dogs used for breeding be tested yearly.)

Will you commit to having your Belgian's DNA checked for genetic markers for epilepsy and other genetic illnesses once a test is developed?

May I or my representative visit your home?

What questions do you have?

Please describe any physical, temperamental, or energy'level attributes that are of particular importance to you in the puppy you are seeking.

Do you prefer a male            or a female puppy            ? No preference.           

What type of puppy do you want? Companion            Working/Performance/Show             Please elaborate if desired.




How did you learn about us?

If you have consulted with other breeders, whom have you consulted?

Do you have a deposit with any other breeder at this time?


Are you willing to wait for a puppy?              How long?


Please share 3 references whom we may contact that you have known for 2 years or more (not family). Please feel free to include any "Belgian or dog people" that you know.

1.)

2.)

3.)

The information given in this survey is true and complete to the best of my knowledge.



                                                                                     Signature                                       Date

                                                                                     Signature                                       Date

Thank you for taking the time to fill out this survey. We make every possible effort to ensure that our puppies are placed in the appropriate homes according to the needs of both the homes and the individual dogs.

Maggie & Gordon Johnston
BraveHeart Belgians

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There are two options to submit this survey: copy and paste it to an email, fill it out, and e-mail it to little@littletreebandb.com (**see the bottom of the survey for directions on how to copy and paste this form to an email**) or print this page, fill it out and mail it to Maggie & Gordon Johnston, PO Box 509, Arroyo Hondo, NM, 87513. If you have any questions, call 505-776-8467.

Directions: There are many ways to copy and paste this form to an e-mail. We recommend that you follow the next six steps: 1- Highlight the survey with your mouse by depressing the left button on your mouse and dragging it down the form so that all of its text is highlighted. Then release the left button. 2- Click the RIGHT button on your mouse one time, then click "COPY" in the pop-up box that opens up. 3-"Double Click" on our e-mail address. 4- LEFT click on the empty "TEXT" box of the e-mail message that has been opened. 5-Click the RIGHT button on your mouse one time, then click "PASTE" in the pop-up box that opens up. 6-Fill out the form and hit send.