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 us
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 and keep it safe?
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.
BraveHeart Belgians
There are two options to submit this survey: copy and paste it to an email, fill
it out, and e-mail it to us (**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 575-776-0911.
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.