Dr. Linda K Fung Blackwater Farms 13482 Fitchburg Road Stockbridge, Michigan 49285 (517) 565-3065

Puppy Buyer Survey

Name: ________________________________ Phone:_____________________

Address: _______________________________________________________________

Occupation:_____________________________________________________________

Please fill out the following survey to help us in our efforts to place puppies in appropriate homes.  Feel free to elaborate on additional pages.
The more information you give about your home and needs, the better we can assess your feasibility as a Belgian Tervuren owner and match you with the appropriate type of puppy.

What attracts you to a Belgian Tervuren?

 

Have you owned a Tervuren before? Any dog? If so, please elaborate.

 

Where is/are these dogs now.

 

 

Do you intend to compete with your Tervuren?

_____ conformation shows

_____ obedience trials

_____ herding trials

_____ tracking/search & rescue

_____ schutzhund/ring sport

_____ sledding/ski-jouring

_____ other ______________________________

 

Do you intend to obedience train you Tervuren?

_____ on your own

_____ with _________________________ club/trainer.

         

Do you hope to breed your Tervuren? Explain.

 

         

Do you have any other pets? List:

 

         

Do you have children? Ages:

 

         

Do you, or your neighbors have livestock? Type:

 

How do you imagine a dog fitting into your home? Schedule, indoor dog, outdoor dog, activities, exercise....

 

 

Where will be dog be while you are away for the day?

 

How long each day will the dog be alone?

 

Who in your family will be primarily responsible for:

The daily care of the dog ____________________________________________

The clean-up______________________________________________________

The training _______________________________________________________

The vet and food bills _______________________________________________

The dog’s exercise _________________________________________________

Who would take care of the dog if you had to be hospitalized?

 

What will you do with the dog when you go on vacation?

 

Do you intend to use a crate for house training your pup?

Have you used a crate before?  

Where will your puppy be -

When you are home ________________________________________________

When you are away ________________________________________________

 

Do you have a fenced yard? If yes, please describe:

 

What veterinarian will you use?

 

Do you belong to any dog or dog sport clubs? Please list.

 

Do you subscribe to, or regularly read, any "dog" magazines? List:

 

What do you expect of your new Belgian Tervuren (e.g. looks, temperament, attitude, abilities)?

 

What do you expect of your dog’s breeder?

 

Would you be interested in an older pup or adult dog? Explain.

 

May this breeder or a local Belgian Club member, on behalf of this breeder, visit your home?

Have you read and feel you understand and agree with the sample contract?

 

I swear that the above information is true and complete to the best of my knowledge.

_________________________________________ Date: ______________________

What questions do you have?

 

REFERENCES:

We may contact any Belgian-Club member in the vicinity of prospective puppy buyers. In addition, we ask that you provide three (3) references which would have good knowledge of your ability to be a responsible dog owner. These may include: dog trainers, Belgian Tervuren owners who know you, other dog owners who know you, your veterinarian, friends and neighbors.

List references:

Name                                         Address

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

 


Thank you for taking the time to fill out this survey. We make every effort possible to place my puppies in responsible homes and according to the needs of both the home and the puppy.

We will be in touch with you in the near future.