Questionnaire

Name *

Email *

Location *

Phone number *

Please list members of the household, including ages: *

What is your age? *

Less than 13

13-18

19-25

26-35

36-50

Over 50

Prefer not to say

If you live with a partner, is he/she on the same page regarding acquiring a puppy/dog? *

Yes

No

It's a surprise

Do you own or rent your home? *

Own

Rent

Do you have a fenced in yard? If no, please explain how you plan to exercise your dog: *

Do you have other pets? If so, please list their sex, breed, species. If you have other dogs, please list whether they are spayed or neutered. *

If you have pets, what is the name of your veterinarian? *

Do you have experience with bully breeds? If not, why are you looking to add an American Staffordshire Terrier to your family? Have you researched the breed and understand its unique qualities? *

What is your occupation? How many hours, on average would the puppy be left alone daily? *

Do you plan to vaccinate your puppy? *

Yes, I will give vaccines as recommended by my vet

No I do not believe in vaccinations

Other (explain)

Will the puppy be primarily an inside dog? *

Yes

No

Other (explain)

Are you familiar with crate training? *

Yes

No

I don't believe in it

Do you have any intentions of ever leaving the dog unattended outside? *

Yes

No

Would you ever take the dog to the pound if you could not care for it? *

Yes

No

Have you looked into training facilities in your area? *

Yes

No

Do you plan to enroll in training classes with your new dog? *

Of course

Not likely

Possibly

Please take this opportunity to describe your lifestyle (are you active, enjoy hiking or running, or would you prefer a more 'chill' puppy? *

Do you have any interest or previous experience training dogs for any of the following? *

Conformation

Agility

Rally

Obedience

Weight Pull

Schutzhund

Dock Diving

Coursing

None of the above, just want a companion

When are you hoping to get your new family member? *

Do you prefer a male, female, or first available? *

Male

Female

No preference

Do you intend to breed the dog? *

Yes

No

Do you have a color preference? *

Red

Fawn

Blue fawn

Black

Blue

Brindle

Blue brindle

White

No preference - just want a healthy puppy!

check all that apply

Please note: If approved, and you place a deposit, please consider the deposit to be a commitment to purchase an American Staffordshire Terrier puppy from our kennel. It does NOT guarantee you a specific puppy or a puppy from a certain combination. Although we know which colors are possible with each breeding, we cannot know for sure how many pups of each color or gender will be born. Some litters have been as big as 10 puppies, while others have only had 1 puppy. If your desired gender/color/temperament preferences are not available, then deposits may be transferred to a future litter. Deposits are NON-REFUNDABLE. Filling out this questionnaire does not guarantee approval for one of our dogs or puppies.

By checking this box, you agree that everything you have answered is accurate and understand everything written in the questionnaire. *

I understand and wish to be considered for a puppy or dog.