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*Placement Questionnaire:

If you are seriously interested in being considered for a Stillwaters Airedale, please complete the following questionnaire.

Please print it out and email or mail to me: 

Sherri Glass - PO Box 431 -  Clyde, Ohio 43410

You may call if you have questions:  419-355-3620


How did you hear about us? ___________________________________

Your name _____________________________________________________


City, State and Zip Code _____________________________________________________

Phone: Home______________ Cell_____________________

Best time to call _______________


References: Veterinarian and phone number _________________________________________________

If you do not currently have a vet, please list one you have visited____________________________________________

Family data:

Are you:   M____ S____ D____

Age:  20-35___ 36-50___ 51-65___ 66-75___ 75+___

Children:______  Ages _________________

Employed: you _________spouse_________

or retired_________

Home: urban_____ suburban_____ rural area _____

Do you:  own______ rent_____ (requires written landlord approval)

How long will the dog be left alone during the day? __________________

Where will the dog stay?  day ______________ night___________________

Do you have a fenced yard?____________________________

Who will primary caregiver of the dog? _____________________________________________

Have you ever owned an Airedale? ______________________________

Other dogs? ________________________________________________

What happen to them? _________________________________________

Have you ever given a pet away?______________ 

What were the circumstances? _____________________________


Have you ever returned a pet to its breeder?__________________

What were the circumstances______________________________


Have you ever taken a pet to the pound or shelter? _____ 

What were the circumstances? ____________________________


What other pets have you had in the past? ______________________________________________________________________________________________________

What other animals do you have at home? _______________________________________________________________________________________________________

Are you going to spay/neuter this dog? _______

Are you thinking of breeding this dog?________

Airedale behavior:

What qualities about the Airedale do you like? _______________________________________________________________________________________________________

What behaviors would annoy you? _______________________________________________________________________________________________________

How do you plan to discipline your dog? _______________________________________________________________________________________________________

Do you plan to crate train this dog? ________________________________

Are you considering: puppy class_____ obedience class_____  

Do you have a trainer, and at what age will you start the training? _______________________________________

Are you interested in showing the dog in the conformation ring? __________________________________

Are you interested in competition performances such as agility, obedience, hunting, herding etc.? ___________________________________

Have you shown dogs to any performance titles? ____________________________________

Are you interested in male or female? _________________________

Would you be interested in an adult? (occasionally I place an adult) ___________  Are you only interested in an adult? ______

Are you committed to this new dog for its "lifetime"? ______ 

The puppies we breed are very important to us. If for any reason you are not able to keep your dog, we would expect you to contact us so we can find him a good home.

Thank you



Your signature here ________________________________


***a $300 Non-Refundable deposit is required to hold a puppy***

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