*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:
stillwatersairedales@gmail.com
Sherri Glass - PO Box 431 - Clyde, Ohio 43410
You may call if you have questions: 419-355-3620
Date__________
How did you hear about us? ___________________________________
Your name _____________________________________________________
Address__________________________________________________________________________________________________
City, State and Zip Code _____________________________________________________
Phone: Home______________ Cell_____________________
Best time to call _______________
Email________________________________________________
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
Sherri
Your signature here ________________________________
***a $300 Non-Refundable deposit is required to hold a puppy***