Wachusett Chinooks Puppy Questionnaire
Name(s)Name(s) of Other Family Members
Home Address:
City /State /Zip
Email Address:
Phone (Home)
Phone (Other)
References (2):
Please answer the following questions honestly, openly and thoughtfully.This assists us in determining what type of puppy will be the best fit for you.Filling out this questionnaire does not guarantee that a pup will be placed with you, but gives us a chance to get to know you and your family.
It may seem a bit long, but we are committing to a 12-15 year relationship with you and your family. We want to make sure it will work out the best for everyone, especially the puppy.
PART 1. You and Your Home
Occupation:
Years with Employer:
Does your spouse/partner work outside of the home? Yes No
Occupation:
Is the position Full-time or Part-time?:
What type of housing do you live in? (Single family house, Condominium, Apartment, self-owned or rented, Other)
Number of years at this address: If less than 2 years, where did you live prior to this?
Do you have written permission from your landlord to keep a dog in your residence? Yes No
Please provide your landlord’s contact information.
Do you have a securely fenced yard? Yes No
What type/height of fencing do you have?
No fence? How would you keep your Chinook secure?
Do you have locks on your gates? Yes No
What would you do if you had to move and cannot find an apartment that allows dogs?
Does anyone in your household suffer from allergies to pets? Yes No
If yes, please explain:
Who will be the primary caretaker of this Chinook?
If you share your home with another adult, how does he/she feel about getting a Chinook?
Number of hours this Chinook would be alone during the day:
Where will this Chinook spend time during the day?
Where will this Chinook sleep at night?
What plans do you have for feeding and caring for your puppy for its first few months if you work outside of the home?
Part 2. The Animals in Your Life
Please describe any other pets in your household (type, sex, ages, neutered/spayed?):
Do you have a vet? Yes No
What is the name, address and telephone number of your vet?
Please tell us about the dogs you have owned in your life:
How have you trained them?
Have you ever had to give a pet up for any reason? Yes No
If yes, please describe the circumstances.
What problems have you faced with other pets in your life?
Have you ever had a dog who ran away and was never found? Yes No
What measures would you take if your Chinook was ever lost to find him/her?
Have you ever raised a puppy before? Yes No
Part 3. Chinook Ownership
How did you learn about Chinooks?
What draws you to the Chinook Breed?
What personality traits are you looking for in a Chinook?
Are there any specific physical characteristics you are looking for in a Chinook?
Have you ever visited other Chinook owners? Yes No If so, who?
Do you have a preference for a Male / Female Please explain why.
Would you take the opposite sex if your preference were not available?
Yes No
Have you ever returned a dog to his/her breeder? Yes No
If yes, please explain:
If you purchased a Chinook from Wachusett Chinooks, and at some point were unable to keep him/her for any reason, would you be willing to return your dog to me? Yes No
Chinooks generally live to be between 12-15 years of age. Are you ready and willing to care for a Chinook for that many years? Yes No
Are you aware of the costs you will incur to keep your Chinook healthy?
Yes No
Are you willing to become educated on appropriate, healthy feeding and minimal vaccinations for your Chinook? Yes No
If your Chinook needed long term medical care within his/her lifetime, are you willing to commit the resources to do so? Yes No Please explain:
Do you have a training center nearby which uses “positivereinforcement” where you can take classes? Yes No Name of facility:
Who in the household will be primarily responsible for training this Chinook?
Part 4. Activities With Your Chinook
Chinooks do well in a variety of canine sports and activities. Which activities do you hope to do with your Chinook?
Obedience Search and Rescue
Agility Therapy work
Sledding or rigging Hiking or backpacking
Skijoring Weight Pulling
Herding Other:
What do you imagine your dog will do for exercise- both mental and physical- on a day-to-day basis?
Part 5. Breeding and Conformation Showing
The breed relies on the support of it’s owners who can keep a dog intact or raise a litter, to further advance the breed in numbers and genetic health.
Are you interested in: Showing your Chinook Yes No
Breeding your Chinook Yes No
If your Chinook does prove to be of breeding quality (this will not be known until all health screens are completed by age 2), are you willing to share the decision of mates with Wachusett Chinooks? Yes No
Are you willing to travel to local shows so that experienced judges can objectively evaluate your Chinook? Yes No
Have you ever shown a dog before? Yes No
Do you have someone in your area that could mentor you if you are new to showing? Yes No
Have you raised a litter of puppies before? Yes No
Have you lived with an intact male dog before? Yes No
Have you lived with an intact female dog before? Yes No
Describe why you would like to be involved with breeding and showing a Chinook?
Part 6. Wrap up
How do you feel about being required to keep in contact with the breeder for the lifetime of the dog (ex: email, sharing photos, filling out annual health questionnaires)?
Do you understand that we require you to sign a contract tailored specifically to you and your new puppy priorto receiving a puppy from our kennel?
Yes No
New owners are responsible for the cost of transporting their puppy to his/her new home – which may require a person to fly out and take the puppy back as carry-on baggage. (We do not allow puppies to be shipped as cargo on any commercial carrier .) Do you have any concerns about this? Yes No
Is there anything else you would like us to know about you and your family?
Have you applied for a puppy with another Chinook Breeder. Yes No
If we do not have enough available pups, would you like us to pass your application on to other breeders who might be expecting a litter? Yes No
Thank you for taking the time to complete and send this questionnaire.
Please return this form to:.