Millcrest Prospective Owner Questionaire:

Please complete this questionnaire and return it. Please list any questions or concerns you may have on the back of this form along with any other pertinent information.

Name:______

Address: ______

Phone (home/office/cell):______

Email/FAX: ______

Please expand any question with information you feel is pertinent.

  1. Do you have other pets in your household? Describe age, living arrangements, etc.
  1. Are you a first time dog owner? ______If no, what other breeds have you owned?
  1. If you own or have owned a PWD, what is its age, gender, health, activity level, etc.? What experiences have you had with it? Any other experiences with PWDs?
  1. How many people are in your household? Gender and ages?
  1. What type of home do you have? House, Apartment, City,Country, Boat?
  1. Do you have a fenced yard? What type of fence, and how high? If no, how do you plan to exercise your puppy?
  1. Do you have access to a pool? Other access to open water?
  1. Are you aware that PWDs are INSIDE dogs? (The lack of undercoat makes them unsuitable for outdoor living.)
  1. Is someone home during the day?If not, how long will the puppy be left alone?
  1. Where will the puppy be kept when you are not at home?
  1. Where will the puppy be kept during the day? Night?
  1. Do you own a crate? Type and size?
  1. In your free time, are you “on the go” a lot? Can you include a PWD in your activities?
  1. What made you decide on a PWD as the breed you desire?
  1. Do you have a gender preference and why?Color? Coat type?
  1. Will you be able to enroll your dog in puppy kindergarten and obedience classes? (We consider puppy socialization a MUST for all PWDs.)
  1. Are you interested in: a young puppy only _____, an older puppy (4-12 months) _____, an older dog/retired champion_____?
  1. In which of the following activities (if any) do you anticipate that you and your dog will participate?Pet/companion _____, obedience _____, showing in conformation _____, water work _____, agility _____, therapy/service _____, tracking _____, boating _____, breeding _____, other ______.
  1. Do you plan to spay/neuter your dog?All pet/companiondogs are sold on spay/neuter contracts only.
  1. Do you plan to breed your dog? All dogs considered for breeding must meet all health requirements, be AKCChampion of record and highly encouraged to have some type of performance title.
  1. Do you have a regular veterinarian?Please list name, address, and phone number.
  1. Do you understand the financial commitment involved in having a PWD (after the initial cost of acquisition) such as regular veterinary care, health testing, quality food, regular grooming, and safe and appropriate facitlities?
  1. Are you aware of extensive health testing recommended as normal care-taking of a PWD? _____In the interest of making better breeding decisions for the future of the PWD, it is important for breeders to obtain health information about all PWDs as they mature.Would you be willing to health test a dog placed with you as a pet/companion (for example, periodic CERF eye exams and an OFA x-ray at 2 years of age) and report the results to us?
  1. Are you aware of what is involved in grooming a PWD? Are you willing to have your dog professionally groomed monthly, or learn to groom the dog yourself?
  1. Are you familiar with PWDCA?
  1. Are you willing to join PWDCA as an associate member?
  1. How did you learn of Millcrest PWDs? PWDCA,friend, another breeder, other?
  1. Why are you interested in a puppy from this particular litter / breeder?
  1. Are you willing to wait for a PWD? (remember, a litter takes 4 months from conception to 8 weeks of age) 6 months _____, 9 months _____, more than 9 months _____.
  1. Please provide the names and phone numbers of 2 references.
  1. I am aware that Millcrest PWDs reserve the right to refuse to provide a puppy to ANY reason. ______(Please initial.)
  1. I am aware that if I acquire a PWD from Millcrest PWDs, and in the event the terms of the purchase contract are not complied with, Pamela J. Miller, as registered breeder, is entitled to $3000.00 in damages and the return of the dog plus any legal fees and costs associated with the enforcement of the contract. ______(Please initial.)

Thank you for taking the time to answer this questionnaire.

Millcrest PWDs

Pamela J. Miller

PO Box 130

Sumava Resorts, IN 46379

PH. (219) 992-4003

millcrestpwds.com