Prospective Owner Questionnaire

Date Submitted:

Part I.  You and Your Home

1.  Please provide your name, mailing address, contact phone number(s), and email address:

2.  Employer:

3.  Years with present employer:

4.  Single-family home, condo, apartment, or other:

5.  Do you own or rent?
(Note, if you rent, you must provide a copy of your lease that shows you have permission to have a large dog at this address.)

6.  For each person living in your home, please provide name, relationship to you, and age.

7.  Please describe your yard and fencing on your property. Will the dog be kept (please check all that apply):

Inside        Outside   In Yard      Loose  
Kennel      Garage    Basement 
 Other:

8.  Who will be the primary servant/caretaker of the Samoyed?

9.  Where did you learn about Samoyeds?  Who in the household has initiated the search for a Samoyed?

10.  What do you know about Samoyeds and what about the breed attracts you?

11.  If you move, what will you do with your Samoyed?

12.  Are you willing to have me or another experienced Samoyed owner do a home visit?

Part II.  The Animals in Your Life

1.  Please describe the animals that presently live in your home:

2.  How many dogs have you owned in your life?  (Note, being new to dogs is not a negative as we all have to start somewhere.)

3.  For each of the dogs above, if it not still living with you, please describe the circumstances were.  For example, passed away, had to be re homed, etc.
(Note that giving up a dog for various reasons is not necessarily a negative)

4.  Have you raised a puppy from eight weeks of age before?

5.  Have you adopted an older dog before?

6.  What problems have you encountered with your dogs over the years and how did you handle these problems?

7.  How have you trained the other dogs in your life?

Part III. Why a Samoyed?

1.  Have you met Samoyeds and their owners?  If so, please tell me about this experience. 
(Note, if you have not yet met a Samoyed, I will ask you to visit someone in your area so that you can meet the dog, talk with the owners, and decide if this is really the breed for you.)

2.  Why do you want a Samoyed?  What personality traits do you hope your Samoyed has?

3.  How many hours a day will your Samoyed be alone while family members are at work and school?  How will you contain your Samoyed during this time?

4.  Do you have a preference for a male or female?  If so, please explain:

5.  Do you have any other preferences?  If so, please explain:

6.  Do you have a veterinarian lined up for your Samoyed?  If so, please provide clinic contact information:

7.  Do you have a training facility where you can take classes with your Samoyed?  If so, please provide the contact information:

8.  Are you willing to have OFA x-rays and a CERF eye exam done when your Samoyed is two years old?
(Note, OFA x-rays will cost about $125 and a CERF eye exam is less than $50.)

9.  Are you willing to keep your Samoyed intact so it can be evaluated for future breeding potential or do you want to spay/neuter your Samoyed?

Part IV.  Activities With Your Samoyed

1.  What do you plan to do with your Samoyed for exercise -- both mental and physical -- on a daily basis?

2.  Are you interested in any of the following activities?

     Sledding/Skijoring

     Carting

     Rigging/Scootering

     Weight Pulling

     Obedience

     Agility

     Herding

     Assistance/Therapy Work

     Search and Rescue

     Flyball

     Hiking/Backpacking

     Other? (please describe)

3.  Describe a typical day in the life of your Samoyed:

Part V.  Breeding and Showing Your Samoyed

If you are looking for a Samoyed that you can spay/neuter, please skip this section and go to section VI.

1.  Are you interested in:

     showing your Samoyed in local conformation shows?

     breeding your Samoyed?

     don't know but will consider?

2.  Are you willing to travel to conformation shows so that your Samoyed can be evaluated by judges?

3.  Have you lived with an unspayed female dog before?

4.  Have you raised a litter of pups before?

5.  Have you lived with an intact male dog before?

6.  Are you willing to take on the expenses of raising a litter?  (You will NOT make a profit!)

7.  Describe why you would like to be involved in showing and breeding Samoyeds?

Part VI.  The End

1.  It is a good idea for you to talk with multiple Samoyed breeders.  If I don't have enough pups that I can place one with you, would you like me to pass your application on to other breeders who might be expecting a litter?

2.  Which other Samoyed breeders have you talked to about pups?  Are you on the waiting list of any of these breeders?

3.  What else would you like me to know about you, your family, and why you would be a good home for a Samoyed?

4.  Is there anything else you’d like me to know?