Here is the questionaire. It is geared for rescue, but most of the questions apply. If you have any questions, please feel free to ask. - Home Evaluation - ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Date:___________________ This questionnaire is prepared for your benefit, the prospective owner, and the Collie that you plan to have become a part of your family. Please answer the following questions and return this form at your earliest convenience so that you can be placed on a waiting list for a collie. There are no right or wrong answers, please answer as honestly and completely as possible, so we may match you with a collie that you will be happy with, and who will be happy with you. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Name:__________________________________________________________________ Address:_________________________________________________________________ City:___________________________________ State & Zip:_________________ Phone:______ Email:_________ Occupations:_________________ ___________________________________ 1. Why do you want a Collie?____________ ___________________________________________________________________________ ___________________________________________________________________________ What variety of Collie do you wish? Rough, smooth, any variety? _________ 2. Have you ever owned a Collie before?____ When?________What variety?______________________ Where did you get it?_______________ 3. What happened to him/her?_________________________________ 4. Who is this Collie for? Self?______For Whom?________ 5. If single, your age______ Live Alone?______ With Family?______________ 6. If married, do you both work?__ _ Husbands/Wife's Hours________ 7. How many children at home?__Ages:______ 8. Who will be responsible for the Collie?____________ 9. Do you rent?____Own a Home?____Apartment?____Are you moving?_________ 10. Does your lease allow pets?____If moving, when_______Where____________ 11. Do you have a 6-ft fenced yard?_____Acreage?____How Much?__________ 12. Is the dog to be fenced in or let loose?______________ 13. Do you intend to keep the dog primarily indoors or out? Please elaborate__________________________________________________________ ___________________________________________________________________________ 14. Do you have a fence?___Type?___________________Height?_____________ Is the fence secure and solid?____What types of gates?________________ Can children open the gates?__________________________________________ 15. What types of improvements are needed to provide a secure yard?_______ ___________________________________________________________________________ 16. Are you willing to make the improvements?______________________________________________________________ ___________ 17. If you have a pool, is it fenced?____If you have a dog run is it secure?_______ 18. Have you checked the yard for dangerous articles, plants, or anything the dog could use to climb the fence?_______________________________________ 19. Are you aware of any distractions outside your yard that could plague the dog? (Such as neighbor's dog, loose dogs on street, mischievious children)__________________ 20. Can strangers gain access to your yard from the streets?____ 21. Any allergies to pets?__________________ 22. Do you have other pets?______What kind and sex?_________ 23. Where did you get your current/ past pet(s)?__________ How long have you had him/her?_______________ 24. If you don't have a pet now, have you had a pet before?_______________ What kind and sex have you owned before?____________How long did you have him/her/them?__s_____ What happened to him/her/them?__________________________________ 25. If you have/had other animals, what have/has been your main problem with them? ________________________________________ 26. If you have other dogs, would you consider them agressive or submissive to other people?_____________to other animals?____________ 27. If you have birds, rabbits, cats, etc., are you prepared to spend the time necessary to accustom them and the dog to each other? yes. Can you isolate the dog from the other animals if they cannot get along?___ 28. Are you willing to take time with the acquisition of a Collie, read and learn all the facts of temperament, socialization, grooming and proper handling and understand the time required to of the breed?____ 29. Have you discussed with your family the pros and cons of owning a Collie?_______ 30. Have you asked yourself whether your lifestyle is so busy that you might not have the time or energy to properly care for a dog?_________ 31. Is your lifestyle such that friends, relatives and children gain admittance to your home, property, and car without your supervision?_____ 32. If you have children, are you willing to accept the additional responsibility of a Collie?________Have you taught your children the proper way to treat a living animal?___ 33. Does everyone in your family want a dog?______ 34. What other breeds have you been contemplating?________________________ ___________________________________________________________________________ 35. What is your family's overall reaction to owning a dog?______ ___________________________________________________________________________ 36. Which members are enthusiastic? Unenthusiastic?_______________________ ___________________________________________________________________________ 37. What concerns have been voiced by other family members?______________ __________________________________ 38. Do you realize that a Collie may live for 10-15 years and are you committed to care for it that long? _________ 39. A Collie enjoys a daily walk, and, if properly conditioned, can go hiking or jogging with you. Have you and your family carefully considered how the dog would fit into your lifestyle?_________ 40. If you expect to get a young dog, do you understand that early socialization is the key to developing a well-balanced adult Collie? __, do you realize that socialization means taking your dog into crowded areas outside of your home and having strangers pet the dog? _________________, that this period starts at about two months of age? _____________. Are you willing to spend this kind of time? _________ 41. Are you likely to enroll your dog in obedience training?______________ 42. Are you willing to attend obedience classes to train the dog?____ Which family members would be expected to assist with home training?_______ ___________________________________________________________________________ 43. What kind of work or behaviors do you expect of this dog?_____________ __________________________________________________________________________ ___________________________________________________________________________ 44. Name the most recent dog-training books you have read. _________________________________________________________________________ ___________________________________________________________________________ 45. What amount of time and effort do you want to devote to training him/her?___________________________________________________________ 46. What is your definition of disciplining a dog?______________________________ __________________________________________What is your initial reaction to the idea of disciplining your dog?______ 47 What are your training objectives? _________________________________________ 48. Are you interested in showing your Collie? If so, do you have any experience in this area?____ 49. Are you thinking of breeding your Collie?____ 50. Do you plan to spay or neuter your Collie?___ 51. Do you have a sex preference?_____Which?___________________________ 52. Would you consider the opposite sex?__________________________________ 53. Would you be interested in an older dog?______________ 54. Would you be interested in a rescued dog?_____________________________ 55. Would you be interested in a young adult/older puppy?___________ 56. Are you agreeable to returning the dog, should some unforeseen circumstance arise wherin you would no longer be able to keep the dog?______ 57. Would you be willing to allow us to visit your home?____ 58. How did you find out about us?___________________ 59. Your comments and suggestions:________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 60. Variety, color, sex and age preference in a collie:_______________________________ Please list 3 references (required): name, address and phone number and relation, 1 must be a vet and 1 a neighbor: 1.____________________________________ 2._____________________________________ 3.______________________________________ Your Signature:_________________Date:___ Thank you for your cooperation. This comprehensive questionnaire helps us in placing the right dog with the right family. An improper placement, or one in which all the details aren't known can end tragically, usually for the dog. Again thank you.