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Anchor Creek Kennel Sandi & Jeff Ling 7411 Chapel Road Madison, Ohio, 44057 Phone: (440) 983-4214 Email: leonberger44057@yahoo.com www.anchorcreek.com
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Potential Owner Questionaire
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* Required Field
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Date:
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Your name:
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Address:
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State:
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City:
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Zip:
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Phone:
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*
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Email:
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1. Why did you decide on a Leonberger?
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2. Are you interested in a male or female?
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Male
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Female
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Either
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3. What are you looking for in your Leonberger? Do you have specific goals for your dog (Showing, Therapy work, etc)?
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4. How many adults and children in your family and what are their ages?
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Adults
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Children
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Ages
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Ages
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Hold CTRL button to select multiple age ranges
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5. Do you own another dog? Other pets?
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No
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Yes
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If yes, please tell us about them below.
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Dog(s)
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Cat(s)
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Other
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6. Have you taken a dog to obedience classes?
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No
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Yes
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7. Have you ever euthanized or surrendered a dog to a shelter?
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No
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If yes, please explain circumstances below.
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Yes
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8. Describe your home setting.
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Rural
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City
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Suburban
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9. Is your yard fenced?
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No
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Yes
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10. How will you exercise your Leonberger?
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11. Are you comfortable crate-training your dog?
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Yes
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If no, please explain.
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No
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12. Are you interested in breeding dogs?
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If yes, please explain why.
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No
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Yes
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13. Are you willing to travel to pick up your puppy? We want to meet all of our puppy owners personally and prefer not to ship puppies.
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If no, please explain.
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Yes
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No
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14. Please provide two references. If you have previously owned a dog, one reference must be your veterinarian, a breeder or trainer.
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One
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*
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Reference Name:
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Reference Phone:
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*
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Reference Email:
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*
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Two
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*
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Reference Name:
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Reference Phone:
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*
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Reference Email:
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*
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15. If there is anything else you think we should know about you and your family or living arrangements please tell us here.
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We would appreciate photos of your family (pets too) and your yard. We want to make the best combination for our puppies in family homes. Photos help us get to know you even better. Photos may be emailed. Click here to email us photos.
Thank you for your interest in our Leonbergers.
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Sandi & Jeff Ling ~ Anchor Creek Kennels ~ Madison, Ohio www.anchorcreek.com leonberger44057@yahoo.com
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