Prospective Buyer Questionnaire
                                  Imagine Keeshonden

Your Name(s): ________________________________________________________________________________

Address: _____________________________________________________________________________________

Phone/Fax/E-mail: ____________________________________________________________________________

Profession(s): _______________________________________________________________________________

Number of dogs previously owned: _____________________	Breed(s): ____________________________

What happened to these dogs? _________________________________________________________________

______________________________________________________________________________________________

Number of dogs presently owned: ______________________ Breed(s): _____________________________

Temperament of dogs you own: ________________________ Sex ________ Spay/Neuter: ______________

Where did you learn about the Keeshond? ______________________________________________________

Why are you interested in owning a Keeshond? _________________________________________________

______________________________________________________________________________________________

Do you live in an apartment, house, or other? ________________________________________________

Do you have a securely fenced yard? ______________________ Size? _____________________________

How do you plan to exercise this dog? ________________________________________________________

What percentage will your dog be in the following?

House:  ___________ Yard: ________ Other: ____________

How many hours a day are you away from the house? ____________________________________________

Where will your dog be during this time? _____________________________________________________

If you will be away for work or vacation, how will the dog be cared for? _____________________

______________________________________________________________________________________________

On what occasions do you plan to use a crate, and if so, for how long? _______________________

______________________________________________________________________________________________

Where will the dog sleep? ____________________________________________________________________

What type of training do you intend for this dog? ____________________________________________

______________________________________________________________________________________________

Please list family members and their ages: ___________________________________________________

______________________________________________________________________________________________

Briefly explain why you have chosen this time to bring a new dog into the family and how all 

family members feel about it:_________________________________________________________________

______________________________________________________________________________________________

Describe your personality: ___________________________________________________________________

Hobbies, dog-related or not: _________________________________________________________________

Do any family members have allergies to dogs? ________________________________________________

Preference:  Male ____________ Female ___________  Why? ______________________________________

______________________________________________________________________________________________

Please check all that applies: I want a Keeshond for: Companion ____, Show ____, 
Obedience ___, Therapy____, Breeding ____, Agility ____, Other _______________________________

Will you spay or neuter this dog? ____________________________________________________________

Are you willing to obtain clearances of OFA, CERF to help us maintain the highest of breeding 

standards?  Your assistance is critical in establishing this data bank. ______________________

Thank you for filling out this questionnaire.  It should prove helpful to me in placing a 
puppy/dog in your home.  If you need more space, please add additional pages.


Signature(s) _______________________________________________________Date _____________________



                           Carolyn Schaldecker, Imagine Keeshonden
                       1571 Twin Valley Dr. NE, Solon, IA  52333-9319
                           (319) 848-4517   imagine@southslope.net